168x Filetype PPTX File size 0.15 MB Source: www.dhsprogram.com
Ethiopia DHS 2016 • Will be conducted by – Central Statistical Agency (CSA) – Ethiopian Public Health Institute (EPHI) • Data collection teams will visit each Enumeration Area (EA) selected for the survey • A separate team (health facility team) will visit health centers or posts with names of children without vaccination cards identified during data collection. Health care system in Ethiopia Health Centers – Found at the regional, zonal and wareda level. Staffed with Health officers, Midwives, Nurses. A higher level of care with in-patients care; – Unclear how many health personnel per health centers because of variations within the regions, zones, and waredas; – A Wareda is responsible for a population of 15,000 to 25,000 individuals depending on the area. Health care system in Ethiopia (Cont.) Health Posts – Health Extension Workers (HEW) are responsible for providing very specific care in health posts at the kebele level (smallest administrative unit in Ethiopia). – Two HEWs per Kebele, formally trained by MoH. – Focus on immunization, family planning, and sometimes with delivery. Also responsible for referring patients to health centers. Data collection • Home-based records: – Immunization cards/ child care cards; – Polio0 and BCG cards (given at health centers); • Mother’s recall: • Health centers and posts records: – Child care cards (started in 2014) – Family health book (started in 2014) – Small registration book (older) – Registration book (IGMRB) Visits to four health centers Positive aspects Challenges Information on vaccination is Information recorded in the routinely recorded in the registry book by the date of registry book first visit All vaccination data recorded in Children’s names are not a single line in the register always recorded Family book available since The mother’s name is not 2014 always recorded HEWs are the source of System is not standardized information for the community across health centers or posts
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