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. 2020 Apr 21;20:339. doi: 10.1186/s12913-020-05151-3

Table 1.

Logic framework for the Optimizing Health Extension Program intervention in selected districts of Ethiopia

Assumptions

• Local stakeholders committed to coordinate and support the interventions

• Traditional leaders will promote the maternal, newborn and child health services

• The government health sector and supply chain partners will ensure drug and service availability

Strategies COMMUNITY ENGAGEMENT CAPACITY BUILDING OWNERSHIP, ACCOUNTABILITY
Interventions

• Health post open house

• Group discussions led by Women’s Development Army (WDA) members

• Reaching male partners

• Engaging schools

• Engaging religious and traditional leaders

• Health films

• Radio spots and dramas

• WDA level one training

• Community-based data for decision making

• Health Extension Worker (HEW) gap filling training and job aids

• Supportive supervision of HEWs

• Performance review and mentorship meetings with HEWs

• Provision of job aids and tools

• Advocacy for the integration of Community-Based Newborn Care (CBNC) and integrated community case management (iCCM) into planning, budgeting, management, and information systems of the district and sub-district levels.

• Management standard for health post opening hours

• Ambulance service for children’s referral

• Engage Kebele (sub-district) command post in the efforts

Establish community feedback mechanism

Output

• Awareness of childhood illness and availability of CBNC and iCCM

• Acceptance of health post care

• Evidence-based social and behavioural change communication

• WDA members capacitated

• HEWs gained skills

• Supportive supervision and performance review and mentorship meetings with HEWs done

• CBNC and iCCM integrated in the planning, management and information systems at district and sub-district levels

• Standard set for health post opening hours

• Sub-district level local administration engaged in demand creation and support to primary health service provision

• Community feedback mechanisms created

• Advocacy to decision makers and influential bodies

Intermediate outcomes

• Improved child health practice at household and community levels

Data source: Household module

• Improved availability of high quality community-based newborn care and integrated community case management of childhood diseases

Data source: Health post, health extension worker and health provider assessment module

• Improved ownership and accountability of community-based newborn care and integrated management of childhood illnesses

Data source: woreda contextual factors module

Outcome

• Increased utilisation of good quality community-based newborn care and integrated management of childhood illnesses

Data source: household module

Impact • Reduction of under-five mortality