Day 2 panel 2 an implemenation study jimma et 108028

1. An Implementation Study of
Interventions to Promote Safe
Motherhood in
Jimma Zone, Ethiopia
Jimma University, Jimma Zonal Health Department
and University of Ottawa

2. IMCHA Project Overview
• Background
• Health Extension Program and the reduction of maternal/neonatal mortality
• Maternal Waiting Areas – lack of evaluation at PHCU level
• Two interventions: MWA and IEC
• Research questions/objectives
• What existing and new interventions designed to remove barriers to safe motherhood options contribute
to a reduction in MCH mortality and morbidity?
• Objective: Reduce barriers to safer motherhood and to improve maternal health through evidence based
strategic interventions.
• ‘RE-AIM’ evaluation approach
• Methods
• Three-arm cluster randomized intervention trial: (1) IEC intervention; (2) IEC + MWA interventions; (3)
control
• Random assignment of PHCUs across three districts
• Mixed methods – quantitative and qualitative – to gather baseline and endline data

3. IMCHA Project Implementation
Results to Date/Key Lessons Learned
• Recruitment of project and field staff
• Finalization of implementation plan
• Convening of National Advisory Committee
• Needs assessment activities:
• to inform IEC
• review of data availability at PHCUs
• MWA rapid assessment
• Baseline data collection
• Intervention development and implementation (early stages)
Challenges in Implementation and Mitigation Strategies
• Quality and availability of ANC records to develop sampling frame for baseline survey
• Security concerns
• Internet connection challenges
• Staff turnover

4. IMCHA Project Implementation
Implementation Research Team – Focus on Capacity Strengthening
• Workshops held at JimmaU: qualitative and quantitative research methods
• PhD and Masters student projects
• Fourth Global Symposium on Health System Research (Vancouver 2016)
Next Steps (Plan for 2017) and Areas for Collaboration
• Dissemination activities: 67th Annual ICA Conference (San Diego 2017), Global
Evidence Summit (Cape Town 2017)
• Intervention implementation (IEC workshops + MWA improvement)
• Ongoing NAC engagement