http://repository.iphce.org/xmlui/handle/123456789/13 2026-10-15T10:39:24Z 2026-10-15T10:39:24Z Chalie Tadie Tsehay1 | Ayal Debie1 | Getnet Mitike Kassie2 | Eskedar Getie Mekonnen3 | Wubet Worku Takele4, IPHCE5 | Ashenafi Tazebew Amare6 | Amare Demsie Ayele7 | Tsegaye G. Haile1 http://repository.iphce.org/xmlui/handle/123456789/5438 2026-09-30T11:37:33Z 2026-07-01T00:00:00Z

Community‐Based Outpatient Therapeutic Program Implementation in Central Gondar Zone, Northwest Ethiopia: A Process Evaluation Using Access and Implementation Fidelity Frameworks Chalie Tadie Tsehay1 | Ayal Debie1 | Getnet Mitike Kassie2 | Eskedar Getie Mekonnen3 | Wubet Worku Takele4, IPHCE5 | Ashenafi Tazebew Amare6 | Amare Demsie Ayele7 | Tsegaye G. Haile1 Children with severe acute malnutrition have a 10‐fold increased risk of death, diminished intellectual development and poor adult work capacity. Community‐based outpatient therapeutic programs are among the key interventions designed to manage uncomplicated severe acute malnutrition at the community level in Ethiopia. Despite its implementation, evaluation involving multi‐dimensional data sources such as health system level, service provider level and community level perspectives has not been made so far. A mixed‐method evaluation was conducted in the central Gondar zone from January to May 2021. The OTP program is implemented by Ethiopian Ministry of Health. A total of 105 women/caregivers, 39 health posts, 171 health extension workers, and outpatient therapeutic program registration and reporting documents were included in the study. In‐depth interview was conducted with seven HEWs and nine mothers/caregivers. Moreover, five key informants were selected from district officers and nutrition focal persons. Although more than half of the health posts had the required two HEWs, WHO weight‐for‐height reference cards, referral forms, length measuring boards and essential drugs were limited in most health posts. Close to a third (35.5%) of the HEWs were recording the routine‐given medicine while the majority (98.8%) of them measured and recorded the children's Mid‐Upper circumference. Sharing of RUTF for non‐eligible children was the observed barrier to adherence to the program. The implementation status of the OTP program was poor. Some medicines were stocked out in all health posts. The majority of the mothers/caregivers didn't appropriately provide RUTF for their children. Improving resource availability, enhancing HEWs' compliance with the OTP protocol, and ensuring consistent counseling and regular home visits for mothers are recommended to improve recovery outcomes among children with malnutrition.

2026-07-01T00:00:00Z Saba Desta Tessema, Mesfin Tadese, Solomon Hailemeskel, Chaltu Takele Mule, Getaneh Dejen Tiche , Lidya Asalefew Mekonnen, Getnet Mitike Kassie http://repository.iphce.org/xmlui/handle/123456789/5433 2026-09-15T06:29:29Z 2026-08-14T00:00:00Z

Maternal early warning system (MEWS) model for predicting and reducing severe maternal outcomes in Ethiopia Saba Desta Tessema, Mesfin Tadese, Solomon Hailemeskel, Chaltu Takele Mule, Getaneh Dejen Tiche , Lidya Asalefew Mekonnen, Getnet Mitike Kassie Maternal mortality in Ethiopia remains high, while most of these deaths are prevent-able. Early detection of deterioration and prompt response are essential to reduce these preventable deaths. The Maternal Early Warning System (MEWS) is a reliable clinical tool for this purpose. However, its effectiveness is under-explored and its bedside use is inconsistent. This study evaluated the MEWS model for predicting and reducing severe maternal outcomes.

2026-08-14T00:00:00Z Anemaw Asrat, Getnet Mitike, Fentie Ambaw http://repository.iphce.org/xmlui/handle/123456789/5419 2026-06-03T06:29:18Z 2025-01-01T00:00:00Z

Co-modulation of clinical courses of hypertension and depression in public health facilities in Ethiopia: A six-month follow-up study protocol Anemaw Asrat, Getnet Mitike, Fentie Ambaw The co-occurrence of hypertension and depression is increasing both in magnitude and complexity, negatively impacting treatment outcomes of both conditions. Given that both conditions are chronic, the impact of each condition over time on the other needs to be well understood. This project aims to examine how each condition affects the course and outcome of the other over a six-month follow-up period.

2025-01-01T00:00:00Z Sara Bennett, Jennifer Applegate, Brenda Bunyasi, Adanna Uloaku Nwameme, Noelle Orata, Abigail Neel, Ligia Paina, Adjeiwa Akosua Affram, Daniel Nana Yaw Abankwah, Mohammed Abseno, Daniela C. Rodriguez, Getnet Mitike, Justice Nonvignon, Francis Wafula http://repository.iphce.org/xmlui/handle/123456789/5418 2026-06-03T06:31:05Z 2026-01-01T00:00:00Z

Managing public–private partnerships for health diagnostics: challenges and strategies Sara Bennett, Jennifer Applegate, Brenda Bunyasi, Adanna Uloaku Nwameme, Noelle Orata, Abigail Neel, Ligia Paina, Adjeiwa Akosua Affram, Daniel Nana Yaw Abankwah, Mohammed Abseno, Daniela C. Rodriguez, Getnet Mitike, Justice Nonvignon, Francis Wafula This paper draws upon a process evaluation of a public–private partnership (PPP) for diagnostics in three Sub-Saharan African countries, Ethiopia, Ghana and Kenya. The study sought to identify challenges in managing health PPP projects and potential solutions. We used an extensive document review and 72 recent key informant interviews (KIIs), building on 63 KIIs previously conducted to analyze the African Health Diagnostics Platform (AHDP) project in-depth. Our analysis employed a framework developed by Magalhaes et al based on the broader (non-health) PPP literature that identifies key challenges, strategies and success factors in PPP management across three main stages of PPP implementation. We find considerable alignment between the management challenges identified in the broader PPP literature and AHDP. Certainly, intensive negotiations and high transaction costs; difficulties managing risks and financing; the need for highly complex planning; and challenging stakeholder management all played a role in slowing progress on AHDP. An additional, critical theme concerns lack of capacity for managing health PPPs. The AHDP project generated a number of innovations to facilitate management but overall, if health PPPs are to succeed, more needs to be done to support their implementation. In particular, we propose investment in training government and technical assistance providers in health PPPs; development of repositories of guidance documents to support health PPPs; employment of systems-thinking based planning approaches that illuminate connections across the health system; more sophisticated approaches to stakeholder management; and investment in research that supports modeling of different PPP arrangements and how their progression is influenced by local contextual factors. While evidence on the impact of health PPPs remains scarce, moves toward increased healthcare corporatization in the context of dwindling aid underscores the urgency of building experience and evidence on PPPs in healthcare and other social sectors.

2026-01-01T00:00:00Z