IPHC-E publications

Co-modulation of clinical courses of hypertension and depression in public health facilities in Ethiopia: A six-month follow-up study protocol

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.

Managing public–private partnerships for health diagnostics: challenges and strategies

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.

Range of hurdles and opportunities for developing PPPs in diagnostics: a contextual analysis, Ethiopia

2026-01-01T00:00:00Z

Range of hurdles and opportunities for developing PPPs in diagnostics: a contextual analysis, Ethiopia Getnet Mitike Kassie, Rewina Tilahun Gessese, Tsegereda Abebe Andargie, Mohammed Abseno, Mazengia Ayale Mekonnen and Jennifer Applegate Background Public-Private Partnerships (PPPs) have emerged as a strategic approach to enhancing healthcare service delivery, particularly in resource-limited settings. In the diagnostics sector, PPPs can help address challenges such as inadequate infrastructure, workforce shortages, and supply chain inefficiencies. In Ethiopia, while private sector engagement in healthcare has long been recognized, the integration of PPPs in the Ethiopian diagnostics sector remains at an early stage, necessitating an exploration of both enabling conditions and barriers.

The effect of health education on hypertension, diabetes mellitus, and cervical cancer screening service utilization among eligible adults in a district around Bahir Dar city, Ethiopia: a cluster randomized controlled community trial

2025-01-01T00:00:00Z

The effect of health education on hypertension, diabetes mellitus, and cervical cancer screening service utilization among eligible adults in a district around Bahir Dar city, Ethiopia: a cluster randomized controlled community trial Yeshalem Mulugeta Demilew, Gizachew Tadesse Wassie , Habtamu Alganeh Guadie, Mulusew Andualem Asemahagn , Tadele Fentabel Anagaw , Getu Degu Alene and Getnet Mitike Kassie Background While screening service utilization is a proven strategy for early detection of noncommunicable diseases, population-based health checkup service utilization is very low in Ethiopia. This study aimed to assess the effect of health education in improving hypertension, diabetes mellitus, and cervical cancer screening service utilization in a district around Bahir Dar City, Ethiopia in 2024. Methods A cluster randomized controlled community trial was conducted in a district around Bahir Dar City among 214 adults in the intervention and control groups each. The intervention was health education. Trained parent-teacher association members provided a 30 min to 1 h education for the community using the existing social structures. Adults in the control group continue receiving the routine education through the health care system A structured interviewer-administered questionnaire was used to collect data. MacNemar’s test was used to assess the intervention effect. Binary logistic regression was also used to assess the intervention effect after controlling confounders. Results Overall difference in knowledge level of adults between the intervention and control groups was 34.4% (P<0.005). This difference persists after controlling potential confounders. Respondents in the intervention group had 2.2 times better knowledge about noncommunicable diseases compared with respondents in the control group [AOR=2.22, 95% CI: (1.4, 3.4)]. The overall difference in utilization of screening services for targeted NCDs between the intervention and control groups was 28.1% (P<0.001). This difference persists after potential confounders were controlled. Respondents in the intervention group were 4.8 times more likely to utilize screening services compared with respondents in the control group [AOR=4.83, 95% CI: (2.7, 8.5)].