Caregiver experiences and healthcare provider perspectives on managing sick young infants in primary care: a qualitative study in Awi Zone, Northwest Ethiopia
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View abstract on PubMed
Summary
This summary is machine-generated.Low utilization of essential newborn care in Ethiopia stems from caregiver awareness gaps and health system weaknesses. Addressing these requires integrated demand-creation and health system strengthening for improved infant survival.
Area Of Science
- Public Health
- Global Health
- Pediatrics
Background
- Ethiopia's community-based management of possible serious bacterial infections aimed to improve newborn care access.
- Low service utilization and suboptimal quality highlight primary healthcare system challenges for sick young infants (0-2 months).
Purpose Of The Study
- To explore mothers' and healthcare providers' experiences with managing sick young infants.
- To identify challenges in the primary healthcare system affecting care quality and utilization.
- To inform policy and practice for improved newborn care in Ethiopia.
Main Methods
- Qualitative study utilizing 25 in-depth and 6 key informant interviews.
- Purposive sampling included mothers, health extension workers, health center staff, and supervisors.
- Inductive thematic analysis of transcribed audio-recorded interviews.
Main Results
- Caregivers delayed care-seeking due to illness perception and lack of awareness of local health posts, bypassing them for distant health centers.
- Mothers reported long waits, inadequate assessments, and poor communication at health centers.
- Healthcare providers cited infrastructure issues, perceived low service quality, knowledge gaps, inconsistent drug availability, weak referrals, poor supervision, and limited district ownership.
Conclusions
- Significant challenges exist from community to health system levels impacting sick young infant care utilization and quality.
- A comprehensive strategy integrating demand-creation with health system strengthening is crucial.
- Ensuring consistent, high-quality care requires addressing both community and systemic factors.
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