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Developing an innovative primary health care system for pastoralist community


Department for International Development UKAID

Titre : Developing an innovative primary health care system for pastoralist community

Pays : Ethiopie

Numéro du projet : GB-GOV-13-FUND—GCRF-MR_M006050_1

Organismes de mise en œuvre : Ctr for Nat Health Dev Ethiopia (CNHDE)

Durée : Actual Start 03 Mar 2015 // Actual End01 Sep 2017

The goal of the research project is to improve the poor health status of the pastoralist communities in Ethiopia. To meet the proposed goal, the research project aims to develop a primary care strategy appropriate to pastoral context. As a prerequisite to developing health strategy adapted to pastoralist context, there is a need to acquire information on the health problems and associated risk factors, health determinants, socio-economic, demographic and cultural characteristics, and the existing formal and informal health systems. Understanding these contextual factors will address the questions as to what are the most appropriate intervention packages, and as to how to most effectively delivery such interventions building on existing structures in pastoral areas. The subject of the ’development grants’ research project is to collect this critical information, which is not available in any data source in the country, and propose possible and potential interventions for pastoral communities. Once this research is completed, we aim to use the information and prepare a well-informed research project for submission to the ’full-scale research project grants’ with the objectives of testing the interventions and formulating an appropriate public health intervention for pastoral communities. The specific objectives and research questions proposed under this ’development grants’ include : Objective 1 : To describe the major causes of morbidity and mortality among pastoral people. This requires basic epidemiological research to describe the nature and magnitude of the health problems in the pastoralist communities in terms of population groups or geographical areas. Specific information on the burden of diseases resulting from their proximity to animals (such as anthrax) and on the burden of malnutrition due to their dietary habit, which is limited to milk and meat will be collected. Objective 2 : To describe the pastoralist communities in terms of geographic features, socio-economic and demographic characteristics, livelihood style, and relationship with livestock. This research objective will involve both qualitative and quantitative approaches to understand and assess the prevalence and distribution of risky behaviors, and examine associations with possible determinants. Characterizing the context and identifying the determinants that are related with the health status of the people will give insights into approaches to the interventions. Designing and selection of health interventions need to build upon people’s own perceptions and motivations, and take into account the cultural, social and economic factors that may facilitate or hinder behavior change. Objective 3 : To describe the formal and informal health systems in pastoral areas and document the pattern of utilization between the two services. Objective 4 : To assess the process and the degree to which the HEP has been implemented and identify the factors that could explain the level of performance. Objective 5 : To assess the engagement and acceptability at the level of the community in the implementation of the HEP. Objective 6 : To identify possible and potential intervention strategies for the pastoralist context. The information and results of the above objectives will be the bases in the identification of the potential health interventions for pastoralist context. Key relevant stakeholders including the FMOH, the Ministry of Federal Affairs, the Regional Health Bureaus (RHBs), the District Health Offices, and other relevant stakeholders and experts will be involved in the discussion and decision process. This collaborative process will ensure the widest possible use of the findings of the project and ownership of the project by the stakeholders and will ensure the uptake in the development of appropriate delivery strategies for pastoralist communities.

Financement : UK - Department for Business, Energy and Industrial Strategy
Project budget : £99,598

Présentation (UKAID)

Page publiée le 11 octobre 2022