Ethiopia

Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

Karen Weidert
Amanuel Gessessew
Suzanne Bell
Hagos Godefay
Ndola Prata
2017

Ethiopia has made notable progress in increasing awareness and knowledge of family planning and is considered a success story among funders and program planners. Yet unmet need among rural women (28.6%) is almost double that of urban women (15.5%), with a wide gap in total fertility rate depending on urban (2.6) or rural (5.5) residence. This study investigates the impact of a service delivery model that combines community-based distribution (CBD) of contraception with social marketing in Tigray, Ethiopia, to create a more sustainable approach to CBD. Between September 2011 and...

The association between perceived neighborhood social cohesion and intimate partner violence in a refugee camp in Dollo Ado, Ethiopia

Rebecca Hailu Astatke
Theodros Woldegiorgis
Jennifer Scott
Ndola Prata
Kim G Harley
Negussie Deyessa
Anne Bennett
Vandana Sharma
2025

Background: Intimate partner violence (IPV) is the most common form of gender-based violence affecting women and girls worldwide and is exacerbated in humanitarian settings. There is evidence that neighborhood social processes influence IPV. Perceived neighborhood social cohesion (P-NSC)-a measure of community trust, attachment, safety, and reciprocity-may be protective against women's experience of and men's perpetration of IPV and controlling behaviors.

Methods: A quantitative social network study, comprised of individual verbally-administered...

Global availability of misoprostol

M Campbell
M Holden
2006

Misoprostol is registered as a gastric ulcer drug in many middle to high income countries; it is also used ‘off label’ in these same countries to prevent and control PPH. Its ease of administration and stability in tropical climates make it an ideal drug for use in home births, as well as with Active Management of the Third Stage of Labor (AMTSL) in any busy hospital.

Published in International Journal of Gynecology and Obstetrics, 94 (2) 2006, 151-152

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Letter: Effect of Contraceptive Access on Birth Rate

Malcolm Potts
Martha Campbell
2008

Letter in response to the Perspective “REPRODUCING IN CITIES” by Mace published in Science February 2008 in Science

Published in Science, May 16 2008, 874

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Prevention of Postpartum Hemorrhage: Options for Home Births in Rural Ethiopia

Ndola Prata
A Gessessew
A Abraha
M Holston
Malcolm Potts
2009

African Journal of Reproductive Health, 2009

This paper sought to determine the safety and feasibility of home-based prophylaxis of postpartum hemorrhage (PPH) with misoprostol, including assessment of the need for referrals and additional interventions.

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A new hope for women: medical abortion in a low-resource setting in Ethiopia

Ndola Prata
Amanuel Gessessew
Martha Campbell
Malcolm Potts
2011

Between February 2002 and January 2004 in the Adigrat Zonal Hospital, covering one-fifth of the large Tigray region of North West Ethiopia, there were 907 admissions with a diagnosis of abortion. Among these, 521 were induced by traditional, unsafe methods. Unsafe abortion was the leading cause of admission, accounting for 12.6% of all bed occupancy throughout this general hospital and 60.6% of the gynecological admissions. About 57% of patients admitted with unsafe abortions had serious complications, including tubo-ovarian abscess, vaginal laceration, uterine perforation,...

Task shifting and sharing in Tigray, Ethiopia, to achieve comprehensive emergency obstetric care

Amanuel Gessessew
Gebre Ab Barnabas
Ab Barnabas
Ndola Prata
Karen Weidert
2011

Objective: To assess the contribution of nonphysician clinicians (NPCs) to comprehensive emergency obstetric care (CEmOC) in Tigray, Ethiopia. Methods: We conducted a retrospective review of the obstetric records of all women treated from January 1, 2006, to December 31, 2008, at the 11 hospitals and 2 health centers with CEmOC status in Tigray. Data were collected using 2 questionnaires, one concerning the facility and the other concerning the patient. Results: During the studied period 25,629 deliveries and 11,059 obstetric procedures (3369 of which were major surgical interventions)...

Meeting Rural Demand: A Case for Combining Community-Based Distribution and Social Marketing of Injectable Contraceptives in Tigray, Ethiopia

Ndola Prata
Karen Weidert
Ashley Fraser
Amanuel Gessessew
2013
Background

In Sub-Saharan Africa, policy changes have begun to pave the way for community distribution of injectable contraceptives but sustaining such efforts remains challenging. Combining social marketing with community-based distribution provides an opportunity to recover some program costs and compensate workers with proceeds from contraceptive sales. This paper proposes a model for increasing access to injectable contraceptives in rural settings by using community-based...

Meeting Rural Demand: A Case for Combining Community-Based Distribution and Social Marketing of Injectable Contraceptives in Tigray, Ethiopia

Ndola Prata
Karen Weidert
Ashley Fraser
Amanuel Gessessew
2013

Background

In Sub-Saharan Africa, policy changes have begun to pave the way for community distribution of injectable contraceptives but sustaining such efforts remains challenging. Combining social marketing with community-based distribution provides an opportunity to recover some program costs and compensate workers with proceeds from contraceptive sales. This paper proposes a model for increasing access to injectable contraceptives in rural settings by using community-based distributers as social marketing agents and incorporating financing systems to improve...

Potential for Cost Recovery: Women’s Willingness to Pay for Injectable Contraceptives in Tigray, Ethiopia

Ndola Prata
Suzanne Bell
Karen Weidert
Amanuel Gessessew
2013

Objective

To investigate factors associated with a woman’s willingness to pay (WTP) for injectable contraceptives in Tigray, Ethiopia.

Methods

We used a multistage random sampling design to generate a representative sample of reproductive age women from the Central Zone of Tigray, Ethiopia to participate in a survey (N = 1490). Respondents who had ever used injectable contraceptives or who were interested in using them were asked whether they would be willing to pay, and if so, how much. Logistic regression odds ratios (ORs) with 95%...