Vaccine safety practices and its implementation barriers in Northwest Ethiopia: A qualitative study
Conclusion: Efforts to promote the safety of vaccines and vaccination practices is a complex phenomenon and demands multidisciplinary action. Based on our findings, improved vaccine storage and handling, proper administration of vaccines based on guidelines, proper disposal and management of waste, and effective communication, and monitoring can contribute to the safe delivery of vaccination practices. Furthermore, improving the financial freedom of the facilities could increase the availability of essential resources and equipment that can safely store vaccines. [Ethiop. J. Health Dev. 2021; 35(SI-3): 111-117]Keywords: Im...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Getasew Amare, Tewodros Seyoum, Tajebew Zayede, Ashenafi Tazebew, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Berhanu Fikadie Endehabtu, Alyssa Sharkey, Binyam Tilahun Source Type: research

Strategies to revitalize immunization service provision in urban settings of Ethiopia
Conclusions: The existing immunization service provision strategies in urban settings are not adequate to reach all children. Immunization service inaccessibility and substandard services were the main barriers hindering service provision. Program managers should expand routine service access to marginalized populations through outreach services, by strengthening the public-private partnership, and integrating technological innovations (like digitalization of the EPI program and application of mHealth reminders) to facilitate inter-facility linkage. [Ethiop. J. Health Dev. 2021; 35(SI-3):98-110]Keywords: Immunization, Vacc...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Zeleke Abebaw Mekonnen, Mulat Nigus, Solomon Assefa, Abiyot Biru, Alemayehu Teklu, Marta Feletto, Rajeev Gera, Antoinette Ba-Nguz, Binyam Tilahun Source Type: research

Women's Independent Household Decision Making Power and its influence on their Autonomy in relation to Child Vaccinations: a mixed-method study among Women of Reproductive Age in Northwest Ethiopia
Conclusions: The overall level of women ’s household decision making power was relatively low compared to EDHS reports whereas women ' s autonomy to chid vaccination was high. There was a strong relationship between women ’s household decision making power and their autonomy in relation to child vaccinations. It is therefore important to implement activities, for example, provision of behavioural change communication (BCC) in the community, that can improve women’s household decision making power which in turn wi ll influence child vaccination coverage. [Ethiop. J. Health Dev. 2021; 35(SI-3):86-97]Key words: Women, H...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Abebaw Addis Gelagay, Alehegn Bishaw Geremew, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Alyssa Sharkey, Abraham Assan, Binyam Tilahun Source Type: research

How to optimize health facilities and community linkage in order to enhance immunization service? The case of West Amhara Region, Ethiopia
Conclusion: The linkage of community and facilities were not approached in the same manner within districts and facilities. Therefore, strengthening a common system for community-health facility linkage and community engagement is critical during immunization services. Establishing a strong strategy of incentivizing mechanisms is vital for the effective implementation of immunization services. An advocacy strategy to mobilize engagement among policy and decision-makers, and other key stakeholders was an important strategy for improving the program. [Ethiop. J. Health Dev. 2021; 35(SI-3):75-85]Keywords: Community, Facility ...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Mastewal Kerebih, Amare Minyihun, Awol Gudale, Amsalu Shiferaw, Abay Hagos, Zeleke Abebaw Mekonnen, Alemayehu Teklu, Marta Feletto, Asm Shahabuddin, Binyam Tilahun Source Type: research

How to optimize Immunization Supply Management at different levels of the health system in Oromia Region? An implementation science research
Conclusion: This study showed that the existing immunization supply management practice is not optimal. Organizational, technical, and behavioral barriers were the identified determinants for low availability. Therefore, program managers and policymakers should emphasize addressing the identified barriers and tailoring the alternative strategies to ensure the availability of vaccines at the point of service delivery. [Ethiop. J. Health Dev. 2021; 35(SI-3):65-74]Keywords: Immunization, Implementation research, Supply Management, Health system, Ethiopia (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Berhanu Fikadie Endehabtu, Yohannes Lakew, Bezuayehu Tegegn, Tekalign Morka, Zeleke Abebaw Mekonnen, Alemayehu Teklu, Asm Shahabuddin, Rajeev Gera, Binyam Tilahun Source Type: research

Immunization data quality and factors influencing data generation, handling and use in Wogera District, Northern Ethiopia, 2020
Conclusion: The study revealed that health facilities over-reported immunization data elements in primary health care units. Attentions should be given to address organization, behavioral, technical, and contextual factors influencing immunization data quality, generation, handling, and use. [Ethiop. J. Health Dev. 2021; 35(SI-3):56-64]Keywords: Immunization data quality, Factors influencing, Verification factor, Wogera district (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Tesfahun Hailemariam Madebo, Lemma Derseh Gezie, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Asm Shahabuddin, Binyam Tilahun Source Type: research

The Implementation of Social and Behavior Change Communication Intervention to Improve Immunization Demand: A qualitative study in Awabel District, Northwest Ethiopia
Conclusion: The implementation of SBCC interventions is important to improve immunization demand. Despite its effectiveness, there are several multi-level barriers to its successful implementation. Further, greater investments are required to improve infrastructures, staff employment and capacity building. [Ethiop. J. Health Dev. 2021; 35(SI-3):49-55]Keywords: Immunization, SBCC, Ethiopia (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Getnet Bayih, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Terefe Tsedaw, Sisay Tefera, Marta Feletto, Asm Shahabuddin, Binyam Tilahun Source Type: research

The Burden of Internal Conflict on Expanded Programs on Immunization in Northwest Ethiopia: Implementation Science Study
Conclusion: Vaccination service delivery was found to have significantly declined in the study area. Security problems affected not only the service utilizers but also the service providers ’ wing as well. Coordination of stakeholders and strong leadership systems are crucial in maintaining optimum vaccination service delivery even at the time of conflict. [Ethiop. J. Health Dev. 2021; 35(SI-3):39-48]Key words: Conflict, internally displaced, Immunization services (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Geta Asrade, Kassahun Alemu, Ejigu Gebeye, Melkamu Walle, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Amsalu Shiferaw, Abraham Assan, Binyam Tilahun Source Type: research

Assessment of immunization data management practices, facilitators, and barriers to immunization data quality in the health facilities of Tach Gayint district, Northwest Ethiopia
Conclusion: We found that majority of health workers use locally developed tools instead of using the standard data recording and reporting tools. Regular Performance Monitoring Team meetings and Lots Quality Assurance Sampling assessment were found to be facilitators. Furthermore, limited supportive supervision, vertical reporting and poor implementation of Community Health Information System were barriers. Therefore, strengthening the use of standard recording and reporting tools, conducting regular supportive supervision, and implementing routine vaccination services are recommended to improve the data management practi...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Biniam Kefiyalew, Solomon Abay, Workineh Mamo, Biruk Abate, Moges A. Chanyalew, Yejimawork Ayalew, Ambanesh Necho, Zeleke Abebaw Mekonnen, Alemayehu Teklu, Asm Shahabuddin, Binyam Tilahun Source Type: research

Full immunization coverage and its determinants among children aged 12-23 months in Wogera district, Northwest Ethiopia
Conclusion: In this study, the full immunization coverage is found to be suboptimal, and it is far from the expected national target coverage. Maternal health care uptake; women empowerment; home visits by HEW during the first week of the postpartum period and male involvement in child immunization were found to be predictors of being fully vaccinated. [Ethiop. J. Health Dev. 2021; 35(SI-3):16-27]Keywords: Full immunization, Children12-23 months, Northwest Ethiopia, Male involvement (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Abebaw Addis Gelagay, Alehegn Bishaw Geremew, Alemayehu Teklu, Zeleke Abebaw Mekonnen, Rajeev Gera, Antoinette Ba-Nguz, Binyam Tilahun Source Type: research

Assessment of barriers to the implementation of community-based data verification and immunization data discrepancies between health facilities and the community in Tach Gayint district, Northwest Ethiopia.
Conclusion: This study revealed a poor level of CBDV implementation and barriers to its effective implementation which include lack of prioritizing CBDV, limited capacity among health staff in performing CBDV, and conflicting job roles among health staff. There was a high level of immunization data discrepancy for measles-1 and DTP/Pentalent-3 vaccines. Based on our finding, we make the following recommendations: building skills among health workers to perform CBDV, enhancing availability and use of standard CBDV tools, ensuring monitoring, and control mechanism, and setting clear definition of roles regarding CBDV, as wel...
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Biniam Kefiyalew, Workineh Mamo, Moges A. Chanyalew, Solomon Abay, Biruk Abate, Ambanesh Necho, Yejimawork Ayalew, Zeleke Abebaw Mekonnen, Alemayehu Teklu, Amsalu Shiferaw, Binyam Tilahun Source Type: research

Implementation fidelity and challenges of optimal cold chain management in Assossa district health system, Benshangul-Gumuz region, Western Ethiopia
Conclusions: Across the health facilities under study, implementation fidelity of cold chain management was considered poor. Human resource development, proper allocation and effective management of logistics and related finance could facilitate optimal cold chain management practices, and efforts to save lives through delivery of safe and quality vaccines. [Ethiop. J. Health Dev. 2021; 35(SI-3):03-08]Keywords: Cold chain management, Implementation fidelity, Challenges, Ethiopia (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - November 25, 2021 Category: African Health Authors: Tseganesh Gedlu, Kassahun Dessie Gashu, Netsanet Birhanu, Shawel Tessema, Tesfaye Deti, Zeleke Abebaw Mekonnen, Alemayehu Teklu, Amsalu Shiferaw, Binyam Tilahun Source Type: research

Editorial
The Ethiopian Journal of Health Development has come a long way since its first appearance in 1984. With the support that it has enjoyed from many institutions, groups and individuals, it is growing in strength and reputation. Its objective of promoting the primary health care approach is being fulfilled. In the words of a former Minister of Health of Ethiopia " the Journal is one of the few that has managed to reach the health professionals ...at the periphery where it is most needed. " We expressed " our hope that our Journal will enjoy the full support of, and close association with, the Ethiopian Public Health Associat...
Source: Ethiopian Journal of Health Development - November 16, 2021 Category: African Health Authors: Asfaw Desta Source Type: research

Health in ethiopia: a summary of 52 district health profiles
ABSTRACT:This paper integrates the data contained in 52 district health profiles completed during the years 1988 to 1991. These profiles encompass approximately 40% of the Ethiopian population and thus provide a summary assessment of health services and health status. Thirty percent of children were found to be attending school, 33% of children under five years of age were malnourished, and 35% of the population had access to safe water. The analysis was stratified by districts, urban versus rural populations, and hospital versus non hospital health institutions. Large disparities between districts were found in measures o...
Source: Ethiopian Journal of Health Development - October 29, 2021 Category: African Health Authors: Charles P. Larson, Tadele Desie Source Type: research

Letter to the Editor
As a former member of the now " defunct " Medical Advisory Board (MAB) for the Ministry of Health, I was glad to read the article by Dr. Yeshak Worku and Sinknesh Ejigu on: Some Chemical Constituents of selected water sources in and around Addis Ababa  (Source: Ethiopian Journal of Health Development)
Source: Ethiopian Journal of Health Development - October 22, 2021 Category: African Health Authors: Pawlos Quana ' a Source Type: research