We report on an evaluation of the early implementation of the PHC outreach teams in the North West Province in the form of a qualitative, descriptive-explanatory case study [ 21].
We interviewed a cross section of provincial actors, from senior to frontline, observed processes and reviewed secondary data, to construct a descriptive-explanatory case study of early implementation of the PHC outreach team strategy and the factors facilitating this in the province.
Inevitably, we had to overcome certain challenges and here we share our perspective on the successes, constraints and lessons learned during development and implementation of the project's outreach program.
Finally, our appreciation goes to the Federal Ministry of Health of Ethiopia, Surgical Society of Ethiopia and Volunteer specialists who have participated with great partnership in the implementation of the clinical specialist outreach project.
Against an apparently favourable backdrop, the "simple rules" of primary health system change described in other settings provided a plausible framing of how changes were achieved in the implementation of PHC outreach teams in the North West Province.
The geographical dispersion of the survivors of the terrorist attack warranted implementation of early outreach programmes in a total of 128 municipalities of all five regions of the country.
This audit aims to identify whether the implementation of an outreach team has had an impact on inhospital cardiac arrest rates and readmission rates to ICU.
With integration of EPI and other vertical programmes could have generated efficient implementation of the coverage strategies including outreach.
Reasons for such a result lie in inadequate sensitization, high population mobility and low implementation of planned outreach vaccination sessions, the latter being due to limitations in funds generation or allocation at the health center level for the transportation of teams.
This was accounted for as follows: BCG 1.1%, OPV 1.4%, DPT-HB-Hib 72.7%, measles 5.3%, yellow fever 19.5% Therefore we suggest improved communication for EPI, the introduction of DPT-HB-Hib with liquid Hib and the effective implementation of planned outreach sessions.
