Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study

Background: Worldwide, health systems have been challenged by the overwhelming demands of the COVID-19 pandemic. In Ethiopia, maintaining essential health services during the COVID-19 pandemic is critical to preventing severe outcomes and protecting the gains made over the past years in the health s...

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Autores principales: Fenta, E.H., Tassew, B., Abera, A., Wolde, F.B., Legesse, M., Pulford, J., Mor, Siobhan M., Kaba, Mirgissa
Formato: Journal Article
Lenguaje:Inglés
Publicado: 2024
Materias:
Acceso en línea:https://hdl.handle.net/10568/168491
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author Fenta, E.H.
Tassew, B.
Abera, A.
Wolde, F.B.
Legesse, M.
Pulford, J.
Mor, Siobhan M.
Kaba, Mirgissa
author_browse Abera, A.
Fenta, E.H.
Kaba, Mirgissa
Legesse, M.
Mor, Siobhan M.
Pulford, J.
Tassew, B.
Wolde, F.B.
author_facet Fenta, E.H.
Tassew, B.
Abera, A.
Wolde, F.B.
Legesse, M.
Pulford, J.
Mor, Siobhan M.
Kaba, Mirgissa
author_sort Fenta, E.H.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Worldwide, health systems have been challenged by the overwhelming demands of the COVID-19 pandemic. In Ethiopia, maintaining essential health services during the COVID-19 pandemic is critical to preventing severe outcomes and protecting the gains made over the past years in the health sector. This project aims to explore the health system’s response to maintaining essential healthcare services in Addis Ababa, Ethiopia. Methods: A total of 60 key informant interviews were conducted by purposively selecting key stakeholders from Federal Ministry of Health, Addis Ababa Regional Health Bureau, Sub-city Health Offices, and frontline healthcare providers. Interviews were transcribed verbatim and coded using Open Code. Thematic analysis was employed to analyze the data. Result: COVID-19 affected the delivery of essential health services in several ways, namely: decline in health service utilization, fear of infection among healthcare providers, stigma towards healthcare providers, and perceived decrease in quality-of-service provision. However, the health system actors made efforts to sustain services while responding to the pandemic by enacting changes in the service delivery modality. The most significant service delivery changes included repurposing health centers and prolonged prescriptions (multi-month medication dispensing). The primary challenges encountered were burnout of the health workforce and a shortage of personal protective equipment. Conclusion: COVID-19 has affected the delivery of essential health services in multifaceted ways. System actors have accordingly made efforts to sustain services while responding to the pandemic.
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spelling CGSpace1684912025-12-08T10:11:39Z Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study Fenta, E.H. Tassew, B. Abera, A. Wolde, F.B. Legesse, M. Pulford, J. Mor, Siobhan M. Kaba, Mirgissa covid-19 health Background: Worldwide, health systems have been challenged by the overwhelming demands of the COVID-19 pandemic. In Ethiopia, maintaining essential health services during the COVID-19 pandemic is critical to preventing severe outcomes and protecting the gains made over the past years in the health sector. This project aims to explore the health system’s response to maintaining essential healthcare services in Addis Ababa, Ethiopia. Methods: A total of 60 key informant interviews were conducted by purposively selecting key stakeholders from Federal Ministry of Health, Addis Ababa Regional Health Bureau, Sub-city Health Offices, and frontline healthcare providers. Interviews were transcribed verbatim and coded using Open Code. Thematic analysis was employed to analyze the data. Result: COVID-19 affected the delivery of essential health services in several ways, namely: decline in health service utilization, fear of infection among healthcare providers, stigma towards healthcare providers, and perceived decrease in quality-of-service provision. However, the health system actors made efforts to sustain services while responding to the pandemic by enacting changes in the service delivery modality. The most significant service delivery changes included repurposing health centers and prolonged prescriptions (multi-month medication dispensing). The primary challenges encountered were burnout of the health workforce and a shortage of personal protective equipment. Conclusion: COVID-19 has affected the delivery of essential health services in multifaceted ways. System actors have accordingly made efforts to sustain services while responding to the pandemic. 2024-12-27 2025-01-03T07:53:18Z 2025-01-03T07:53:18Z Journal Article https://hdl.handle.net/10568/168491 en Open Access Fenta, E.H., Tassew, B., Abera, A., Wolde, F.B., Legesse, M., Pulford, J., Mor, S. and Kaba, M. 2024. Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study. PLOS ONE 19(12): e0308534.
spellingShingle covid-19
health
Fenta, E.H.
Tassew, B.
Abera, A.
Wolde, F.B.
Legesse, M.
Pulford, J.
Mor, Siobhan M.
Kaba, Mirgissa
Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title_full Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title_fullStr Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title_full_unstemmed Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title_short Maintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative study
title_sort maintaining essential healthcare services in addis ababa during covid 19 a qualitative study
topic covid-19
health
url https://hdl.handle.net/10568/168491
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