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

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cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationAddis Ababa Universityen
cg.contributor.affiliationHaramaya Universityen
cg.contributor.affiliationEthiopian Public Health Instituteen
cg.contributor.affiliationLiverpool School of Tropical Medicineen
cg.contributor.affiliationUniversity of Liverpoolen
cg.contributor.affiliationInternational Livestock Research Instituteen
cg.contributor.donorGlobal Challenges Research Funden
cg.contributor.donorUK Research and Innovationen
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen
cg.coverage.countryEthiopia
cg.coverage.iso3166-alpha2ET
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierSiobhan Mor: 0000-0003-0121-2016en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1371/journal.pone.0308534en
cg.isijournalISI Journalen
cg.issn1932-6203en
cg.issue12en
cg.journalPLOS ONEen
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaResilient Agrifood Systems
cg.subject.ilriCOVID19en
cg.subject.ilriHUMAN HEALTHen
cg.subject.impactAreaNutrition, health and food security
cg.subject.sdgSDG 3 - Good health and well-beingen
cg.volume19en
dc.contributor.authorFenta, E.H.en
dc.contributor.authorTassew, B.en
dc.contributor.authorAbera, A.en
dc.contributor.authorWolde, F.B.en
dc.contributor.authorLegesse, M.en
dc.contributor.authorPulford, J.en
dc.contributor.authorMor, Siobhan M.en
dc.contributor.authorKaba, Mirgissaen
dc.date.accessioned2025-01-03T07:53:18Zen
dc.date.available2025-01-03T07:53:18Zen
dc.identifier.urihttps://hdl.handle.net/10568/168491
dc.titleMaintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative studyen
dcterms.abstractBackground: 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.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.audienceScientistsen
dcterms.available2024-12-27en
dcterms.bibliographicCitationFenta, 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.en
dcterms.extente0308534en
dcterms.issued2024-12-27en
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherPublic Library of Scienceen
dcterms.subjectcovid-19en
dcterms.subjecthealthen
dcterms.typeJournal Article

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