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

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cg.authorship.typesCGIAR and developing country instituteen_US
cg.authorship.typesCGIAR and advanced research instituteen_US
cg.contributor.affiliationAddis Ababa Universityen_US
cg.contributor.affiliationHaramaya Universityen_US
cg.contributor.affiliationEthiopian Public Health Instituteen_US
cg.contributor.affiliationLiverpool School of Tropical Medicineen_US
cg.contributor.affiliationUniversity of Liverpoolen_US
cg.contributor.affiliationInternational Livestock Research Instituteen_US
cg.contributor.donorGlobal Challenges Research Funden_US
cg.contributor.donorUK Research and Innovationen_US
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen_US
cg.coverage.countryEthiopiaen_US
cg.coverage.iso3166-alpha2ETen_US
cg.coverage.regionAfricaen_US
cg.coverage.regionEastern Africaen_US
cg.creator.identifierSiobhan Mor: 0000-0003-0121-2016en_US
cg.howPublishedFormally Publisheden_US
cg.identifier.doihttps://doi.org/10.1371/journal.pone.0308534en_US
cg.isijournalISI Journalen_US
cg.issn1932-6203en_US
cg.issue12en_US
cg.journalPLOS ONEen_US
cg.reviewStatusPeer Reviewen_US
cg.subject.actionAreaResilient Agrifood Systemsen_US
cg.subject.ilriCOVID19en_US
cg.subject.ilriHUMAN HEALTHen_US
cg.subject.impactAreaNutrition, health and food securityen_US
cg.subject.sdgSDG 3 - Good health and well-beingen_US
cg.volume19en_US
dc.contributor.authorFenta, E.H.en_US
dc.contributor.authorTassew, B.en_US
dc.contributor.authorAbera, A.en_US
dc.contributor.authorWolde, F.B.en_US
dc.contributor.authorLegesse, M.en_US
dc.contributor.authorPulford, J.en_US
dc.contributor.authorMor, Siobhan M.en_US
dc.contributor.authorKaba, Mirgissaen_US
dc.date.accessioned2025-01-03T07:53:18Zen_US
dc.date.available2025-01-03T07:53:18Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/168491en_US
dc.titleMaintaining essential healthcare services in Addis Ababa during COVID-19: A qualitative studyen_US
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_US
dcterms.accessRightsOpen Accessen_US
dcterms.audienceAcademicsen_US
dcterms.audienceScientistsen_US
dcterms.available2024-12-27en_US
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_US
dcterms.extente0308534en_US
dcterms.issued2024-12-27en_US
dcterms.languageenen_US
dcterms.licenseCC-BY-4.0en_US
dcterms.publisherPublic Library of Scienceen_US
dcterms.subjectcovid-19en_US
dcterms.subjecthealthen_US
dcterms.typeJournal Articleen_US

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