PMID- 35590403
OWN - NLM
STAT- MEDLINE
DCOM- 20220523
LR  - 20220716
IS  - 1475-9276 (Electronic)
IS  - 1475-9276 (Linking)
VI  - 21
IP  - 1
DP  - 2022 May 19
TI  - A policy analysis of policies and strategic plans on Maternal, Newborn and Child 
      Health in Ethiopia.
PG  - 73
LID - 10.1186/s12939-022-01656-x [doi]
LID - 73
AB  - Significant progress has been made to advance Maternal, Newborn and Child Health 
      (MNCH) in Ethiopia. Further, the country has enshrined equity as a core value in 
      their strategic and development frameworks and policies. Although national 
      statistics show improved health outcomes, there exists persistent inequities in 
      avoidable health risks and premature deaths. Additionally, the improving health 
      statistics mask the disparities in health outcomes based on education, employment 
      status, income level, gender and ethnicity dimensions.The EquiFrame framework was 
      used to assess the extent to which equity was entrenched in MNCH health policies 
      and plans. The framework, which describes core concepts against which health 
      policies and plans can be assessed, also provides a scoring criterion for policy 
      assessment. The framework was modified to include the concept of 
      intersectionality, which is increasingly gaining significance in the health 
      policy ecosystems. The policies and plans reviewed in this analysis exercise were 
      selected based on (1) their relevance - only policies and plans in force as of 
      the year 2020 were considered; (2) availability in the public domain as this 
      study was limited to desk research; and (3) relevance to MNCH. A total of five 
      policies and plans were analyzed and evaluated against the 15 core concepts 
      presented in the modified EquiFrame framework. Following the outcomes of the 
      assessment, documents were ranked as either being low, moderate, or high, in 
      exhaustively addressing the core concepts.The Ethiopia Health Sector 
      Transformation Plan (2016-2020) is the only policy or plan that earned a high 
      ranking. The other four policies and plans were ranked as moderate. This shows 
      that while majority of the Ethiopian health sector policies and plans exist and 
      address the core health equity concepts, they fail to: (i) spell out plans to 
      implement and monitor the proposed interventions; and (ii) demonstrate evidence 
      that the interventions were implemented or monitored. With the global goal of 
      leaving no one behind, future policy development in Ethiopia needs to prioritize 
      equity considerations in order to enhance the ongoing health improvement.
CI  - (c) 2022. The Author(s).
FAU - Rono, Josea
AU  - Rono J
AD  - E&K Consulting Firm, Nairobi, Kenya.
FAU - Kamau, Lynette
AU  - Kamau L
AUID- ORCID: 0000-0001-5334-3793
AD  - African Population and Health Research Center, Nairobi, Kenya. Lkamau@aphrc.org.
FAU - Mangwana, Jane
AU  - Mangwana J
AD  - African Population and Health Research Center, Nairobi, Kenya.
FAU - Waruguru, Jacinta
AU  - Waruguru J
AD  - E&K Consulting Firm, Nairobi, Kenya.
FAU - Aluoch, Pauline
AU  - Aluoch P
AD  - E&K Consulting Firm, Nairobi, Kenya.
FAU - Njoroge, Maureen
AU  - Njoroge M
AD  - E&K Consulting Firm, Nairobi, Kenya.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20220519
PL  - England
TA  - Int J Equity Health
JT  - International journal for equity in health
JID - 101147692
SB  - IM
EIN - Int J Equity Health. 2022 Jun 3;21(1):78. PMID: 35659669
MH  - Child
MH  - *Child Health
MH  - *Ecosystem
MH  - Ethiopia
MH  - Health Policy
MH  - Humans
MH  - Infant, Newborn
MH  - Policy Making
PMC - PMC9118637
OTO - NOTNLM
OT  - EquiFrame
OT  - Ethiopia
OT  - Health policy
OT  - Health systems
OT  - Health systems research
OT  - Maternal
OT  - Newborn and child health
OT  - Sustainable development goals
COIS- Lynette Kamau, a co-author of this paper, works for the African Population and 
      Health Research Center (APHRC). The authors declare that they have no competing 
      interests. The findings and conclusions of this study are those of the author(s) 
      and do not represent the funder of the study.
EDAT- 2022/05/20 06:00
MHDA- 2022/05/24 06:00
PMCR- 2022/05/19
CRDT- 2022/05/19 23:52
PHST- 2021/09/14 00:00 [received]
PHST- 2022/03/28 00:00 [accepted]
PHST- 2022/05/19 23:52 [entrez]
PHST- 2022/05/20 06:00 [pubmed]
PHST- 2022/05/24 06:00 [medline]
PHST- 2022/05/19 00:00 [pmc-release]
AID - 10.1186/s12939-022-01656-x [pii]
AID - 1656 [pii]
AID - 10.1186/s12939-022-01656-x [doi]
PST - epublish
SO  - Int J Equity Health. 2022 May 19;21(1):73. doi: 10.1186/s12939-022-01656-x.