Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia

Yibeltal Mekonnen; Charlotte Hanlon; Solomon Emyu; Ruth Vania Cornick; Lara Fairall; Daniel Gebremichael; Telahun Teka; Solomon Shiferaw; Wubaye Walelgne; Yoseph Mamo; Temesgen Ayehu; Meseret Wale; Tracy Eastman; Ajibola Awotiwon; Camilla Wattrus; Sandy Claire Picken; Christy-Joy Ras; Lauren Anderson; Tanya Doherty; Martin James Prince; Desalegn Tegabu

doi:10.1136/bmjgh-2018-001108

Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia

Yibeltal Mekonnen, Charlotte Hanlon, Solomon Emyu, Ruth Vania Cornick, Lara Fairall, Daniel Gebremichael, Telahun Teka, Solomon Shiferaw, Wubaye Walelgne, Yoseph Mamo, Temesgen Ayehu, Meseret Wale, Tracy Eastman, Ajibola Awotiwon, Camilla Wattrus, Sandy Claire Picken, Christy-Joy Ras, Lauren Anderson, Tanya Doherty, Martin James PrinceDesalegn Tegabu

Research output: Contribution to journal › Review article › peer-review

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Abstract

The Federal Ministry of Health, Ethiopia, recognised the potential of the Practical Approach to Care Kit (PACK) programme to promote integrated, comprehensive and evidence-informed primary care as a means to achieving universal health coverage. Localisation of the PACK guide to become the 'Ethiopian Primary Health Care Clinical Guidelines' (PHCG) was spearheaded by a core team of Ethiopian policy and technical experts, mentored by the Knowledge Translation Unit, University of Cape Town. A research collaboration, ASSET (heAlth Systems StrEngThening in sub-Saharan Africa), has brought together policy-makers from the Ministry of Health and health systems researchers from Ethiopia (Addis Ababa University) and overseas partners for the PACK localisation process, and will develop, implement and evaluate health systems strengthening interventions needed for a successful scale-up of the Ethiopian PHCG. Localisation of PACK for Ethiopia included expanding the guide to include a wider range of infectious diseases and an expanded age range (from 5 to 15 years). Early feedback from front-line primary healthcare (PHC) workers is positive: the guide gives them greater confidence and is easy to understand and use. A training cascade has been initiated, with a view to implementing in 400 PHC facilities in phase 1, followed by scale-up to all 3724 health centres in Ethiopia during 2019. Monitoring and evaluation of the Ministry of Health implementation at scale will be complemented by indepth evaluation by ASSET in demonstration districts. Anticipated challenges include availability of essential medications and laboratory investigations and the need for additional training and supervisory support to deliver care for non-communicable diseases and mental health. The strong leadership from the Ministry of Health of Ethiopia combined with a productive collaboration with health systems research partners can help to ensure that Ethiopian PHCG achieves standardisation of clinical practice at the primary care level and quality healthcare for all.

Original language	English
Pages (from-to)	e001108
Journal	BMJ Global Health
Volume	3
Issue number	Suppl 5
DOIs	https://doi.org/10.1136/bmjgh-2018-001108
Publication status	Published - 2018

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Mekonnen, Y., Hanlon, C., Emyu, S., Cornick, R. V., Fairall, L., Gebremichael, D., Teka, T., Shiferaw, S., Walelgne, W., Mamo, Y., Ayehu, T., Wale, M., Eastman, T., Awotiwon, A., Wattrus, C., Picken, S. C., Ras, C.-J., Anderson, L., Doherty, T., ... Tegabu, D. (2018). Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia. BMJ Global Health , 3(Suppl 5), e001108. https://doi.org/10.1136/bmjgh-2018-001108

@article{0edbc1c06d824e9eb9e5a59524cc6b10,

title = "Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia",

abstract = "The Federal Ministry of Health, Ethiopia, recognised the potential of the Practical Approach to Care Kit (PACK) programme to promote integrated, comprehensive and evidence-informed primary care as a means to achieving universal health coverage. Localisation of the PACK guide to become the 'Ethiopian Primary Health Care Clinical Guidelines' (PHCG) was spearheaded by a core team of Ethiopian policy and technical experts, mentored by the Knowledge Translation Unit, University of Cape Town. A research collaboration, ASSET (heAlth Systems StrEngThening in sub-Saharan Africa), has brought together policy-makers from the Ministry of Health and health systems researchers from Ethiopia (Addis Ababa University) and overseas partners for the PACK localisation process, and will develop, implement and evaluate health systems strengthening interventions needed for a successful scale-up of the Ethiopian PHCG. Localisation of PACK for Ethiopia included expanding the guide to include a wider range of infectious diseases and an expanded age range (from 5 to 15 years). Early feedback from front-line primary healthcare (PHC) workers is positive: the guide gives them greater confidence and is easy to understand and use. A training cascade has been initiated, with a view to implementing in 400 PHC facilities in phase 1, followed by scale-up to all 3724 health centres in Ethiopia during 2019. Monitoring and evaluation of the Ministry of Health implementation at scale will be complemented by indepth evaluation by ASSET in demonstration districts. Anticipated challenges include availability of essential medications and laboratory investigations and the need for additional training and supervisory support to deliver care for non-communicable diseases and mental health. The strong leadership from the Ministry of Health of Ethiopia combined with a productive collaboration with health systems research partners can help to ensure that Ethiopian PHCG achieves standardisation of clinical practice at the primary care level and quality healthcare for all.",

author = "Yibeltal Mekonnen and Charlotte Hanlon and Solomon Emyu and Cornick, {Ruth Vania} and Lara Fairall and Daniel Gebremichael and Telahun Teka and Solomon Shiferaw and Wubaye Walelgne and Yoseph Mamo and Temesgen Ayehu and Meseret Wale and Tracy Eastman and Ajibola Awotiwon and Camilla Wattrus and Picken, {Sandy Claire} and Christy-Joy Ras and Lauren Anderson and Tanya Doherty and Prince, {Martin James} and Desalegn Tegabu",

year = "2018",

doi = "10.1136/bmjgh-2018-001108",

language = "English",

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Mekonnen, Y, Hanlon, C, Emyu, S, Cornick, RV, Fairall, L, Gebremichael, D, Teka, T, Shiferaw, S, Walelgne, W, Mamo, Y, Ayehu, T, Wale, M, Eastman, T, Awotiwon, A, Wattrus, C, Picken, SC, Ras, C-J, Anderson, L, Doherty, T, Prince, MJ & Tegabu, D 2018, 'Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia', BMJ Global Health , vol. 3, no. Suppl 5, pp. e001108. https://doi.org/10.1136/bmjgh-2018-001108

TY - JOUR

T1 - Using a mentorship model to localise the Practical Approach to Care Kit (PACK)

T2 - from South Africa to Ethiopia

AU - Mekonnen, Yibeltal

AU - Hanlon, Charlotte

AU - Emyu, Solomon

AU - Cornick, Ruth Vania

AU - Fairall, Lara

AU - Gebremichael, Daniel

AU - Teka, Telahun

AU - Shiferaw, Solomon

AU - Walelgne, Wubaye

AU - Mamo, Yoseph

AU - Ayehu, Temesgen

AU - Wale, Meseret

AU - Eastman, Tracy

AU - Awotiwon, Ajibola

AU - Wattrus, Camilla

AU - Picken, Sandy Claire

AU - Ras, Christy-Joy

AU - Anderson, Lauren

AU - Doherty, Tanya

AU - Prince, Martin James

AU - Tegabu, Desalegn

PY - 2018

Y1 - 2018

N2 - The Federal Ministry of Health, Ethiopia, recognised the potential of the Practical Approach to Care Kit (PACK) programme to promote integrated, comprehensive and evidence-informed primary care as a means to achieving universal health coverage. Localisation of the PACK guide to become the 'Ethiopian Primary Health Care Clinical Guidelines' (PHCG) was spearheaded by a core team of Ethiopian policy and technical experts, mentored by the Knowledge Translation Unit, University of Cape Town. A research collaboration, ASSET (heAlth Systems StrEngThening in sub-Saharan Africa), has brought together policy-makers from the Ministry of Health and health systems researchers from Ethiopia (Addis Ababa University) and overseas partners for the PACK localisation process, and will develop, implement and evaluate health systems strengthening interventions needed for a successful scale-up of the Ethiopian PHCG. Localisation of PACK for Ethiopia included expanding the guide to include a wider range of infectious diseases and an expanded age range (from 5 to 15 years). Early feedback from front-line primary healthcare (PHC) workers is positive: the guide gives them greater confidence and is easy to understand and use. A training cascade has been initiated, with a view to implementing in 400 PHC facilities in phase 1, followed by scale-up to all 3724 health centres in Ethiopia during 2019. Monitoring and evaluation of the Ministry of Health implementation at scale will be complemented by indepth evaluation by ASSET in demonstration districts. Anticipated challenges include availability of essential medications and laboratory investigations and the need for additional training and supervisory support to deliver care for non-communicable diseases and mental health. The strong leadership from the Ministry of Health of Ethiopia combined with a productive collaboration with health systems research partners can help to ensure that Ethiopian PHCG achieves standardisation of clinical practice at the primary care level and quality healthcare for all.

AB - The Federal Ministry of Health, Ethiopia, recognised the potential of the Practical Approach to Care Kit (PACK) programme to promote integrated, comprehensive and evidence-informed primary care as a means to achieving universal health coverage. Localisation of the PACK guide to become the 'Ethiopian Primary Health Care Clinical Guidelines' (PHCG) was spearheaded by a core team of Ethiopian policy and technical experts, mentored by the Knowledge Translation Unit, University of Cape Town. A research collaboration, ASSET (heAlth Systems StrEngThening in sub-Saharan Africa), has brought together policy-makers from the Ministry of Health and health systems researchers from Ethiopia (Addis Ababa University) and overseas partners for the PACK localisation process, and will develop, implement and evaluate health systems strengthening interventions needed for a successful scale-up of the Ethiopian PHCG. Localisation of PACK for Ethiopia included expanding the guide to include a wider range of infectious diseases and an expanded age range (from 5 to 15 years). Early feedback from front-line primary healthcare (PHC) workers is positive: the guide gives them greater confidence and is easy to understand and use. A training cascade has been initiated, with a view to implementing in 400 PHC facilities in phase 1, followed by scale-up to all 3724 health centres in Ethiopia during 2019. Monitoring and evaluation of the Ministry of Health implementation at scale will be complemented by indepth evaluation by ASSET in demonstration districts. Anticipated challenges include availability of essential medications and laboratory investigations and the need for additional training and supervisory support to deliver care for non-communicable diseases and mental health. The strong leadership from the Ministry of Health of Ethiopia combined with a productive collaboration with health systems research partners can help to ensure that Ethiopian PHCG achieves standardisation of clinical practice at the primary care level and quality healthcare for all.

U2 - 10.1136/bmjgh-2018-001108

DO - 10.1136/bmjgh-2018-001108

M3 - Review article

C2 - 30498596

SN - 2059-7908

VL - 3

SP - e001108

JO - BMJ Global Health

JF - BMJ Global Health

IS - Suppl 5

ER -

Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Ethiopia

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