Please use this identifier to cite or link to this item: http://dx.doi.org/10.25673/117804
Title: Service-delivery models to increase the uptake of non-communicable disease screening in South-Central Ethiopia : a difference-in-differences analysis$dby Bezawit Ketema, Adamu Addissie, Sarah Negash, Mosisa Bekele, Andreas Wienke, Mirgissa Kaba and Eva Johanna Kantelhardt
Author(s): Ketema, Bezawit
Addissie, AdamuLook up in the Integrated Authority File of the German National Library
Negash, Sarah
Bekele, Mosisa
Wienke, AndreasLook up in the Integrated Authority File of the German National Library
Kaba, Mirgissa
Kantelhardt, Eva JohannaLook up in the Integrated Authority File of the German National Library
Issue Date: 2024
Type: Article
Language: English
Abstract: Background: Screening for non-communicable diseases (NCDs) is a critical step for early detection and the prevention of consequent morbidity and mortality. To facilitate NCD screening, the Ethiopian Ministry of Health has developed screening guidelines. However, like other low- and middle-income countries, interventions to increase the uptake of NCD-screening services in Ethiopia remain ineffective. Thus, this study aimed to determine the effectiveness of service delivery models to increase NCD-screening service uptake in south-central Ethiopia. Method: A health-facility-based quasi-experimental study design was employed to determine the effectiveness of providing a multiple-NCD-screening service in addition to social- and behavioral-change communication (SBCC) intervention to increase the uptake of NCD-screening services. The interviewer-administered structured questionnaire was adapted from previously published research and used to collect data during the baseline and end-line survey periods. A difference-in-differences analysis was used to determine the effectiveness of the intervention. Results: Compared with routine care, the availability of a multiple-NCD-screening service, together with SBCC intervention, was found to significantly increase the uptake of cervical cancer screening, clinical breast examination, blood pressure measurement, and blood glucose-measurement services, by 18, 9, 44 and 23 percent points, respectively. However, the availability of a multiple-NCD-screening service without SBCC intervention increased clinical breast-examination service uptake by 9% point and blood glucose-measurement service uptake by 18% point without increasing the uptake of cervical cancer-screening or blood pressure-measurement services. Conclusion: The integration of multiple-NCD-screening services accompanied by SBCC intervention that promotes them is an important approach for improving the uptake of NCD-screening services.
URI: https://opendata.uni-halle.de//handle/1981185920/119764
http://dx.doi.org/10.25673/117804
Open Access: Open access publication
License: (CC BY 4.0) Creative Commons Attribution 4.0(CC BY 4.0) Creative Commons Attribution 4.0
Journal Title: Diseases
Publisher: MDPI
Publisher Place: Basel
Volume: 12
Issue: 11
Original Publication: 10.3390/diseases12110278
Appears in Collections:Open Access Publikationen der MLU

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