PROCESS EVALUATION OF COMMUNITY BASED NEW BORN CARE PROGRAM IN TACH ARMACHIHO DISTRICT, NORTHWEST ETHIOPIA, 2021

Abstract

Abstract Background: The Community-Based Newborn Care program is is a newborn care package along the maternal and newborn health continuum of care that has been implemented at the community level in Ethiopia. This evaluational study helps as an input by identifying the possible barriers and gaps of program implementation and provide systematic information to stakeholders on the bases of evaluation dimensions to improve and filling/bridging gaps of the program in the future. Objective: To assess the process of Community Based Newborn Care program implementation in Tach Armachiho district, Northwest Ethiopia, 2021. Method: Community-based case study design with mixed methods and formative approach were used to evaluate the process of community based newborn care program from April 1 to 30, 2021. The process was assessed using availability, compliance and acceptability dimensions with 33 indicators. The quantative data was collected from 344 mothers using structured questionnaires and the data was coded and entered to Epi data version 4.6 and export to Stata version 14 for analysis. Both bivariable and multivariable logistic regression were employed to idenfiy factors associated with mother’s satisfaction. Adjusted odds ratio with 95% confidence interval was reported to show the association and p-value less than 0.05 considered as stastically siginificant. The data were presented in the form of descriptions, tables and figures. Qualitative data were transcribed, translated, coded and analyzed manually in themes. The overall process of program implementation was determined based on pre-set criteria of judgment. Result: According to judgment parameter, the overall process of community based newborn care program implementation was 65.35. In this study the resources availability, compliance and satisfaction of caregivers were found to be 69%, 65.8% and 61.7% respectively. The finding of this evaluation show that educational status and length of new born first visit after delivery were siginificantly associated with the satisfaction level of caregivers towards the implementation process of community based newborn care services. Conclusion: The overall implementation of community based newborn care program was judged as fair. All assessed dimensions were judged as fair, which needs improvements. There were gaps in the provision of essential drugs and supplies, regular program specific supervision to health posts, continuous refreshment trainings and feedback. Key words: CBNC, process, evaluation, satisfaction, implementation