Page 85 - GHES-1-1

Global Health Econ Sustain Clinician’s attitude toward health extension program

supervisors, data collectors, and respondents for their 52: 65-71.
dedication and tireless efforts. Antwi, J., Phillips, D.C., Abbey, M., Bartholomew, L.K.,
Funding Nonvignon, J., Chinbuah, M.A., et al. (2017). Employee
attrition models- a conceptual framework. BMC Research
The comprehensive assessment of the HEP was funded by Notes, 5(4): 1-7.
the Bill & Melinda Gates Foundation (INV007993). The https://doi.org/10.1371/journal.pone.0172397
current study is a component of the assessment, and the Assefa, Y., Gelaw, Y.A., Hill, P.S., Taye, B.W., & Van Damme, W.
publication charge is not covered by the funding. (2019). Community health extension program of Ethiopia,

Conflict of interest 2003-2018: Successes and challenges toward universal
coverage for primary healthcare services. Globalization and
The authors declare no conflict of interest. Health, 15(1): 24.

Author contributions https://doi.org/10.1186/s12992-019-0470-1
Bilal, N. (2009). Health Extension Program: An Innovative
Conceptualization: Alula M. Teklu, Merhawi Gebremedhin Solution to Public Health Challenges of Ethiopia: A Case
Tekle, Sentayehu Tsegaye, Girmay Medhin Study. Health Systems 2020 USAID. United States: USAID.
Formal analysis: Eskendir Wolka, Esie Gebrewahd,
Gebrehiwot Gebretsadik Kassa, Ciara DeGraff, Bilal, N. (2009). Health Extension Program : An Innovative
Solution to Public Health Challenges of Ethiopia A Case
Genet Gebrehiwot, Merhawi Gebremedhin, Mihajlo Study. Health Systems 2020 USAID. Available from: https://
Jakovljevic www.hfgproject.org/wp-content/uploads/2015/02/Health-
Investigation: Eskendir Wolka, Esie Gebrewahd, Gebrehiwot Extension-Program-An-Innovative-Solution-to-Public-
Gebretsadik Kassa, Ciara DeGraff, Genet Gebrehiwot, Health-Challenges-of-Ethiopia-A-Case-Study.pdf
Merhawi Gebremedhin, Mihajlo Jakovljevic
Methodology: Merhawi Gebremedhin Tekle Bilal, N.K., Herbst, C.H., Zhao, F., Soucat, A., & Lemiere, C.
(2005). Health Extension Workers in Ethiopia: The Problem:
Supervision: Daniel Tadesse Shortage of Health. Washington, D.C: World Bank, p.433-
Validation: Eskendir Wolka, Esie Gebrewahd, Gebrehiwot 444.
Gebretsadik Kassa, Ciara DeGraff, Genet Gebrehiwot
Writing – original draft: Esie Gebrewad, Eskendir Wolka, Brown, J.D. (2002). The Cronbach alpha reliability estimate.
How should we interpret Cronbach alpha? JALT Testing and
Gebrehiwot Gebretsadik, and Genet Gebrehiwot, Evaluation SIG Newsletter, 6(1): 17-18.
Ciara DeGraff
Writing – review & editing: All authors Desta, F.A., Shifa, G.T., Dagoye, D.W., Carr, C., Van Roosmalen, J.,
Stekelenburg, J., et al. (2017). Identifying gaps in the practices
Ethics approval and consent to participate of rural health extension workers in Ethiopia: A task analysis
study. BMC Health Services Research, 17(1): 739.
Ethical approval (Approval ID: EPHI-IRB-151-2018) was
obtained from the Ethiopian Public Health Institution https://doi.org/10.1186/s12913-017-2804-0
(EPHI). The official approval letter has been provided by Ethiopian Ministry of Health. (2018). Brief Guide on the
the Federal Ministry of Health. Implementation of Second-Generation Health Extension
Program (HEP). Ethiopia: Ethiopian Ministry of Health.
Consent for publication Ethiopian Standards Agency. (2012). Primary Hospital

Informed consent was obtained from all the participants Requirements: ES3617. Ethiopia: Ethiopian Standards
before the interview. Agency.
Federal Democratic Republic of Ethiopia, Ministry of Health.
Availability of data (2010). Health Extension Program Reform and Evaluation
Data can be obtained from corresponding author following Document. Ethiopia: Federal Democratic Republic of
formal request. Ethiopia. p1-88.
Federal Democratic Republic of Ethiopia, Ministry of Health.
References (2015). Health Sector Transformation Plan, HSTP 2015-
2020. Ethiopia: Federal Democratic Republic of Ethiopia.
Ameha, A., Karim, A.M., Erbo, A., Ashenafi, A., Hailu, M.,
Hailu, B., et al. (2014). Effectiveness of supportive Federal Democratic Republic of Ethiopia, Ministry of Health.
supervision on the consistency of integrated community (2019). National Health Workforce Update: Human
cases management skills of the health extension workers Resource Development Directorate Bulletin. 2nd ed.
in 113 districts of Ethiopia. Ethiopian Medical Journal, Ethiopia: Federal Democratic Republic of Ethiopia.

Volume 1 Issue 1 (2023) 11 https://doi.org/10.36922/ghes.0887