Ethiopia Alive & Thrive Process Evaluation Survey 2013: Health Extension Workers

This dataset is the result of the health extension workers survey that was conducted to gather data for the process evaluation part of the impact evaluation of the Alive & Thrive (A&T) interventions in Ethiopia. The broad objective of the impact evaluation in Ethiopia is to measure the impact of A&T’s community-based interventions (CBI), delivered through the government's health extension program (HEP) platform, in the reduction of stunting and improvement of infant and young child feeding (IYCF) practices in two regions where the integrated family health program (IFHP) operates, namely Tigray and SNNPR (Southern Nations, Nationalities, and People’s Region). A&T is a six-year initiative funded by the Bill & Melinda Gates Foundation to facilitate change for improved infant and young child feeding (IYCF) practices at scale in Bangladesh, Ethiopia, and Viet Nam. The goal of A&T is to reduce avoidable death and disability due to suboptimal IYCF in the developing world by increasing exclusive breastfeeding (EBF) until 6 months of age and reducing stunting of children 0-24 months of age. The process evaluation (PE) is intended to answer one of the major learning objectives for the overall initiative, i.e., how A&T interventions achieve their impact. In Ethiopia, the studies that have been conducted as part of the process evaluation include: 1) a case study in 2011 to explore the extent of the training rollout among frontline health workers (FHWs) and to assess FHW and household exposure to interpersonal communication (IPC) tools developed by A&T, 2) a qualitative study in 2012 that included in-depth interviews with health extension workers (HEWs), HEW supervisors, and volunteers and shorter interviews with mothers and fathers to understand modalities of service delivery under IFHP and other A&T platforms, and 3) a quantitative survey in 2013 among FHWs and households to assess different aspects of service delivery and exposure to A&T community based program interventions. Three types of FHW questionnaires (HEW, VCHP, and supervisors) applied to health staff who are closest to the community or work in the community. The health extension workers (HEW) questionnaire, along with the other two FHW questionnaires, were aimed at assessing four major issues: 1) FHW’s exposure to training and IPC tools provided by the A&T program, 2) FHW’s exposure to the A&T multi-media components (radio and television messages), 3) FHW’s knowledge and understanding of IYCF and nutrition, 4) the FHW work environment related to IYCF service delivery (motivation, supportive supervision, time commitments to different tasks, and the ability to integrate sustained IYCF counseling into daily routines).

本数据集源自为埃塞俄比亚境内“生机与成长（Alive & Thrive，简称A&T）”干预措施影响评估的过程评估环节收集数据而开展的卫生推广工作者调研。埃塞俄比亚该项影响评估的总体目标是，评估依托政府卫生推广项目（health extension program，HEP）平台实施的A&T基于社区的干预措施（community-based interventions，CBI），在综合家庭卫生项目（integrated family health program，IFHP）覆盖的提格雷州与南部国家、民族和人民地区（Southern Nations, Nationalities, and People’s Region，简称SNNPR），对降低儿童发育迟缓发生率及改善婴幼儿喂养（infant and young child feeding，IYCF）行为的作用效果。

A&T是一项由比尔及梅琳达·盖茨基金会（Bill & Melinda Gates Foundation）资助的六年期项目，旨在推动孟加拉国、埃塞俄比亚及越南大规模优化婴幼儿喂养行为。该项目的核心目标是，通过提升6月龄前纯母乳喂养（exclusive breastfeeding，EBF）率、降低0~24月龄儿童发育迟缓发生率，减少发展中地区因非最优婴幼儿喂养导致的可避免死亡与残疾。

过程评估（process evaluation，PE）旨在回应该整体项目的核心学习目标之一，即探明A&T干预措施如何实现其预期影响。埃塞俄比亚境内本次过程评估包含三项研究：其一为2011年的案例研究，旨在探究一线卫生工作者（frontline health workers，FHWs）的培训推广覆盖范围，并评估一线卫生工作者与家庭对A&T开发的人际传播（interpersonal communication，IPC）工具的接触情况；其二为2012年的定性研究，通过对卫生推广工作者（HEWs）、卫生推广工作督导员及志愿者的深度访谈，以及对父母的简短访谈，了解综合家庭卫生项目及其他A&T平台下的服务提供模式；其三为2013年针对一线卫生工作者与家庭开展的定量调查，以评估服务提供的各维度及对A&T社区项目干预措施的接触情况。

本次调研面向直接服务社区或在社区工作的卫生人员，采用了三类一线卫生工作者问卷（卫生推广工作者、VCHP及督导员）。其中，卫生推广工作者问卷与另外两类一线卫生工作者问卷均围绕四大核心维度展开评估：一是一线卫生工作者对A&T项目提供的培训及人际传播工具的接触情况；二是一线卫生工作者对A&T多媒体传播内容（广播与电视宣传物料）的接触情况；三是一线卫生工作者对婴幼儿喂养与营养知识的掌握程度；四是与婴幼儿喂养服务提供相关的一线卫生工作者工作环境，包括工作动机、支持性督导、不同任务的时间分配，以及将持续性婴幼儿喂养咨询融入日常工作的能力。