Abstract
SummaryBackgroundAccess to trusted health information has contribution to improve maternal and child health outcomes. However, limited research to date has explored the perceptions of communities regarding credible messenger and messaging in rural Ethiopia. Therefore, this study aimed to explore sources of trusted maternal health information and preferences for the mode of delivery of health information in Jimma Zone, Ethiopia; to inform safe motherhood implementation research project interventions.MethodAn exploratory qualitative study was conducted in three districts of Jimma Zone, southwest of Ethiopia, in 2016. Twelve focus group discussions (FGDs) and twenty-four in-depth interviews (IDIs) were conducted among purposively selected study participants. FGDs and IDIs were conducted in the local language, and digital voice recordings were transcribed into English. All transcripts were read comprehensively, and a code book was developed to guide thematic analysis. Data were analyzed using Atlas.7.0.71 software.ResultStudy Participants identified as Health Extension Workers (HEWs) and Health Development Army (HDA) as trusted health messengers. Regarding communication channels, participants primarily favored face-to-face/interpersonal communication channels, followed by mass media and traditional approaches like community conversation, traditional songs and role play.In particular, the HEW home-to-home outreach program for health communication helped them to build trusting relationships with community members; However, HEWs felt the program was not adequately supported by the government.ConclusionHealth knowledge transfer success depends on trusted messengers and adaptable modes. The findings of this study suggest that HEWs are a credible messenger for health messaging in rural Ethiopia, especially when using an interpersonal message delivery approach. Therefore, government initiatives should strengthen the existing health extension packages by providing in-service and refresher training to health extension workers.
Highlights
Communication interventions play an integral role in the delivery of health care and the promotion of healthy life styles, especially for mothers living in rural areas for whom access to health information regarding safe pregnancy and childbirth can contribute to lower maternal and neonatal morbidity and mortality
The findings of this study suggest that Health Extension Workers (HEWs) are a credible messenger for health messaging in rural Ethiopia, especially when using an interpersonal message delivery approach
Socio-demographic characteristics of the respondents The mean age of participants who were participated in all in-depth interviews (Male Development army (MDA), women development army (WDA), and HEW groups) were 46.5, 37.7, and 25.8 years, respectively
Summary
Communication interventions play an integral role in the delivery of health care and the promotion of healthy life styles, especially for mothers living in rural areas for whom access to health information regarding safe pregnancy and childbirth can contribute to lower maternal and neonatal morbidity and mortality. Interpersonal approaches include exchanges between various types of health care providers’ (e.g. doctors, nurses and community health workers), and those outside the health profession (e.g. family, friends, and informal community groups) [3]. This approach is preferred for the transmit of information and teaching of skills to encourage desired behavior changes [5]
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