The Community-Based Newborn Care program design was based on global evidence of effective newborn care interventions, effectiveness trials of service packages, large scale experience in other countries, and the combined experience of projects in Ethiopia. Studies in India and Bangladesh had demonstrated that community health workers could diagnose and treat neonatal infections when a referral was not possible, resulting in reduced mortality. Nepal had been an early leader in scaling newborn care to communities and provided policy and program guidance. In Ethiopia, a research trial to demonstrate the feasibility and impact of identifying and treating possible serious bacterial infection (PSBI) was underway, providing valuable information on how to understand care-seeking and implement services within the existing health system (16). Other HEP-related health projects pro-vided information from evaluations, small studies, and service improvement efforts.
This journal article dissects and describes an aspect of the Ethiopian Healthcare System, the Four C’s: Contact, Capture/Case Identification, Care, and Completion—a framing model implemented to produce more effective community-based newborn care efforts in Ethiopia.
Authors: Mary E. Taylor, Adeba Bekele
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