Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea

JoAnne E Natale, Ellen Hamburger, Mussie Aman, Woldu Asmerom, Amal Faisal, Fitsum Gebremichael, Solomon Haile, Meroni Maekele, Mahmud Mohammed, Dawit Tesfaye, Belai Ghiorghis, Jill G Joseph

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To reduce direct parental referral of low acuity ill pediatric patients to the outpatient facilities of a nation's only pediatric referral hospital. Patients and Methods: Longitudinal monitoring of outpatient visits at Orotta Children's Hospital (OCH) and primary health facilities (PHFs) following implementation of an intervention designed in response to information provided by parents and health-care providers. Parental surveys were undertaken before and after exposure to the intervention to assess effects on knowledge, attitudes, and behavioral intentions. Results: We analyzed 5,639 visits between baseline and follow-up, documenting a decline in parental referral among OCH outpatients from 95% to approximately 80%. Educational intervention increased the proportion of parents intending to use PHF for future outpatient care from 28% to 82%. Staff of the PHFs responded enthusiastically to this intervention program and requested further activities. Conclusions: Self-referral to tertiary care hospital was reduced following a modest program of parental education designed and implemented by residents in training.

Original languageEnglish (US)
Pages (from-to)213-217
Number of pages5
JournalJournal of primary care & community health
Volume1
Issue number3
DOIs
StatePublished - 2010

Fingerprint

Eritrea
Health Facilities
Referral and Consultation
Pediatrics
Outpatients
Parents
Ambulatory Monitoring
Pediatric Hospitals
Tertiary Healthcare
Ambulatory Care
Tertiary Care Centers
Health Personnel
Education

Keywords

  • community health
  • developing nation
  • health services accessibility
  • pediatric
  • primary care

ASJC Scopus subject areas

  • Medicine(all)
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea. / Natale, JoAnne E; Hamburger, Ellen; Aman, Mussie; Asmerom, Woldu; Faisal, Amal; Gebremichael, Fitsum; Haile, Solomon; Maekele, Meroni; Mohammed, Mahmud; Tesfaye, Dawit; Ghiorghis, Belai; Joseph, Jill G.

In: Journal of primary care & community health, Vol. 1, No. 3, 2010, p. 213-217.

Research output: Contribution to journalArticle

Natale, JE, Hamburger, E, Aman, M, Asmerom, W, Faisal, A, Gebremichael, F, Haile, S, Maekele, M, Mohammed, M, Tesfaye, D, Ghiorghis, B & Joseph, JG 2010, 'Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea', Journal of primary care & community health, vol. 1, no. 3, pp. 213-217. https://doi.org/10.1177/2150131910380238
Natale, JoAnne E ; Hamburger, Ellen ; Aman, Mussie ; Asmerom, Woldu ; Faisal, Amal ; Gebremichael, Fitsum ; Haile, Solomon ; Maekele, Meroni ; Mohammed, Mahmud ; Tesfaye, Dawit ; Ghiorghis, Belai ; Joseph, Jill G. / Intervention to Reduce Parental Bypass of Community Pediatric Primary Health Facilities in Asmara, Eritrea. In: Journal of primary care & community health. 2010 ; Vol. 1, No. 3. pp. 213-217.
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