Organizational Networks in Ethiopia

Assessing HIV and Family Planning Organizational Networks to Improve Integration and Health Outcomes in Ethiopia

Integrating health services is a complex task and requires cooperation between donors, partners, and organizations. Organizational network analysis is an innovative and accessible approach to understanding relationships between actors in health care provision. Results can help actors make better use of available resources to benefit clients.  Organizational network analysis needs to be tested for its potential to guide improvements in service integration.

In Ethiopia, MEASURE Evaluation is collaborating with FHI360 to conduct an assessment of organizations providing HIV care and support and/or family planning. The goal is to understand how actors work together (or not) to achieve program objectives and how the network organization may affect client outcomes.

During an enumeration period using a snowball sampling method, we identified all organizations in two sub-cities in Addis Ababa providing HIV care, treatment or support and/or family planning to women ages 18-49 (25 organizations in Kirkos and 26 in Kolfe Keranyo).  Through interviews with organizational representatives, we studied the relationships between the organizations in terms of exchange of information, resources, and clients (i.e., referrals). We also conducted interviews with clients of one large home and community-based care organization to understand their characteristics, service delivery care needed and received, and quality of life and antiretroviral therapy adherence (234 clients in Kirkos and 225 in Kolfe Keranyo).

Preliminary results are currently being discussed with organizational representatives in Addis Ababa. Interpretation and recommendations from these meetings will inform final results.

For more information see HIV Care Networks: Integration and Health Outcomes in Ethiopia