Talking health: trusted health messengers and effective ways of delivering health messages for rural mothers in Southwest Ethiopia

Shifera Asfaw; Sudhakar Morankar; Muluemebet Abera; Abebe Mamo; Lakew Abebe; Nicole Bergen; Manisha A Kulkarni; Ronald Labonté

doi:10.1186/s13690-019-0334-4

Talking health: trusted health messengers and effective ways of delivering health messages for rural mothers in Southwest Ethiopia

Arch Public Health. 2019 Feb 21:77:8. doi: 10.1186/s13690-019-0334-4. eCollection 2019.

Authors

Shifera Asfaw¹, Sudhakar Morankar¹, Muluemebet Abera², Abebe Mamo¹, Lakew Abebe¹, Nicole Bergen³, Manisha A Kulkarni⁴, Ronald Labonté⁴

Affiliations

¹ 1Department of Health, Behavior and society, Institute of health, Faculty of Public Health, Jimma University, P O Box: 378, Jimma, Ethiopia.
² 2Department Population and Family health, Institute of health, Faculty of Public Health, Jimma University, P O Box: 378, Jimma, Ethiopia.
³ 3Faculty of Health Sciences, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3 Canada.
⁴ 4Faculty of Medicine, School of Epidemiology and PublicHealth, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON K1G 5Z3 Canada.

Abstract

Background: Access 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.

Method: An 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.

Result: Study 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.

Conclusion: Health 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.

Keywords: Ethiopia; Health messages; Health messengers; Talking health.