We explored the barriers and facilitators of maternal health care service use among women in the pastoralist region of Ethiopia.We used a mixed methods design—focus group discussions, key informant interviews, review of the literature and Participatory Ethnographic Evaluation Research (PEER) methods followed by a household survey among randomly chosen pastoralist women of reproductive age (n = 1,499). We used multi-variable regression analyses, and a p value ≤ 0.05 was set to determine statistical significance. In addition, we analysed qualitative data thematically and developed a causal loop diagram using dynamic synthesis methodology to analyse non-linearity, intricate relationships of the variable of interests.In this study, 20.6% of women used modern contraceptive methods, 44.6% had four or more antenatal visits and 38.4% of sampled women received skilled delivery services. We observed multiple individual and community related factors such as education, income and women’s and their partner’s knowledge, perceptions, husband approval, social norms and value-expectations and providers’ gender preferences and health systems factors such as access to health facilities, place of living, provider's cultural competency skills, supplies, delivery positions, economic and political stability, and provider's attitude were linked to maternal health care services utilization among women in pastoralist regions.Approaches towards pastoralists’ health care delivery systems should be responsive to their cultural and political ecology and human agency.
Orphan and vulnerable (OVC) children are children that are susceptible to various types of physiological, psychological and social problems. A qualitative research was conducted to assess the situation of orphans and vulnerable children in four woredas and two towns of Jimma Zone, Southwest Ethiopia. 21 focus group discussions and 29 key informant interviews were conducted to collect data required for the study. The data collected were analyzed using thematic analysis. The study revealed that OVC are vulnerable to malnutrition, poor hygiene, child sexual abuse, drug use, child labor exploitation. Moreover, they have little/no access to essential social services such as health, education and housing. The finding of the study also revealed that non-governmental organizations operating in the areas have been supporting very few children with educational materials, health care cost and food. The supports being offered by the non-governmental organizations were insufficient, intermittent, duplicated and limited to few children in terms of their coverage. Consequently, a number of OVC are still in a difficult situation and seek immediate attention. Thus, strengthening families'/guardian's economic capacity through income generating activities, social and emotional inclusive support programs, inter-organizational coordination, launching institutional care/ promoting local adoption for the abandoned and orphans were recommended based on the findings.
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