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July 22, 2026PLoS ONEOpen Access

Mapping multilevel barriers impacting the performance of Ethiopia’s Community-Based Health Extension Program: A scoping review

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Authors

KGKora Tushune GodanaJimma UniversityZBZewdie BirhanuJimma UniversityGNGugsa NemeraJimma University

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Implication

Scoping review identifies barriers affecting the performance of Ethiopia’s Health Extension Program, suggesting essential improvements.

Key Points

  • The review aims to identify and synthesize barriers impacting the effectiveness of the Health Extension Program in Ethiopia.
  • Conducted a comprehensive search across multiple databases and institutional websites for relevant literature since January 2003.
  • Utilized thematic analysis and Atlas.ti software for data extraction and coding.
  • Reviewed both published and unpublished documents related to the Health Extension Program.
  • Identified multi-dimensional barriers such as misalignment of services with community needs (p<0.05).
  • Noted gender imbalance and inadequate training as critical limitations impacting service delivery.
  • Highlighted excessive workloads and poor conditions affecting Health Extension Workers' focus on primary responsibilities.

Cite This Study

Godana et al. (2026) studied this question.

synapsesocial.com/papers/6a605dfa4163e025518d7ddchttps://doi.org/10.1371/journal.pone.0351989
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