Center for National Health Development in Ethiopia (CNHDE): Developing an innovative primary health care system for pastoralist community.

To address the high child and maternal mortality rates, Ethiopia introduced a community-based Health Extension Program(HEP) in the pastoral areas. Despite this initiative the impact has been less successful demonstrating that the adaptation of the HEP model did not consider the pastoral context. We aim to describe the pastoral context in terms of the morbiditypatterns, identifying risk factors and health determinants, and address the question as to what are the most appropriateintervention packages for pastoral areas. We also aim to describe the wider context and barriers to service delivery andexplore existing venues that are potentially adaptable for service delivery in the pastoralist setting addressing the questionas to how to most effectively delivery health interventions building on existing structures and social events. We also aim touse this information to identify possible interventions for the pastoral context. The ultimate objective of this 'developmentgrants' project is to provide information for the development of a well-informed research project for submission to the 'fullscale research project grants' with the aim of testing potential interventions and formulating appropriate public healthintervention. The study will be conducted in Borona zone, Oromia region. It will involve documentation and analysis of contextual factors and existing health services using basic epidemiological study and case-study approach based on key informant interviews and Community Focus Group Discussions. The potential health interventions will be designed through community participation, and adoption of innovative and adaptive and culturally sensitivity approaches. The study will contribute to achieving equitable health outcomes and the MDGs in Ethiopia and beyond. A collaborative partnership involving policymakers and relevant stakeholders will be established to ensure the widest use of the research findings.

Programme: Joint Health Systems Research Award

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