Ethiopia Study Examines Infant Care Pathway Implementation

Why this is here: The scoping review of global policies identified a lack of depth and detail in continuity of care guidance for mothers and infants, highlighting a significant gap in current recommendations.

Researchers in Ethiopia investigated factors influencing the implementation of an integrated care pathway for at-risk infants under six months and their mothers. The five-year MAMI RISE project, a partnership between LSHTM, Emergency Nutrition Network, Jimma University, and GOAL Ethiopia, used a randomized controlled trial in outpatient clinics. The study included a review of global policies, a feasibility study, and a process evaluation conducted from 2019 to 2025.

The policy review revealed fragmented global guidance with gaps in infant mortality risk markers and limited detail regarding maternal and infant continuity of care. The feasibility study indicated staff acceptance of the MAMI Care Pathway with needed structural support, while policymakers sought evidence of its impact. The process evaluation confirmed the pathway’s acceptability and feasibility, showing positive outcomes linked to case complexities and implementation conditions.

The research highlights the need for locally led implementation research and sustained investment in person-centered care systems. Despite the study’s findings informing national policy on malnutrition management, further work is needed to address service gaps and tailor interventions to individual needs. The research continues to explore scalable and sustainable care solutions.