Level of health extension service utilization and associated factors among community in Abuna Gindeberet District, West Shoa Zone, Oromia Regional State, Ethiopia

BMC Health Services Research

Gudina Egata²  Negga Baraki²  Zewudu Kelbessa¹ 

[1] Zonal Health office Communicable Disease Prevention and Control Department, P.O. Box: 107, Ambo, Ethiopia;Haramaya University, College of Medicine and Health Science, School of Graduate Study, Harar, Ethiopia

关键词: Health extension services;    Community participation;    Knowledge;    Model family;   

Others  :  1126914
DOI  :  10.1186/1472-6963-14-324

 received in 2013-04-16, accepted in 2014-07-15,  发布年份 2014

【 摘 要 】

Background

In Ethiopia, children and mothers have been facing several health problems due to poor access to modern health care facilities and lack of effective demand to utilize the available ones. In response to this, the Ethiopian government initiated the health extension program in 2003 to improve equity in access to preventive, promotive and selected curative health interventions through health extension program. However, the level of health extension service utilization is not known. Therefore, this study presents the level of health extension service utilization and associated factors.

Methods

A community based cross sectional study was carried out from February to March 2012. Data was collected through face-to-face interview by using pretested structured questionnaires adopted from review of different related literatures and entered in to EPI Info version 3.5.1. Bivariate analysis between dependent and independent variables was performed. Multivariate analysis was also done to control for possible confounding variable by selecting variable which show statistically significant association (P < 0.2) in bivariate analyses to identify independent predictor factors.

Results

The proportion of community utilization of health extension service was 39%. Age (AOR = 2.52; 95% CI = 1.53-4.15), occupation (AOR = 3.79; 95% CI = 1.64-12.5), knowledge of community on health extension service (AOR = 0.25; 95% CI = 0.18-0.36), community participation in planning of health extension activities (AOR = 0.22; 95% CI = 0.15-0.33) and graduation of model family (AOR = 0.74; 95% CI = 0.47-0.76) have statistically significant association with community health extension services utilization.

Conclusions

The proportion of community utilization of health extension service was low. Age, occupation, knowledge of community on health extension service, community participation in planning of health extension activities and graduation of model family were identified as the independent factors affecting the community’s utilization of health extension services.

【 授权许可】

   
2014 Kelbessa et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Argaw H: The Health Extension Program (HEP) of Ethiopia: Summary of Concepts Progress Achievements and Challenges. 2007.
• [2]Marge K, Frances T, Asheber G, Ali K, Mary C, Solomon T: Responding to the maternal health care challenge: The Ethiopian Health Extension Program. Ethiop J Health Dev 2010, 24(1):105-109.
• [3]Federal Ministry of Health (FMOH): Implementation Guidelines of Health Extension Program: Addis Ababa, Ethiopia. 2005.
• [4]Yeshewalul A: Evaluation of health service extension program in Ethiopia, Research presented to center for global health, Trinity college, Dublin University, Ireland. 2006.
• [5]Assefa A, Degnet A, Andinet : Impact evaluation of the ethiopian health services extension program. Journal of Development Effectiveness 2009, 1(4):430-449.
• [6]Pathfinder International (PFI): Ethiopia’s Health Extension Program: Addis Ababa, Ethiopia. 2008.
• [7]Federal Ministry of Health (FMOH): Health Extension Program in Ethiopia: Profile. Addis Ababa, Ethiopia: Health Extension and Education Center; 2007.
• [8]World Bank: Ethiopia: A Country Status Report on Health and Poverty. Volume II. Report No. 28963-ET. Washington, D.C. USA: The World Bank; 2005:2.
• [9]Central Statistics Agency (Ethiopia): Ethiopia Demographic and Health Survey 2011, Addis Ababa, Ethiopia Calverton, Maryland, USA. 2012.
• [10]Central Statistical Agency (Ethiopia): Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2006.
• [11]Assefa A, Alebachew H, Fassil N, Haniko M, Ihalainen A, B K: HIV/AIDS and the health-related millennium development goals. The Experience in Ethiopia 2010, 369(2112):2112-2311.
• [12]Ghebreyesus A: Achieving the Health MDGs: country ownership in four steps. Lancet 2010, 376(9747):11228.
• [13]Center for national health survey (CNHS): Functioning of Health Posts. Addis Ababa, Ethiopia. 2007.
• [14]Last ten kilometer project (L10K: Baseline Household Health Survey: Amhara, Oromiya, SNNP and Tigray. Addis Ababa, Ethiopia. 2009.
• [15]Yigzaw D: Assessment of practices of women during pregnancy and childbirth with the perspectives of HEW's role. 2009.
• [16]Federal Ministry of health (FMOH): Report of the Joint Review Mission of HSDP III. Addis Ababa, Ethiopia: Planning and Programming Department; 2009.
• [17]Walraven G, Weeks A: The role of traditional birth attend-ants with midwifery skills in the reduction of maternal mortality. Trop Med Int Health 1999, 4:527-529.
• [18]Bhattacharyya K, Peter W, Karen L, Marie T: Community Health Worker Incentives and Disincentives. Arlington, Virginia: Basic Support for Institutionalizing Child Survival Project for the US Agency for International Development; 2001.
• [19]Yayehyirad K: Evolution of Public Health in Ethiopia. Addis Ababa, Ethiopia: Ethiopian Public Health Association (EPHA); 2006.
• [20]Abebe B, Mengistu K, Mekonnen T: Preliminary assessment of the implementation of the health services extension program: The case of Southern Ethiopia. Ethiop J Health Dev 2008, 22(3):302-305.