Journal of Cancer Treatment and Research

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Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia

Received: 4 August 2020    Accepted: 13 August 2020    Published: 31 August 2020
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Abstract

Introduction: To address health problem of the rural community, Ethiopia launched Health Extension Program in 2003. Mother and child have been facing different problems and due to poor access to modern health care facilities. Lack of effective demands to utilize the available service also has its own contribution to the problems. Objective: The aim of this study was to assess the status of Health Extension Service Utilization and Associated Factors among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. Methodology: Community based, quantitative cross-sectional study using structured questionnaires were carried out. A total of 604 households were selected from each kebeles through systematic sampling from random starting point from household registration book using a number between one and sampling interval. The data was entered to Epi Info version 7computer software and transferred to SPSS version 21 computer software programs. Descriptive statistics was done for each variables, bivariate analysis between dependent and independent variables was performed. Multivariate analysis was done to control for possible confounding variable finally P-Value < 0.05 with CI was used as level of significance. Results: The level of community utilization of health extension service was 92.4%. Even though the health extension service is high, the implementation is found to be low in some packages such as women’s immunization service, delivery, postnatal care service, community conversation, and model family. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization. Further studies should be undertaken to determine the level and factors affecting utilization of health extension service from the perspective of health extension workers on a wider scale. Conclusion: The level of community utilization of health extension service has registered relatively higher results as compared to the previous studies. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization.

DOI 10.11648/j.jctr.20200803.11
Published in Journal of Cancer Treatment and Research (Volume 8, Issue 3, September 2020)
Page(s) 51-59
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Level, Health Extension, Utilization, Mersti Woreda

References
[1] FMOH Health sector strategic plan (HSDPIII); Planning and Programming A. A. Ethiopia. 2005.
[2] Note UB. August, 2015.
[3] FMOH. Health extension program in Ethiopia profile Health Extension and Education center June 2007.
[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 Admassiea A, H etl. “HIV/AIDS and the Health-Related Millennium Development Goals: The Experience in Ethiopia.” 2010; 369: 2112-311.
[6] PIP. Ethiopia’s Health Extension Program: Addis Ababa, Ethiopia. 2008.
[7] FMOH. HSDP. 2012.
[8] Al Ke. Level of health extension service utilization and associated factors among community in AbunaGindeberet District. 2012.
[9] UNDP. Human Development Report. 2005.
[10] Nahumudin Kadir C, Feng Zoa, etl. Health Extension Workers in Ethiopia Improved Access and Coverage for the Rural Poor
[11] WHO Ua. Immunization: A Summary. 2007.
[12] Ethiopia WB. A Country Status Report on Health and Poverty. 2005; Volume II (28963-ET).
[13] CSA and Macro International. 2005.
[14] Health FMo. Ethiopia Community Based Newborn Care Implementation Guideline. December, 2012.
[15] Assefa G. Achieving the Health MDGs: Country Ownership in Four Steps. 2010: 1127-28.
[16] Uta LaD, S. The state of the evidence on program, activities, costs and impact on health outcomes of using Community Health Workers. 2007.
[17] Samuel Girma AGY, Yayehyirad Kitaw, etl. Human resource development in Ethiopia; Challenges of achieving the Millennium Development Goals. Ethiop. J. Health. 2007; 3: 216-31.
[18] Walker DaJ, S. How do we determine whether Community Health Workers are cost- effective. 2005; 3: 221-9.
[19] EDHS M. 2014.
[20] (FMOH). FMoH. Health Sector Strategic plan (HSDP-III) Draft, Planning and Programming Department. 2005c.
[21] Medhanyie A. The role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia. 2012.
[22] FMoH. Implementation Guidelines of Health Extension Program: Addis Ababa, Ethiopia. 2005.
[23] Hailu T. Household health extension package, challenges and implementation issues a lesson from field practice. 2005.
[24] FMoH. Report of the Joint Review Mission of HSDPIII. 2009.
[25] Diress Y. Assessment of practices of women during pregnancy and childbirth with the perspectives of HEW’s role, Addis Ababa University, Addis Ababa, Ethiopia,. 2009.
[26] (CNHDE) CfNHDiE. Assessment of working conditions of the first batch of Health Extension Workers. 2006.
[27] Haile Negusse EMaMM. Initial community perspectives on the Health Service Extension Program in Welkait, Ethiopia. Hum Resour Health. 2007.
[28] Walraven G WA. The role of traditional birth attend-ants with midwifery skills in the reduction of maternal mortality. 1999: 527-9.
[29] Awash Teklehaimanot Y, K., Asfawesen, G/Y., et al.;. Working Conditions of Health Extension Workers in Ethiopia. Ethiop. J. Health Dev. 2007: 246-59.
[30] Bhattacharyya K, Peter Winch, Karen LeBan. Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability. 2001.
[31] FMoH. Health Sector Human Resource Development Framework. 2006-2010.
[32] Bryan Shaw AANPe. Determinants of Utilization of Health Extension Workers in the Context of Scale-Up of Integrated Community Case Management.
[33] Getachew Hailu. Assessment of the extent and determinants of functionality of health extension workers Addis Ababa University, Addis Ababa, Ethiopia. 2009.
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    Mitiku Uma Sinki, Hailu Fikadu, Shimelis Adugna, Roza Amdemichael, Shimelis Mekit, et al. (2020). Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. Journal of Cancer Treatment and Research, 8(3), 51-59. https://doi.org/10.11648/j.jctr.20200803.11

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    ACS Style

    Mitiku Uma Sinki; Hailu Fikadu; Shimelis Adugna; Roza Amdemichael; Shimelis Mekit, et al. Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. J. Cancer Treat. Res. 2020, 8(3), 51-59. doi: 10.11648/j.jctr.20200803.11

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    AMA Style

    Mitiku Uma Sinki, Hailu Fikadu, Shimelis Adugna, Roza Amdemichael, Shimelis Mekit, et al. Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. J Cancer Treat Res. 2020;8(3):51-59. doi: 10.11648/j.jctr.20200803.11

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  • @article{10.11648/j.jctr.20200803.11,
      author = {Mitiku Uma Sinki and Hailu Fikadu and Shimelis Adugna and Roza Amdemichael and Shimelis Mekit and Mesfin Tafa},
      title = {Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia},
      journal = {Journal of Cancer Treatment and Research},
      volume = {8},
      number = {3},
      pages = {51-59},
      doi = {10.11648/j.jctr.20200803.11},
      url = {https://doi.org/10.11648/j.jctr.20200803.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jctr.20200803.11},
      abstract = {Introduction: To address health problem of the rural community, Ethiopia launched Health Extension Program in 2003. Mother and child have been facing different problems and due to poor access to modern health care facilities. Lack of effective demands to utilize the available service also has its own contribution to the problems. Objective: The aim of this study was to assess the status of Health Extension Service Utilization and Associated Factors among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. Methodology: Community based, quantitative cross-sectional study using structured questionnaires were carried out. A total of 604 households were selected from each kebeles through systematic sampling from random starting point from household registration book using a number between one and sampling interval. The data was entered to Epi Info version 7computer software and transferred to SPSS version 21 computer software programs. Descriptive statistics was done for each variables, bivariate analysis between dependent and independent variables was performed. Multivariate analysis was done to control for possible confounding variable finally P-Value Results: The level of community utilization of health extension service was 92.4%. Even though the health extension service is high, the implementation is found to be low in some packages such as women’s immunization service, delivery, postnatal care service, community conversation, and model family. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization. Further studies should be undertaken to determine the level and factors affecting utilization of health extension service from the perspective of health extension workers on a wider scale. Conclusion: The level of community utilization of health extension service has registered relatively higher results as compared to the previous studies. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia
    AU  - Mitiku Uma Sinki
    AU  - Hailu Fikadu
    AU  - Shimelis Adugna
    AU  - Roza Amdemichael
    AU  - Shimelis Mekit
    AU  - Mesfin Tafa
    Y1  - 2020/08/31
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jctr.20200803.11
    DO  - 10.11648/j.jctr.20200803.11
    T2  - Journal of Cancer Treatment and Research
    JF  - Journal of Cancer Treatment and Research
    JO  - Journal of Cancer Treatment and Research
    SP  - 51
    EP  - 59
    PB  - Science Publishing Group
    SN  - 2376-7790
    UR  - https://doi.org/10.11648/j.jctr.20200803.11
    AB  - Introduction: To address health problem of the rural community, Ethiopia launched Health Extension Program in 2003. Mother and child have been facing different problems and due to poor access to modern health care facilities. Lack of effective demands to utilize the available service also has its own contribution to the problems. Objective: The aim of this study was to assess the status of Health Extension Service Utilization and Associated Factors among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. Methodology: Community based, quantitative cross-sectional study using structured questionnaires were carried out. A total of 604 households were selected from each kebeles through systematic sampling from random starting point from household registration book using a number between one and sampling interval. The data was entered to Epi Info version 7computer software and transferred to SPSS version 21 computer software programs. Descriptive statistics was done for each variables, bivariate analysis between dependent and independent variables was performed. Multivariate analysis was done to control for possible confounding variable finally P-Value Results: The level of community utilization of health extension service was 92.4%. Even though the health extension service is high, the implementation is found to be low in some packages such as women’s immunization service, delivery, postnatal care service, community conversation, and model family. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization. Further studies should be undertaken to determine the level and factors affecting utilization of health extension service from the perspective of health extension workers on a wider scale. Conclusion: The level of community utilization of health extension service has registered relatively higher results as compared to the previous studies. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Public Health, Arsi Zone Health Office, Assela, Ethiopia

  • Public Health Department, Arsi University, Assela, Ethiopia

  • Medical Labratory Department, Arsi University, Asseala, Ethiopia

  • Midwifery Department, Arsi University, Assela, Ethiopia

  • Pharmacy Department, Arsi University, Assela, Ethiopia

  • Public Health Department, Arsi University, Assela, Ethiopia

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