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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/3025

Title: Assessment of the extent of implementation and affecting factors of environmental health extension packages at house hold level in Damboya Woreda, Kembata Zone, South Nation Nationalities and Peoples’ Region
Authors: Samuel, korma Megabo
Advisors: Dr. Abera Kumie (MD, MSC, PhD)
Copyright: May-2011
Date Added: 11-May-2012
Publisher: AAU
Abstract: Background: Health extension program is a new innovative community based health care delivery system, comprises prevention, promotion and basic curative services. The program is currently implemented in all rural “kebeles” including agrarian and pastoralist regions. The program is run by deploying two female health extension workers at a health post in each “kebele” serving 5000 people. Currently over 35,000 health extension workers are trained and deployed in all rural “kebeles” of the country to implement sixteen health extension packages. The program recently launched also in urban settings. Objective of the study: To assess the extent of implementation and factors influencing the environmental health extension packages at household level in Damboya Woreda, Kembata Zone, Southern Nations Nationalities and Peoples’ Region. Methods: A community based cross-sectional study was conducted from Aug.11 to Jan. 30/2011. A total of 611 female household respondents and 20 key informants were included in the study. Results: Majority of the respondents were found in age between 29-39 and the minimum and maximum age was 19 and 70 with mean age of 38.2 years. Only 83(13.6%) female households were graduated on Hygiene and Environmental Health packages, 95.4% households were visited by health extension workers at least once a month. During the visit the issues mostly dis on service delivered by Health Extension Workers. Majority of the households (78.7%) water consumption per day was less than 10 litres, 2.5% of households used the same cup to draw and to drink water direct from storage/pots which could be potential to diseases transmission and contamination. There was 93.8% latrine coverage, 29.5% households also have hand washing facilities near their toilets, only 13.3% households have kitchen and 93.5% living houses floor were earthen/uncleanable. More than 90% of households were used wood, animal dung and kerosene for cook and night lighting. 92% of the households reported inadequate ventilation of their houses. About 23% & 71% of the households reported infestation of insects and rodents in their houses respectively. Two Focus Group Discussion sessions were carried out and major influencing factors of the environmental health packages were identified. Conclusion: Encourageable achievements were made on latrine and water coverage, but, poor coverage on Solid waste management, Food hygiene, Insect and Rodent control, Personal hygiene and housing sanitation. Needs particular attention on behavioural aspects. Recommendations: Put in place career development to meet a strong need of health extension workers and devise training opportunities in order to enhance health extension workers work motivation and job satisfaction. Increase the number of health extension workers to minimize their work load and avoid service interruption during their annual leave, maternity leave, sick leave and other social engagements and setting rural housing guidelines which comprises requirements for ventilation system and separation of living quarter from kitchens and animal living are recommended.
URI: http://hdl.handle.net/123456789/3025
Appears in:Thesis - Public Health

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