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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/757

Title: DOES COMMUNITY BASED REPRODUCTIVE HEALTH PROGRAM (CBRHP) IMPROVE WOMEN STATUS? A COMPARATIVE STUDY BETWEEN CBRHP AND NONCBRHP AREAS, IN BASSONAWORANA DISTRICT NORTH SHOA ADMINISTRATIVE ZONE, AMHARA REGION
Authors: AYELE, ATLABACHEW
Advisors: DR.YELMA MELKAMU
Copyright: 2006
Date Added: 21-Apr-2008
Publisher: Addis Ababa University
Abstract: A COMPARATIVE CROSS SECTIONAL STUDY WAS CONDUCTED TO ASSESS WOMEN’S STATUS IN CBRHP AND NON-CBRHP AREAS IN BASSONAWORANA WOREDA OF AMHARA REGION. THE STUDY WAS CARRIED OUT IN TEN RURAL KEBELES IN THE WOREDA, FIVE KEBELES FROM EACH CBRHP AND NONCBRHP AREAS. IN THE STUDY, A QUANTITATIVE METHOD WAS USED FOR DATA COLLECTION. A TOTAL OF 620 PARTICIPANTS WERE SELECTED USING A MULTISTAGE SAMPLING TECHNIQUE. THE RESULT INDICATED THAT MEAN AGE OF MARRIAGE WAS 17.5± 3.1 IN CBRHP AREAS AND 17.1± 2.9 IN NONE CBRHP AREAS. THE MEAN AGE OF FIRST PREGNANCY IN THE PROGRAM AREA WAS 19.2 ±3.5 AND 18.1 ±4.4 IN NON PROGRAM AREAS. THE MEAN NUMBER OF CHILDREN IN THE PROGRAM AREAS WAS 3.1±2.4 AND 4.1± 2.3 IN THE NON PROGRAM AREAS. THE CPR WAS FOUND TO BE 64.5% IN THE CBRHP AND 25.5 IN NONE CBRHP AREAS [OR=2.4, 95% CI=1.5, 3.8]. THE STUDY SHOWED THAT ABOUT 91% OF THE RESPONDENTS KNEW AT LEAST ONE MCM IN THE PROGRAM AREAS COMPARED TO 70.1% IN THE NONPROGRAM AREAS; THE DIFFERENCE WAS STATISTICALLY SIGNIFICANT [OR (95%CI) =4.3(2.7, 6.7)]. SIMILARLY 64.8% OF WOMEN IN CBRHP AND 38.7% IN NONE CBRHP AREAS [OR =1.93, 95% CI=1.3, 2.8] USED AT LEAST ONE METHOD OF MODERN CONTRACEPTIVE IN THEIR LIFE. DECISION MAKING ON BUYING /SELLING MAJOR HOUSEHOLD AND AGRICULTURAL ITEMS WERE MADE JOINTLY IN 74.4% OF THE RESPONDENTS IN CBRHP AREAS, WHILE ONLY 36.9% OF DECISIONS WERE MADE JOINTLY IN NONE CBRHP AREAS [OR=9.3, 95% CI=6.1, 14.4]. SIMILARLY DECISION ON SEEKING MEDICAL CARE WAS MADE JOINTLY IN 68.5% OF THE PROGRAM AREAS RESPONDENTS WHILE ONLY 41.1% OF THE RESPONDENTS DECIDED xi JOINTLY IN NON-CBRHP AREAS [OR=9.9, 95% CI=6.1, 16.1]. IN THE NONPROGRAM AREAS, HUSBANDS ALONE MADE THE MAJORITY OF DECISIONS [53.7%] ABOUT SEVENTY EIGHT PERCENT AND 15.5 % OF THE WOMEN IN THE PROGRAM AREAS WERE THE DECISION MAKERS ON UTILIZATION OF MCM JOINTLY AND BY THE WIVES ALONE RESPECTIVELY. THE CORRESPONDING PROPORTIONS FOR THE NON PROJECT AREAS WERE 65 % AND 5.8 %. [OR=12.6, 95% CI=5.7, 28.3 AND OR=5.7, 95% CI=3.3, 10.1]. THE PERCEIVED STANDARD OF LIVING IN THE PAST FIVE YEARS WERE IMPROVED IN 38.9% OF THE RESPONDENTS IN PROGRAM AREA WHILE THE CORRESPONDING PROPORTION FOR THE NONE PROJECT AREA WAS ONLY 6.8%[OR =10.1, 95% CI=5.4, 18.9]. WITH THESE FINDINGS ONE CAN EASILY CONCLUDE THAT CBRH PROGRAM IMPROVES BOTH WOMEN AUTONOMY AND THEIR STATUS IN MANY REPRODUCTIVE HEALTH AND SOCIO-ECONOMIC ASPECTS. CIVIC ASSOCIATIONS LIKE WOMEN’S ASSOCIATIONS AND ORGANIZATIONS WORKING ON GENDER AND DEVELOPMENT CAN USE THE CBRH PROGRAM AS A STRATEGIC OPTION TO IMPROVE WOMEN STATUS. IMPLEMENTATION OF THE PROGRAM ALSO CONTRIBUTES FOR THE ATTAINMENT OF THE MILLENNIUM DEVELOPMENT GOALS [MDGS], PARTICULARLY FOR GOALS 3, 4, 5 AND 6. HENCE, WE RECOMMEND THAT CBRH PROGRAM HAS TO BE STRENGTHENED AND POLICY MAKERS/PROGRAM MANAGERS SHOULD PAY ATTENTION TO EXTEND THIS PROGRAM IN TO VILLAGES AND DISTRICTS OF THE COUNTRY.
Description: A THESIS SUBMITTED TO THE SCHOOL OF GRADUATE STUDIES OF ADDIS ABABA UNIVERSITY IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF MASTER IN PUBLIC HEALTH.
URI: http://hdl.handle.net/123456789/757
Appears in:Thesis - Public Health

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