Browsing by Author "Kebede, Adugna"

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    Assessment of Health Service Extension Packages Utilization and Barriers that Affect Service Utilization in Dandi District, West Showa Zone, Oromia Regional State, Ethiopia.
    (Addis Abeba University, 2010-06) Kebede, Adugna; Dr. Mitike, Getnet (MD,MPH, Ph.D.)
    Background: In 2005, the Federal Ministry of Health (FMOH) in Ethiopia realized that health service were not meeting the health needs at the community level. In response to this, the FMOH launched a new innovative program called the health Extension program(HEP).TheHEPfocusesonunderservedsuch as: mothers, neonates, children and rural communities and places, basically emphasis on preventive, promotive and selected curative health care practice. Utilization of healthcare services is a right of all citizens, an important determinant of health and has particular relevance as a public health and development issue in low income countries.
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    Community Participation and the Effect of Participatory Research In South-Western Ethiopia
    (Addis Abeba Universty, 1995-05) Kebede, Adugna
    A descriptive study was conducted from October 1994 to March 1995 to document the patterns and determinants of community participation (CP) in 25 peasant associations in Seka Chekorsa Woreda. An experimental component of the study tested the effect of participatory research (PR) on the measurement and promotion of CPo The study address the barriers to fuller communities participation in health development activities despite the high demand from the health sector. Over half (52.5%) of community members reported participation in health activities within the preceding month. Most common forms of participation reported were contribution of labor (31.2%) or materials (11.9%) and attending meetings regarding health development (29.9%). Communities were most likely to identify more passive forms of CP, including service utilization (60.9%), attending meetings (44.8%), and contribution of material or labor (33.9%) Few (11.2%) indicated that CP implied involvement in decision making and planning. Key barriers to promotion of CP in health included poor community awareness of roles and responsibilities, lack of technical and financial resources, and lack of strategies and organizational structures to promote CPo PR was effective in increasing community awareness of CP, and in increasing rates of participation, including through attending meetings and through decision making and planning. Strengthening CP through the development of clear strategies and policies and decentralization of financial and technicial resources together with utilization of existing mutual self hel p societies such as funeral societies (Edir) were recomended in order to improve health development programs.
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    Community Participation and the Effect of Participatory Research in South-Western Ethiopia
    (Addis Ababa University, 1995-05) Kebede, Adugna; Stansfield, Sally (PhD)
    A descriptive study was conducted from October 1994 to March 1995 to document the patterns and determinants o f community p a rticipation (CP) in 25 peasant associ at ion s in Seka Chekorsa Wo r e da. An experimen tal componen t o f the study tested the e ffect o f participatory r e search (PR ) on t he measurement and promot ion o f CPo The study address the barri ers to fuller communities participation in health development activities despite the high demand from the health sector. Ov e r half (52 . 5%) o f communi t y members rep o r ted partic ipatio n i n h ealth activ i t i e s wi t hin the preceding month . Most common forms of participation reported were contribution of labor (31.2%) or materials (11 . 9%) and attending meetings regarding health development (29 . 9%). Communities were most likely to identify more passive forms of CP, including s ervice utilization (60 . 9%), attending meetings (44.8%), and contri bution o f materi a l o r l abo r (33 . 9%) Few (11.2%) indi c a ted that CP implied involvement in dec ision making and planning. Key barriers to promotion of CP in health inc luded poor c ommuni t y aware ness of roles and responsibilities, lack of technical and f inancial res ources , and lack o f strategies and orga nizational structures to promote CPo PR was ef f ective in increas~ng community awareness of CP, and in increas i ng r ates of part i c ipa t ion , including through attending mee t ~ngs and through decision making the development and planning . S:rengthening CP through of clear strateg~es and policies and decentral ization of financial and technicial resources togethe r with utilization of existing mutual self help soc ieties such a s funeral soc ieties (Edi r ) were recomended in order to improve health development programs .