The Effect of Model Household Training on HIV/AIDS Risk Behaviors in Cheha Woreda-Guraghe Zone, SNNPR: A community based comparative study
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Date
2011-05
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Addis Ababa University
Abstract
Background: Primary Health Care (PHC) and Community Based Health Care (CBHC) were seen as the
most practical approach in achieving the overall objective. PHC is an integral part of the overall social
and economic development of the community. In 2003, the Ethiopian Federal Ministry of Health (FMOH)
launched a new health care plan, the “Accelerated Expansion of Primary Health Care Coverage,” through
a comprehensive Health Extension Program (HEP).
Objective: To compare between model training members and non model training members towards the
HIV/AIDS risk behaviors related to night markets and mobility.
Methods: A cross-sectional comparative community based study was conducted in Guraghe Zone from
January 15, 2011 - April 15, 2011. A total of 70 villages and 706 study subjects were selected from the HH
model training groups and the control groups; the cross tabulation was computed using dependent and in-
dependent variables to determine the proportions of respondents and the existence of association between
independent variables and some selected sociodemographic characteristics of household respondents.
Odds ratio and their 95% of confidence interval were calculated to assess the strength of association be-
tween the variables. To see the relative effect of independent variable on the dependent variable, logistic
regression analysis was carried out to SPSS version 17.0. For qualitative data four FGDs with 29 mem-
bers conducted; the participants were selected purposively, tape recorder was used, the responses were
transcribed and translated in to English, the statements were arranged in respective of its questions then
analyzed and grouped into themes and incorporated in to quantitative part.
Results and Discussion: 1.7% of the trained and 3.7% of the non-trained had sexual practice related to
night markets.3.2% of trained and4.7% of non-trained had casual sex related to mobility. 4.5% night mar-
ket attendants had casual sex related to night markets compared to non-attendants [OR (95%CI) =5.2(2.0,
9.0)].6.5% mobile persons had casual sex related to night markets [OR (95% CI) =3.7(1.4, 9.6)].13% of
mobile persons had casual sex related to mobility compared to non-mobile persons [OR (95%CI) =7.4(3.4,
13)]. Of the respondents1.4% of the trained and 7.2% of the non- trained had extramarital sex; but 7.2% of
the night market attendants had extramarital sex compared to non-attendants. [OR (95%CI) =1.8(1.1,
7.0)]. Of the respondents15.4% of mobile persons had extramarital sex compared to non-mobile persons.
[OR (95%CI) =7.07(3.4, 15)]. 60% of trained and 55% of the non-trained had used condom regularly the
last 12 months they had sex with non-regular partner.
Recommendations: Small markets at night should be shifted to the day time, better to avoid some of the
night markets through integration of the Woreda Council and social sectors Continuous capacity building
and refresher training for the previously trained household members should be done by the Woreda and
zonal health offices.
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Keywords
Risk Behaviors, HIV/AIDS