Assessment of Community Mobilization of Health Extension Package and Its Challenges As Perceived By Health Extension Workers: The Case of Bereh Aleltu Woredas' Of Oromia Region

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Addis Ababa University


The Ethiopian government introduced the HE? in 2003, to achieve one 0/ the millenniul11 development goals and solve the cOlin tries short /all in health. However, since its implementation there is velY ji'agmented in/ormation on its status and achievement. This thesis was conducted with the purpose 0/ assessing the community mobilization process and the challenges met to learn /i'om experience 0/ HEWs and give recommendations, to ensure the sustainability of the package. This research concludes that the HE? seems e/fixtive and been accepted by the communities in the study area. A significant correlation was found when scores 0/ social asset were correlated with scores 0/ community participation and perceived local support/or both HEWs' and community leaders. The reasons/or the acceptance were/ound to be; Issue awareness o/the community, HEWs sense o/use/ulness, and sense 0/ community between HEWs and the community are some. Currently community's attempts to improve their health is witnessed in /amily planning, pit latrine construction, vaccination, abrogation 0/ harm/it! practices according to the interviewed HEWs. The main hampering factors found were lack of community support and participation }i'om certain parts of the society at the early stage, community members' negative attitudes towards specific issues (cultural), the difficulty 0/ mobilizing individuals in economically disadvantaged communities, lack 0/ training and reward system and technical support, and /elt inadequacy. Bearing in mind the successfit! results yet registered; to /ilrther higher the implementations of HE? It is important to use community development approach that treat community asfit/I partners in improving their health of rather than being passive recipients or consumers 0/ health services. Intensive awareness creation should be tCIIgeted to incorporate schools, religious institutions, community leaders in the mobilization process so as to build social networks to widen support, commitment, and changes in social norms and behavior. In order to mitigate some the 0/ the barriers timely re"ponses should be given to social and psychological needs 0/ HEWs through arrangements 0/ up grading programs, re}i'esher courses based on HEWs pelformance and years served are recommended



Community Mobilization of Health Extension Package