Factors Affecting the Role of Health Extension Professionals in the Implementation of Health Packages in Yeka Sub city Of Addis Ababa

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Addis Ababa University


The purpose of this study was to assess the Factors Affecting the Role of Health Extension Professionals in the Implementation of Health Packages in Addis Ababa, Yeka Sub city. To this end, descriptive survey design was employed. Both quantitative and qualitative methods were used. Primary source of data were heads and vice heads of Woreda Health Offices and Health Extension Professionals. The secondary sources were relevant policy documents, reports of Woreda Health Offices and minutes of the HEP of Addis Ababa City Administration and the respective Woreda’s reports. Sample size of this research on the total of forty four respondents form the Yeka sub-city Woreda Head Officer and Vice Head officer (two in number), from the 14 Woreda Health Offices / two supervisor per Woreda assigned/, then selected one from each (14 in numbers), twenty eight Health Extension Professionals from each Woreda were participated in this study. Respondents used as a sample simple random sampling technique was used to select Woreda’s form the total number. Further-more, from a total of 13 Woreda’s in the sub-city a proportion of 7 Woredas were considered through systematic random sampling technique. Whereas selection of tow HEPs from each of the seven Woredas who have worked one year and above as a formal HEP in purposive sampling technique. Data gathering tools were questionnaire on self-administer question, interview and focus group discussions (FGD) with heads and vice heads of Woreda Health Offices such as supervisors and Health Extension Professionals. The data analysis lead to the following major finding; (1) according to the data optioned the educational background of HEPs and Woreda health office experts and supervisors, no respondents of HEP having Degree and all the sub-city or Woreda HEPs supervisors were Degree holders , (2) the perception of the community towards HEPs in Yeka Sub-City is low and even they do not consider Health Extension Workers as professionals who have qualifications and experience and have seen low community understanding , (3)The jobs satisfaction of HEPs ,since there is no incentive like up grading , refresher course and per-diem for daily activity , It difficult to say all respondents satisfied , above half of respondents were not satisfied, (4) mainly lack of practical exposure during trainng session means it is fully over run by thoertical assumptions , and (5) majority of respondents response shown that there is shortage or/ and luck of incentive, motivation, training and refresher training, non-monitory remuneration support. Based on the major findings, it was concluded that the health extension service poorly implemented in community awareness on HEPs role and responsibility subjects. Based on the major finding and conclusions drown, it was recommended that Yeka sub-city should conduct continuous community awareness creation program to change the preception of the community on HEP role and responsibility. Beacuse the profession is correlates it self with life of the people, in addition to upgrading to the educational level, HEPs course needs actual practical attachment within the working area rather than fully involved in the theortical assumptions. Moreover, fair and competent working environment is the driving factor for the professionals to stay on job safely Thus, Incentives or reward should be forwarded to the one who had commitement in his/her performance results



Health Extension ;Professionals