Survey on the Assessment of Mother’s Experiences And Satisfactions With Health Extension Program Related to Antenatal Care In Kirkos Sub-City, Addis Ababa, Ethiopia

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Addis Ababa University


Background: One of the focus areas in Health Extension Program of Ethiopia is maternal health. Client satisfaction is considered as one of the most wanted outcomes of health care and it is directly related with utilization of HEP. On the other hand, there is no ample information on users’ awareness about the service provided in the HEP. Therefore, this study is intended to assess mothers’ experiences and satisfaction with health extension service in Kirkos sub city, Addis Ababa. Objective: The objective of this study was to assess mothers` experience and satisfaction with HEP related to antenatal care in kirkos sub-city, Addis Ababa, Ethiopia Methods: A community based cross sectional study employed by quantitative data collecting method was used. The data was conducted from April- May 2014 in kirkos sub-city, Addis Ababa, Ethiopia. In randomly selected seven woredas of the sub city, a total of 290 mothers were included in the study. Systematic sampling technique was used to select study respondents. Binary and Multivariate logistic regression was applied to identify the predictor factor for satisfaction. Results: 26.6 % of the respondents had an experience of interaction with health extension workers during one year prior to the survey. 46.8% of mothers had only one follow up. 30.4 % of them had twice of the service. The average score of Mothers’ Satisfaction was 109 (42.7 %) of the mothers satisfied with the health extension program in relation to Antenatal care. (28.6%) Mothers were satisfied with courtesy, (28.6%) of the mothers with quality of care. Involvement of husband in HEP was found to be statistically significant independent predictor for satisfaction of mother on HEP with AOR =5.93(1.20 -29.22). Involvement of husband in the HEP increases almost six times satisfaction of mothers in using the service delivered by the Hews. This study is supported by the study carried out in Jimma southern Ethiopia. Conclusion: The HEP is implemented in urban community but mothers are not attracted by the service. In Addis Ababa there are different health service alternatives which the mother can get ANC service. The involvement of husbands in the HEP was found to be a main predictor for the satisfaction of mothers with HEP related to ANC. The experience of mothers ever visited by HEWs during the last one year was very low but the Knowledge of mothers about the services delivered by health extension workers are good. In this study the satisfaction and experience of interpersonal relationship were reported to be low. Key words: HEP, Satisfaction, Experience, HEWs, Ethiopia



HEP, Satisfaction, Experience