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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Date
2014-06
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Addis Ababa University
Abstract
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 directlyrelated 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 assessmothers’ experiences and satisfaction with health extension service in Kirkos sub city, AddisAbaba.
Objective: The objective of this study was to assess mothers` experience and satisfaction with HEPrelated to antenatal care in kirkos sub-city, Addis Ababa, Ethiopia
Methods: A community based cross sectional study employed by quantitative data collectingmethod 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 includedin the study. Systematic sampling technique was used to select study respondents. Binary andMultivariate 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 workersduring one year prior to the survey. 46.8% of mothers had only one follow up. 30.4 % of them hadtwice of the service. The average score of Mothers’ Satisfaction was 109 (42.7 %) of the motherssatisfied with the health extension program in relation to Antenatal care. (28.6%) Mothers weresatisfied with courtesy, (28.6%) of the mothers with quality of care. Involvement of husband inHEP was found to be statistically significant independent predictor for satisfaction of mother onHEP with AOR =5.93(1.20 -29.22). Involvement of husband in the HEP increases almost six timessatisfaction of mothers in using the service delivered by the Hews. This study is supported by thestudy 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 getANC service. The involvement of husbands in the HEP was found to be a main predictor for thesatisfaction of mothers with HEP related to ANC. The experience of mothers ever visited by HEWsduring the last one year was very low but the Knowledge of mothers about the services delivered byhealth extension workers are good. In this study the satisfaction and experience of interpersonalrelationship were reported to be low.
Key words: HEP, Satisfaction, Experience, HEWs, Ethiopia
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HEP Satisfaction Experience