Trends in Maternal Health Service Utilization in Pre and Post-Intervention of Health Extension Program (HEP): Implication of HEP in Meket Woreda of Amhara Region
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Date
2020-02
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Addis Ababa University
Abstract
Maternal health refers to the health of women during pregnancy, childbirth, and the
postpartum period. It encompasses the health care dimensions of family planning, prenatal,
delivery and postnatal care in order to reduce maternal morbidity and mortality.
Complications of pregnancy and childbirth are the leading causes of disability and death
among women in the reproductive age (15-49) years in developing countries (WHO, 2009).
The purpose of this study is to measure level and trends in selected maternal health services
during pre and post-intervention period of the Health Extension Program in Meket Woreda,
Amhara Region using administrative data extracted from the woreda health office. In this
study, administrative data from July 2001 – June 2017 based on HEP from Meket Woreda was
used for analysis of levels and trends in maternal health service utilizations. Due to the time
series nature of data being used, polynomial regression trend models with ARIMA specification
was fitted for residuals in order to make appropriate inferences. The finding reveal that there
has been an overall increasing trend in antenatal care, HIV test, delivery care, family planning
and postnatal care service utilizations after the introduction of the health extension program
in the woreda. As literacy and socio-economic status of the population improve, the demand
for quality and comprehensive services also increases. Besides, changes in demographic trends
and urbanization require more comprehensive services covering a wide range of quality health
services. So a potential researcher may include those variables to do further researches in the
area by widening the scope of the study.
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Keywords
Health Extension Programme, Maternal Health, Meket Woreda.