Process Evaluation on Child Survival Interventions in SNNPR: Special Focus on Community Health Promotion Initiatives.
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Date
2006-06
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Addis Abeba Universty
Abstract
Current trends in the field of health promotion emphasize community-based programs
employing multiple interventions as the main strategies for achieving population-level change
in risk behaviors and health. It may be difficult to find the individual who would be friendly
concerned about the welfare of the other, uninterested in money, and hard working respecting
and willing to visit any who ask her/him.
The purpose of this study was to evaluate child survival program interventions with special
focus on community health promotion initiatives and to assess determinants of community
health promoters’ functionality in SNNRP, two Woredas of Gamogofa Zone and Alaba
Special Woreda
A comparative cross-sectional study was used to compare functioning CHP with
nonfunctional CHP in study areas. The study was a census survey, thus the study population
were all the CHPs trained in the study area in 2003 (n=443). In addition, 2 focus group
discussions were held in each study woreda and in-depth interviews were made with key
informants in the study areas. Epi-Info and SPSS software were used for data entry and
analysis to reveal the finding. The finding revealed that 88.3% of interviewed community
health promoters were performing 50% or more of the activities mentioned in their job
description. Eleven point seven percent of the community health promoters were found to be
performing no activities at the time of interview .i.e a point prevalence attrition rate of 11.7%
over 2 years in the study areas. According to the community response, community health
promoters were very good health teachers,” Increased ITN utilization, toilet use, hand wash
practice after toilet, and improved household hygiene, were the major appreciable change
observed following the introduction of CHPs”.
The finding could help the health planners who are interested to improve community based
health interventions as to address the primary health care services through community
involvement and responsibility for health.
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Process Evaluation on Child Survival Interventions