Assessment of Urban Health Extension Program Packages Utilization and Healthcare Seeking Behaviors among Model and Non-model Households in the Community of Bole sub-city, Addis Ababa, Ethiopia: A Comparative Cross-sectional Study

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Addis Abeba University


Background: Ethiopia has implemented urban health extension programs at the community level since 2009.The program was a pro-poor and cost-effective policy it aims to improve the utilization of urban health extension program packages and empower healthcare-seeking behaviors of the community mainly model households. Model households are households that attend at least 75% of model training implement and use at least 75% of the packages. Objective: To compare the urban health extension packages utilization and health care seeking behaviors of a model and non-model households in Bole sub-city, Addis Ababa. Methods: A community based comparative cross-sectional study design was conducted using a quantitative method. To collect data simple random sampling method was used to select the first household from registration listed by the name of the model and non-model female household heads and then a systematic random sampling method was applied until 594 sample sizes obtain. Data first entered into Epi info version, then exported into SPSS version 23 computer software for data analysis. P-values less than 0.05 and a 95% confidence interval was used to detect statistical significance and determine the association between independent and dependant variables. Result: 228 (77.6%) model and 105(64.2%) non-model female household heads were utilizing urban health extension packages. Model(AOR=3.135, 95% CI, 0.429-4.470),and non-model female HH (AOR=1.088, 95% CI, 0.533-2.224) heads who understand packages were significantly associated with urban health extension packages utilization than those HH heads who did not understand the packages. 139(75.5%) model and 131(65.2%) non-model female household heads had appropriate healthcare-seeking behavior. Conclusion: Providing training, household visit, frequent non-model household visits, and giving more attention to disease prevention and control packages are very important for the utilization of urban health extension packages. Accessibility and availability of government health centers in some woreda, providing training and health institution visits like Pharmacy, and drug shops are crucial to avoid inappropriate healthcare-seeking behaviors.



Health care-seeking behavior, urban health extension packages utilization, model households, and non-model households.