In Partial Fulfillment of the Requirements for the Degree of Master of Public Health
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Date
1989-05
Authors
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Publisher
Addis Abeba Universty
Abstract
This case contro l s t udy was conducted on a sample of
1000 users o f servi ces of hea lth stations (cases) and 1000
n on-users of the s e r v i ces (controls) during the study
period whi ch was between October 17 and November 26 1988.
The study was done in 6 randomly selected health stations
and vi llages within a 5 km radius of the health stations in
Yererna Kereyu Awraja, central Ethiopia, where the author
is the district health manager . The ma jor objective of
the stud y was to determine factors influencing the
utilization of health stations in the Awraja. Information
from the study population ",as col l ec t e d on different
factors which possibly affect u ti li z ation, including
demographic factors , such as age, sex, occupation,
ethnici ty and education ; Socio- cul t ural f actors, such as
people's a ttitude toward t he heal t h wori{ers and services;
and economic status of the people. The mean age of the
study population was 20.8 years and 60 . 9% of the subjects
were women. Farmers constituted 53. 3%, the Oromo ethnic
group 59.7% and the literacy rate was 48.3%. Case contro l
analys e s of the 2 groups showed that non-utilizers were
more likely t han u ti li zers to come from the younger or
older age groups, to be f emal e, to be a farmer, to be from
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the Dromo ethnic group, & to have a low e r level of
education . There was also a differ ence between cases and
controls in p e rce ived travel time to the h ealth units,
perceived quality of the serv ices, knowl e dge about free
services, knoHl edge about the importance , and availability
of some of the services, and the income pattern. There was
no significant difference between the users and non-users
with regard to religion, marital status of the respondents,
or who advised the individuals to use or not to use the
services. These differences indicate a need to teach
communi ties about health & health services and to reduce
socio-cultural barriers to utilization of the services.
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In Partial Fulfillment of the Requirements for the Degree