Significance of Health Extension Program in Utilization of Maternal Health Services in Oromia Region, East Show a Zone Rural Adama Woreda
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Date
2010-06
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Abstract
Even though availability of malemal heallh care service is essenlial for improvemel1l of
maternal heallh, lillie is known aboul the utilization in rural areas where lhe Health
Extension Program is implemented. This sludy is aimed al assessing lhe sign.ificance of
health extension program in improving Ihe lIliliZaiion of maternal health service in rural
Adama towards the maier/wi health care services.
The study utilized quantitative and qualitative data collecled in the month of March 2010.
The study is cross-sectional by design and applying a mullistage sampling technique a
total of 582 women who had at least one live birth in lhe five years preceding the study
andlor pregnalll al lhe time of the sludy were selected from four kebeles. A univariale,
bivariale and multivariale analyses were done using frequencies, x2 and binary logistic
regressions, respeclively.
Among all women, 51.9%, 7.9% and 10.4% received antenatal care, professional
ussisted delivery and postnatal care servias, respectively. From antenatal care service
allen danis, about 35% of women received the service from health extension workers.
Women in Ihe health extension program il1lervenlion kebeles were more likely to receive
({menmal care service (OR= 7.090, 95% Cl= 4.450-11.297) and gave birth emended by
professionals (OR = 3.018, 95% Cl1.019 - 8.939) than those in non interveillion kebeles.
Within women in the inlervention kebeles 75% were antenatal care allendant and 12.3%
received professional aI/ended delivery care service whereas of women in nOll
intervention kebeles - only 28.6 % and 3.4% of women were received antenataL and
professional allended delivery care service, respeclively.
The overall impression given by this study is lhat, wOlllen in intervel1lion kebeles utilized
services beller Ihan in non-intervention kebeles. The findings suggest that improvement of
maternal health in rural areas would require the introduction of several measures, the
mOsl effeclive being the expansion of community level program interventions while
strengthening the available programs 10 provide quality service.
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Significance of Health Extension Program