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The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia
BACKGROUND: Ethiopia has implemented a nationwide primary health program at grassroots level (known as the Health Extension Program) since 2003 to increase public access to basic health services. This study was conducted to assess whether households that fully implemented the Health Extension Progra...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031203/ https://www.ncbi.nlm.nih.gov/pubmed/24868165 http://dx.doi.org/10.2147/JMDH.S62294 |
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author | Yitayal, Mezgebu Berhane, Yemane Worku, Alemayehu Kebede, Yigzaw |
author_facet | Yitayal, Mezgebu Berhane, Yemane Worku, Alemayehu Kebede, Yigzaw |
author_sort | Yitayal, Mezgebu |
collection | PubMed |
description | BACKGROUND: Ethiopia has implemented a nationwide primary health program at grassroots level (known as the Health Extension Program) since 2003 to increase public access to basic health services. This study was conducted to assess whether households that fully implemented the Health Extension Program have improved current contraceptive use. METHODS: A cross-sectional community-based survey was conducted to collect data from 1,320 mothers using a structured questionnaire. A multivariate logistic regression was used to identify the predictors of current contraceptive utilization. A propensity score analysis was used to determine the contribution of the Health Extension Program “model households” on current contraceptive utilization. RESULT: Mothers from households which fully benefited from the Health Extension Program (“model households”) were 3.97 (adjusted odds ratio, 3.97; 95% confidence interval, 3.01–5.23) times more likely to use contraceptives compared with mothers from non-model households. Model household status contributed to 29.3% (t=7.08) of the increase in current contraceptive utilization. CONCLUSION: The Health Extension Program when implemented fully could help to increase the utilization of contraceptives in the rural community and improve family planning. |
format | Online Article Text |
id | pubmed-4031203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-40312032014-05-27 The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia Yitayal, Mezgebu Berhane, Yemane Worku, Alemayehu Kebede, Yigzaw J Multidiscip Healthc Original Research BACKGROUND: Ethiopia has implemented a nationwide primary health program at grassroots level (known as the Health Extension Program) since 2003 to increase public access to basic health services. This study was conducted to assess whether households that fully implemented the Health Extension Program have improved current contraceptive use. METHODS: A cross-sectional community-based survey was conducted to collect data from 1,320 mothers using a structured questionnaire. A multivariate logistic regression was used to identify the predictors of current contraceptive utilization. A propensity score analysis was used to determine the contribution of the Health Extension Program “model households” on current contraceptive utilization. RESULT: Mothers from households which fully benefited from the Health Extension Program (“model households”) were 3.97 (adjusted odds ratio, 3.97; 95% confidence interval, 3.01–5.23) times more likely to use contraceptives compared with mothers from non-model households. Model household status contributed to 29.3% (t=7.08) of the increase in current contraceptive utilization. CONCLUSION: The Health Extension Program when implemented fully could help to increase the utilization of contraceptives in the rural community and improve family planning. Dove Medical Press 2014-05-15 /pmc/articles/PMC4031203/ /pubmed/24868165 http://dx.doi.org/10.2147/JMDH.S62294 Text en © 2014 Yitayal et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed. |
spellingShingle | Original Research Yitayal, Mezgebu Berhane, Yemane Worku, Alemayehu Kebede, Yigzaw The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title | The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title_full | The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title_fullStr | The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title_full_unstemmed | The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title_short | The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia |
title_sort | community-based health extension program significantly improved contraceptive utilization in west gojjam zone, ethiopia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031203/ https://www.ncbi.nlm.nih.gov/pubmed/24868165 http://dx.doi.org/10.2147/JMDH.S62294 |
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