Factors Associated with Health Extension Service Utilization in Dera District, Oromia, Ethiopia: A Multi Level Analysis
American Journal of Theoretical and Applied Statistics
Volume 8, Issue 3, May 2019, Pages: 85-93
Received: Apr. 4, 2019; Accepted: May 20, 2019; Published: Jul. 30, 2019
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Abate Tadesse Zeleke, Department of Statistics, Madda Walabu University, Bale Robe, Ethiopia
Dejen Tesfaw Molla, Department of Statistics, Addis Ababa University, Addis Ababa, Ethiopia
Nega Assefa Kassa, Department of Public Health, Haramaya University, Haramaya, Ethiopia
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Introduction: Health Extension Program is implemented in Ethiopia since 2004 as a flagship of preventive, promotive, and basic curative services for poor and rural community, especially for children and mother. The purpose of this study is to examine the determinants and variations in health extension service utilization in Dera district, Oromia, Ethiopia. Methodology: Three-stage cluster sampling was used to select a random sample of 534 households from 10 kebeles of the district. The study used both descriptive and inferential statistics to identify the determinants of Health extension service utilization and variations. Result: The descriptive result revealed that out of 534 respondents, 223 (41.8%) of them utilized and 311 (58.2) of them not utilized health extension service given at the health post and outreach level. The random intercept binary logistic regression analysis identified that mother's age, mother educational level, mothers' employment status, knowledge on Health Extension Program, being model in Health Extension Program implementation, frequency of home visited by Health Extension Workers, number of students in a family and perception about conduct of Health Extension Workers were significant determinants of Health Extension Program utilization. Conclusion: Comparison between multilevel models has done and random intercept binary logistic model was found to have a better fit for utilization of health extension program and the district health office has to work to reduce the variance and factors that affect Health Extension Program utilization for each kebeles of the district.
Dera, Health Extension Program, Multilevel Logistic and Utilization
To cite this article
Abate Tadesse Zeleke, Dejen Tesfaw Molla, Nega Assefa Kassa, Factors Associated with Health Extension Service Utilization in Dera District, Oromia, Ethiopia: A Multi Level Analysis, American Journal of Theoretical and Applied Statistics. Vol. 8, No. 3, 2019, pp. 85-93. doi: 10.11648/j.ajtas.20190803.11
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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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