Assessment of Equity in Provision and Utilization of Maternal and Child Health Programs in Butajira, Southern Ethiopia

Aliy, Jemal (2005) Assessment of Equity in Provision and Utilization of Maternal and Child Health Programs in Butajira, Southern Ethiopia. Masters thesis, Addis Ababa University.

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Background: Though Primary health care programs were planned to be delivered free of charge to achieve a universal access for all segments of population, still majority of the population in developing countries are not equally benefiting from these services as that of other better-off groups. Objective: To assess equity in the provision and utilization of primary maternal and child health care services across population of different demographic, socioeconomic, geographic characteristics; and to assess the determinants in the equitable distribution of primary health care services in Meskan and Mareko Woreda, southern Ethiopia. Methods: The study comprised of two methods; reviewing of one-year (1996 EC.) charts of all health facilities in the woredas, and a case control study in sample of 192 cases and 192 controls, conducted in Butajira Rural Health Program site of Meskan and Mareko District, in Gurage Zone. Analysis was done using SPSS/PC package. Associations between variables were assessed using Crude and Adjusted OR and significance of association was tested using Chi square test and multiple logistic regressions. Results: Among all socio-demographic and socio-economic factors only place of residence being an urban (X2=9.96, p<0.01), average annual income level of more than 1000 birr (X2=6.67, p<0.05), mothers having some education (X2=8.57, p<0.05), and walking distance from a health facility <1hour (X2=4.96, p<0.05), were significantly associated with being a cases. Health facility record review reveals that the urban residents and peasant associations located within a walking distance of less than an hour from health facilities accounts for significant proportion of all FP, ANC, delivery and EPI service users. Living in urban area was significantly associated with using ANC service (X2=40.1, p<0.001), and children's to be fully immunized for EPI (X2=238.7, p<0.001). Furthermore, living within a distance of 6km from health institutions was significantly associated giving birth to live baby (X2=12.83, p<0.001). Conclusion: This study revealed that different demographic, socioeconomic, geographic factors were barriers to the utilization public health programs. Positive discrimination to provide outreach for people to use services in low utilization areas, providing information, Education, and Communication (IEC) on the utilization of maternal and child health services and improving the status of the poor through intensification of the current effort of poverty reduction activities are recommended.

Item Type: Thesis (Masters)
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Selom Ghislain
Date Deposited: 27 Jun 2018 13:22
Last Modified: 27 Jun 2018 13:22

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