Identifying Factors Associated with the Difference between Sidama Development Program and Family Guidance Association of Ethiopia Supported CBD Programs in Contraceptive Prevalence Rate, Sidama Zone, SNNPR

Alano, Abraham (2003) Identifying Factors Associated with the Difference between Sidama Development Program and Family Guidance Association of Ethiopia Supported CBD Programs in Contraceptive Prevalence Rate, Sidama Zone, SNNPR. Masters thesis, Addis Ababa University.

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Abstract

A comparative cross- sectional study was conducted in Sidama Zone, SNNPR to identify reasons for the difference in contraceptive prevalence rate between the Sidama Development Program (SDP) and Family Guidance Association of Ethiopia (FGAE) supported CBD projects. Multi-stage sampling was employed to identify the study woredas. A total of 1058 reproductive age group women were interviewed from both project areas. Six hundred ninety eight from SDP and 360 from FGAE site were selected proportionate to population size. Households were selected from respective peasant associations using systematic sampling and woman from household selected randomly. Eight FGDs and four in-depth interviews were conducted in two project areas. Key informants and discussants were selected based on convenience and their position in the institution or community to participate in the study. Contraceptive prevalence rates were 40.7% and 51.6 % in SDP and FGAE areas, respectively. This showed significant difference between the two project areas (p-value, 0.01). Knowledge of at least one contraceptive method was also significantly different between the two areas with (p-value <0.01). Ninety three percent of SDP and 97% of the FGAE areas mentioned at least one modern contraceptive method. More women in FGAE (37%) than in SDP area 29.5% experienced contraceptive usediscontinuation. The main reasons were desire for more children followed by health related problems. Perception about the quality of FP services given by the CBD agents showed significant difference between the two project areas, particularly for possibility of getting method of their choice (OR=0.23(0.07,0.61)), information given about how to take the contraceptives (OR=0.18(0.07,0.49)) and methods that prevent HIV/AIDS (OR=0.54(0.30,0.94)). Standardized initial training and regular subsequent refresher training with occasional incentives given to the CBD agents showed significant association with variation in success of the agents’ performances and contraceptive prevalence rate in two project areas. The study concluded that variation in the CBD agents training, level of motivation and supervision given contributed for the difference in CPR. Therefore, it is recommended that sustained motivation of CBD agents, training and supervision (with using the successful model) in both areas is imperative. In addition, cost-effectiveness analysis research is recommended in order to identify the relative cost- effectiveness of the CBD projects

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	02 Oct 2018 12:41
Last Modified:	02 Oct 2018 12:41
URI:	http://thesisbank.jhia.ac.ke/id/eprint/5901

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