Health Service Utilization in Amhara Region of Ethiopia

Fantahun, Mesganaw; Degu, Getu

doi:10.4314/ejhd.v17i2.9855

Cited by 22 publications

(27 citation statements)

References 9 publications

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“…Comparable results have been reported elsewhere (Kroeger 1983;Kloos et al 1987;Develay et al 1996;Van der Meer et al 1996;Fantahun and Degu 2003;Buor 2004;Ahmed et al 2005). In Ethiopia, most public medical services are cheap; for the poorest even free (Tassew et al 1996;Haile Mariam and Kloos 2006).…”

Section: Discussionsupporting

confidence: 90%

“…The effect of age follows an inverse u-shaped pattern with the odds reaching a maximum at age 36. Declining health care utilization in old age has previously been observed for minor conditions as well as in terminal illness (Kloos et al 1987;Fantahun and Degu 2003;Case et al 2005). The odds of having visited a medical facility are highest among those who have been ill for more than 1 month.…”

Section: Resultsmentioning

confidence: 82%

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Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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ObjectivesWe describe modern and alternative health services use in terminal illness of adults, and assess whether utilization patterns of TB/AIDS patients are distinct from those of patients suffering from other illnesses. MethodsData are from post-mortem interviews with close relatives or caretakers of the deceased. We provide descriptive statistics of health care utilization in adults and discuss their covariates in multivariate analyses. ResultsOver 85% of terminally sick patients visited a modern medical facility, but less than 40% spent more than 24 hours in a medical facility and only 25% died in one. Traditional healer (11%) and holy water (46%) visits offer a common treatment and healing alternative, but these visits do not co-vary in any consistent manner with the utilization of modern medical services. In terms of the cause of death, we find a higher contact rate with both modern and alternative medical service providers among TB/AIDS patients compared with those suffering from other medical conditions. The duration of illness seems to account for a good share of that variability. Other covariates of health services utilization are socio-economic status, education and age.Conclusions The contact rate of adults with modern medical facilities in terminal illness is almost universal, but their usage intensity is rather low. Alternative curative options are less commonly used, and do not exclude modern health services use. This suggests that both types of services are considered complements rather than alternatives for each other. Because the contact rate with health service providers is greatest for TB/AIDS patients, it is unlikely that HIV/AIDS-related stigma is an impediment to seeking care. We cannot exclude, however, that it delays health-seeking behaviour.

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Section: Discussionsupporting

confidence: 90%

Section: Resultsmentioning

confidence: 82%

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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“…This finding is not in agreement with other studies in Ethiopia (6,19,20). This might be due the fact that this study was focused only in town where they had betted access to education.…”

Section: Characteristicscontrasting

confidence: 91%

Adolescent reproductive health services in Jimma City: Accessibility and utilization

Tegegn¹,

Gelaw²

2011

Ethiop J Health Sci

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BACKGROU D: Accessibility of health services for reproductive health (RH) is an important factor in increasing use of reproductive health services. Reports show that reproductive health services access in Ethiopia varies by region. A better understanding of the accessibility and utilization of existing reproductive health services by adolescents will help to address gaps with respect to provision of youth friendly services. The objective of this study was to assess the access to and the utilization status of RH services by adolescents in the age group of 15-19 years in Jimma City. METHODS: A community-based cross-sectional study was conducted in Jimma City, Southwest Ethiopia from February to March 2004. Structured questionnaire was used to collect data from the sampled population. Adolescents aged between 15 to 19 years were interviewed about their accessibility and utilization of reproductive health services. The data were entered into two different computers using SPSS for windows version 12.0.1 and analyzed using STATA 9.1. Descriptive, bivariate analysis and logistic regression were employed to analyze the data. RESULTS: inety five percent of adolescents could access Information, Education and Communication with very easy access and easy accessibility. However, 465(43%) of adolescents had difficulty (difficulty and great difficulty) to access abortion care. Almost all mean index of the variables were close to the mean and midpoint of the accessible average index (2.09±SD=0.52). Among 1082 adolescents, 445(41.1%), and 375(34.7%) were ever and current users of reproductive health services, respectively. Among socio-demographic and economic predictors, age and means of communication in the households showed a significant association with utilization of reproductive health services (p<0.05). Significant association was observed between utilization and knowledge about reproductive health services and source of information (p<0.05). CO CLUSIO : The majority of adolescents were not utilizing reproductive health services. Thus, much more intensified effort is required to increase for each the reproductive health service utilization of adolescents. There should be health promotion activities for adolescent in order to improve the accessibility of the services and utilizations or reproductive services.

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“…The prevalence of malaria in Ethiopia is highly depending on the geographical location and altitude of particular place. For instance, the prevalence of malaria in eddo Kontola, Central Ethiopia, was ranged from 3.5% to 12.6% (average, 6.8%) [12]; in Tigray, Northern Ethiopia, parasite rate in cross sectional surveys was ranged from 3-10% during high transmission months and from 0-3% during low transmission months [9]; in Nazareth town revealed 2.8% [14]; in Akaki town 3.7% [15]; and a retrospective medical analysis in Gondar College of Medical Sciences indicated that, out of 6100 patients admitted, 427 (7%) had a primary diagnosis of malaria [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…However, the number of malaria cases reported by health facilities was only a portion of the actual magnitude [16,18]. According to Federal Minister of Health Office (FMHO) report, Amhara Regional state is the second highly affected next to Oromia, with malaria burden compared to the rest of largest Regions, Southern and Tigray [7,17]. In addition, other studies shown that malaria is one of the top ten causes of illnesses and deaths in this regions [19].…”

Section: Introductionmentioning

confidence: 99%

Community Knowledge, Attitude and Practice About Malaria and Mosquito Biting Behavior in Southern Ethiopia

Hamza¹

2017

AJBIO

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Malaria has been the leading cause of mortality for many years in underdeveloped countries like Ethiopia.Community Knowledge of cause and transmission of malaria and mosquito feeding behavior is key to design appropriate health communication strategies for malaria prevention and control. The present study aimed to assess knowledge and awareness on malaria and its association with mosquitoes in Dembele kebele, southeastern, Ethiopia. A community cross sectional study was carried out in Dembele kebele from January to February, 2017. A total of 159 randomly selected individuals were interviewed to assess their KAP about malaria. Data were collected by an interview based structured questionnaire after pre-tested. The collected data were entered in to SPSS for data coding and analysis. Binary logistic regressions analysis was applied and statistical significance test was declared at P-value <0.05 and OR with 95% CI. All respondents had ever heard of malaria and more than 86% of them believed that malaria was one of the most health problem diseases of the community. Most of the respondents (70.4%) were reported mosquito bite as the cause of malaria. The majority (79.2%) and (74.2%) of respondents had good levels of knowledge on transmission and prevention of malaria respectively. Binary logistic regression analysis showed that, knowledge on mode of malaria transmission was positively associated with sex (male) (OR=3.3; CI, 1.27-7.22), age (OR=5.03; CI, 1.03-24.46) and education level (OR=3.30; 95% CI, 1.04-10.50). Among socio-demographic variables, only education level (OR=3.8; CI, 1.51-9.65) was significance factor to knowledge on malaria prevention. The study aimed to assess knowledge and awareness regarding the cause, transmission and preventive measures of malaria; it was found to be high. Use of mosquito net as protective measure against mosquito bites was high in the study area. However, distance of respondent house is near to the mosquito breeding site. Therefore, environmental management and use of other additional preventive methods is very important to reduce prevalence of malaria in study area. Sex, age and education level were strong predictors of knowledge on malaria.

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Health Service Utilization in Amhara Region of Ethiopia

Cited by 22 publications

References 9 publications

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Adolescent reproductive health services in Jimma City: Accessibility and utilization

Community Knowledge, Attitude and Practice About Malaria and Mosquito Biting Behavior in Southern Ethiopia

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