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Abstract                 Volume:8  Issue-4  Year-2020          Original Research Articles


Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
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Households Level of Participation towards Health Extension Program (HEP) and Factors Affecting at Nefas Silk Lafto Sub-city, Addis Ababa, Ethiopia
Mesafint Wana1*, Atinafu Nega2 and Kassahun Tafesse Hidoto3
1Department of Nursing, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
2School of Nursing, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia
3School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Sodo, Ethiopia
*Corresponding author
Abstract:

Health extension program (HEP) is an innovative community-based strategy to deliver preventive and promotive services. It brings community participation through the creation of behavioral change. It also improves the utilization of health services by bridging the gap between the community and health facilities. Although in Addis Ababa the urban health extension program was started in 2009, there are only limited studies on the program implementation and its expected benefits. This study aims to assess knowledge, attitude and participation level of households towards health extension programs and associated factors in Nefas Silk Lafto Sub-city, Addis Ababa, Ethiopia. Community-based cross-sectional study design was used with the sample size of 423 households that were included by using a systematic sampling method. A structured pre-tested questionnaire was used to collect data. Frequencies, proportions, and logistic regression were used for the description of the study population, to determine dependent and independent variables association strength and the relative effect of independent variables on dependent variables. Participation level of households in health extension program was 42% (95% C.I= 0.37-0.47). The positive attitude towards HEP of households (HHs); satisfaction on HEP services; communication skill of urban health extension professionals (UHEPs); believing UHEPs skillful and believing they able to teach reasonably were associated with participation level of households in HEP [AOR (95% C.I): 2.15(1.62-11.54), 1.08(1.32-9.38), 2.78(1.09-18.06), and 2.67(1.01-7.09)] respectively. The participation level of households in the health extension program is low. The participation level is associated with attitude on the change HEP implementation brought; satisfaction on HEP services; believing UHEPs skillful and believing them able to teach reasonably. Strong advocacy on HEP and continuous improvement of UHEPs capacity are important.

Keywords: Health extension program, Urban Health Extension Professionals, level of Participation, Nefas Silk Lafto sub-city, Addis Ababa, Ethiopia
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How to cite this article:

Mesafint Wana, Atinafu Nega and Kassahun Tafesse Hidoto. 2020. Households Level of Participation towards Health Extension Program (HEP) and Factors Affecting at Nefas Silk Lafto Sub-city, Addis Ababa, Ethiopia.Int.J.Curr.Res.Aca.Rev. 8(4): 71-85
doi: https://doi.org/10.20546/ijcrar.2020.804.009