Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/93666
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Type: Journal article
Title: Coverage of child health services in rural districts of Ethiopia with the Health Services Extension Program
Author: Woldie, M.
Morankar, S.
Feyissa, G.
Labonte, R.
Sanders, D.
Citation: Journal of Public Health and Epidemiology, 2015; 7(7):223-231
Publisher: Academic Journals
Issue Date: 2015
ISSN: 2141-2316
2141-2316
Statement of
Responsibility: 
Mirkuzie Woldie, Sudhakar Narayan Morankar, Garumma T. Feyissa, Ronald Labonte, and David Sanders
Abstract: Improving access to health care services has been advocated widely since the Declaration of Alma-Ata. Despite the efforts to realize this in Ethiopia, it is only in the year 2003 that the intention to take the package of essential health services to the kebele level (smallest administrative unit) was realized through the introduction of the Health Services Extension Program (HSEP). The objective of this study was to explore whether introduction of HSEP has improved the coverage of child health services in the rural areas of Jimma Zone. A cross sectional study was conducted in three randomly selected districts of Jimma Zone, Southwest Ethiopia. The data collection was undertaken during the months of May, June and July, 2009. A structured questionnaire was used to interview female heads of sampled households from nine kebeles randomly selected in three Woredas (districts). Data were collected on the socio-demographic characteristics, use of health posts, child vaccination and childhood diarrhea. Checklists were used for record review. Data obtained were analysed using statistical package for social sciences (SPSS) V14. Only 64.0% of the kebeles had functional health posts, although another 32.0% of the kebeles in the zone had health posts under construction. However, most (93.7%) of the kebeles in the zone already had two health extension workers (HEWs) assigned. Vaccination coverage as measured by DPT3 was 67.9%, and 10% of the under-two year old children included in this survey had diarrhoea during the past two weeks. Of the 34 (51.5%) mothers who sought help during diarrhoeal attacks, 12 (35.3%) of them went to the health post. The first places of treatment seeking were health centres and health posts, with equal proportion for both (43.5%). Treatment was sought within a day or two after commencement of diarrhoea for 70.6% of the children. Thirty nine (69.7%) of the 56 children who were given recommended fluids received oral rehydration solution (ORS) or homemade solution. In addition to continuing efforts to improve coverage, there is a need to ensure that activities are linked with follow up of vaccination, early treatment seeking and proper home management of diarrhoea.
Keywords: Health services extension program; health extension workers; childhood diarrhoea; vaccination
Rights: Copyright © 2015 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution License 4.0.
RMID: 0030033161
DOI: 10.5897/JPHE2015.0733
Appears in Collections:Public Health publications

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