Analyzing Barriers to Accessing Health Care Services in Holeta Town, Ethiopia

Birmeta, Kidist; Sim, Bo Ram; Kim, Dohyeong; Dhakal, Sarita; Ah, Young Mi; Nam, Eun Woo

doi:10.4172/2167-1079.1000204

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…Both individual-and community-level factors were found to be linked with health care accessibility 6,7,13 seen in other sub-Saharan African countries. 7,10,14,17,19 Regarding individual-level factors, we observed the likelihood of reporting barriers in access to health care services to be lower among educated women compared to those with no formal education. 7,20 The influence of formal education on quality of life and overall wellbeing has been highlighted in prior studies suggesting that education enhances the freedom and decision capacity of women in matters related to their health and reproductive health services.…”

Section: Discussionmentioning

confidence: 83%

“…A multilevel logistic regression model (MLRM), which consisted of fixed and random effects was fitted in the final step. 19 The fixed effects revealed the association between the independent variables and the outcome variable and were reported as adjusted odds ratios (AOR) with 95% confidence intervals (CIs). Measures of variations, known as random effects, were assessed using Intra-Cluster Correlation (ICC).…”

Section: Discussionmentioning

confidence: 99%

“…This estimate decreased by 17% in Model I, 6% (ICC=0.20) in Model II, and 1% in Model III (ICC=0. 19). The variations in the odds of facing barriers to health care accessibility were highly attributed to the variances in the clustering at the primary sampling units.…”

Section: Individual-and Community-level Factors Associated With Barriers To Accessing Health Care Services Among Married Women In Ethiopimentioning

confidence: 99%

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Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

Zegeye¹,

Adjei

Ameyaw

et al. 2021

Int. J. Transl Med Res Public Health

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Background and Objective: Access to health care services is a major challenge to women and children in many developing countries such as Ethiopia. In this study, we investigated the individual- and community-level factors associated with barriers to accessing health care services among married women in Ethiopia. Methods: Data from the 2016 Ethiopia demographic and health survey on 9,824 married women of reproductive age (15-49 years) were analyzed. Multilevel logistic regression models were used to assess individual- and community-level factors associated with barriers to access health care services. Regression analysis results revealed adjusted odds ratios at 95% confidence intervals. Results: Over two-thirds (71.8%) of married women in Ethiopia reported barriers to accessing health care services. Some of the individual-level factors that were associated with lower odds of reporting barriers to access health care services include: having secondary education (aOR=0.49, 95% CI: 0.32-0.77), being in the richest quintile (aOR=0.34, 95% CI: 0.22-0.54), and indicating wife-beating as unjustified (aOR=0.66, 95% CI:0.55-0.81). Among the community-level factors, high community-level literacy (aOR=0.56, 95% CI: 0.34-0.92) and moderate community socioeconomic status (aOR=0.62, 95% CI: 0.45-0.85) were significantly associated with lower odds of reporting barriers to access health care services. Conclusion and Implications for Translation: The findings revealed high barriers to access health care services, and both individual- and community-level factors were significant contributing predictors. Therefore, it is important to consider multidimensional strategies and interventions to facilitate access to health care services in Ethiopia. Copyright © Zegeye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Individual-and Community-level Factors Associated With Barriers To Accessing Health Care Services Among Married Women In Ethiopimentioning

confidence: 99%

See 1 more Smart Citation

Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

Zegeye¹,

Adjei

Ameyaw

et al. 2021

Int. J. Transl Med Res Public Health

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“…ART clinic clients would have also likely made more regular clinic visits than community members to obtain supplies of antiretroviral medicines, which would have provided more opportunities to report diarrhea. Previous studies have documented low use of healthcare facilities in the general population in Ethiopia [16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Impact of Safe Water Programs on Water Treatment Practices of People Living with Human Immunodeficiency Virus, Ethiopia, 2008

Kim¹,

O’Reilly²,

Abayneh³

et al. 2020

Water

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Household water chlorination has been shown to reduce diarrhea incidence among people living with Human Immunodeficiency Virus (PLHIV). Some HIV programs in Ethiopia previously provided a socially marketed chlorination product (brand name WuhaAgar) to prevent diarrhea. To evaluate the program, we compared WuhaAgar use and water treatment practices between 795 clients from 20 antiretroviral therapy (ART) clinics and 795 community members matched by age, sex, and neighborhood. Overall, 19% of study participants reported water treatment with WuhaAgar. Being an ART clinic client was associated with reported treatment of drinking water (matched odds ratios (mOR): 3.8, 95% confidence interval (CI): 2.9–5.0), reported current water treatment with WuhaAgar (mOR: 5.5, 95% CI 3.9–7.7), and bottles of WuhaAgar observed in the home (mOR: 8.8, 95% CI 5.4–14.3). Being an ART clinic client was also associated with reported diarrhea among respondents (mOR: 4.8, 95% CI 2.9–7.9) and household members (mOR:2.8, 95% CI: 1.9–4.2) in the two weeks preceding the survey. Results suggest that promoting and distributing water chlorination products in ART clinics was effective in increasing access to and use of water treatment products among PLHIV. The positive association between ART clinic attendees and diarrhea likely resulted from the immunocompromised status of ART clinic clients.

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“…The questionnaire was developed in English by reviewing different literature (14,15,21,38,(57)(58)(59) and then translated into the local language (Amharic) and back-translated to English to maintain its consistency. Ten BSc degree graduate nurses and two public health professionals were recruited for quantitative data collection and supervision, respectively.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Effectiveness and impact of community-based health insurance on health service utilization in northwest Ethiopia: a quasi-experimental evaluation

Fetene,

Mengistu,

Aschalew

2023

Front. Public Health

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BackgroundAddressing the health challenges of lower socioeconomic groups in Ethiopia is still a huge problem. In that regard, the government piloted the community-based health insurance (CBHI) in 2011 in a few districts and subsequently scaled up. However, the effectiveness of the program on the utilization of health services and its impact was not well explored. Thus, we aimed to evaluate the effectiveness of CBHI toward health services’ utilization and its impact in northwest Ethiopia.MethodsA quasi-experimental matched comparison group evaluation design with sequential explanatory mixed methods was employed. To evaluate the CBHI program, the effectiveness and impact dimensions from the Organization for Economic Cooperation and Development framework were used. A multistage sampling technique was used to select a total of 332 households enrolled in the CBHI program; 341 comparison households who did not enroll in the program were also randomly selected. A structured interviewer-administrated questionnaire was used to evaluate the effectiveness and impact of CBHI on health service utilization. The Propensity score matching model was employed for the estimation of the effect of the CBHI program on health service utilization. Challenges for program achievement toward health service utilization were explained through qualitative data and these were then analyzed thematically.ResultsThe evaluation showed 1.3 visits per capita per year of health service utilization among CBHI members. Households enrolled in CBHI increased health service utilization by 6.9 percentage points (ATT = 0.069; 95% CI: 0.034, 0.114). There was an improvement in health service utilization after the introduction of CBHI, however, there are challenges: (i) shortage of human resources, (ii) out-of-stock of drugs and medical supplies, and (iii) long waiting times for service and reimbursement claims. These issues limit the success of the program toward health service utilization.ConclusionThe CBHI program contributed to health service utilization improvement among CBHI members. However, the utilization rate of health services among CBHI members is still less than the target stated for the program and also the WHO recommendation. Therefore, the findings of this evaluation can be used by program implementers, policy makers, and other stakeholders to overcome the identified challenges and to increase the success of the program.

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Analyzing Barriers to Accessing Health Care Services in Holeta Town, Ethiopia

Cited by 4 publications

References 23 publications

Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

Impact of Safe Water Programs on Water Treatment Practices of People Living with Human Immunodeficiency Virus, Ethiopia, 2008

Effectiveness and impact of community-based health insurance on health service utilization in northwest Ethiopia: a quasi-experimental evaluation

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