Women’s satisfaction with their urban health extension programme and associated factors in Gondar administrative city, northwest Ethiopia: a community-based cross-sectional study

Abstract

ObjectivesEthiopia is a developing country striving to achieve universal health coverage using the health extension programme. There is limited evidence about Ethiopian women’s satisfaction with their urban health extension programme. Thus, this study was aimed at assessing the level of women’s satisfaction with their urban health extension services and associated factors in Gondar administrative city of northwest Ethiopia and elucidate factors associated with its access and use.DesignCross-sectional study.SettingCommunity.ParticipantsRandomly selected 744 women were interviewed using a structured interviewer-administered questionnaire.OutcomeSatisfaction of women over 17 years of age with their urban health extension programme (use and services).ResultsSome 29.4% (95% CI 26.2 to 32.5) of women were satisfied with their urban health extension programme. Divorced women (adjusted OR (AOR): 0.35, 95% CI 0.14 to 0.85), women in the age group of 45–53 years (AOR: 0.35, 95% CI 0.14 to 0.85), private employees (AOR: 0.35, 95% CI 0.14 to 0.85), unsatisfactory knowledge (AOR: 0.13, 95% CI 0.07 to 0.25) and perceived accessibility of health extension workers (AOR: 0.99, 95% CI 0.06 to 0.17) were factors associated with women’s satisfaction with their urban health extension programme.ConclusionsWomen’s satisfaction with their urban health extension programme was low. This finding was associated with age, marital status, occupation, knowledge of participants and women’s perceived accessibility of services. Therefore, increasing awareness about the programme, promoting and improving accessibility of services, particularly by mothers, may augment the utilisation of the programme ultimately leads to efficient use of scarce healthcare resources in Ethiopia.

Moving from community-based to health centre-based management: impact on urban community health worker performance in Ethiopia

“…Recently, these packages were extended to include chronic diseases and mental health (Hailemariam et al, 2018). UHEPs are expected to spend 75% of their time on home visits and outreach activities (Molla et al, 2020). They also provide referrals to health centres, which in urban areas, provide basic outpatient and preventative services to catchments of about 40,000 people (World Health Organization, 2017).…”

“…Chronic diseases now account for 39% of deaths in Ethiopia (World Health Organization, 2018. At the same time, the reform was intended to respond to performance challenges faced by UHEPs, including weak health centre linkages, lack of professional development, low motivation, and poor community satisfaction (Fetene et al, 2016;John Snow Inc., 2018b;Molla et al, 2020).…”