Original Research Article
Year: 2015 | Month: November | Volume: 2 | Issue: 11 | Pages: 677-691
Factors Affecting the Use and Sustainability of Community Based Reproductive Health Programs among Rural Women of Two Catchment Areas of W/Gojjam, North West Ethiopia
Samuel Lakew, Teka Zewodie
Addis Ababa University, School Of Psychology, Department Of Health Psychology, Addis Abab, Ethiopia
Corresponding Author: Samuel Lakew
ABSTRACT
A comparative cross sectional study was carried out among women of reproductive age group in rural West Gojjam zone to assess factors affecting the use of community based reproductive health program (CBRHP) and its sustainability. The study was conducted in four peasant associations of the zone taking successful and weak/failed program areas. Both quantitative and qualitative approaches were employed for data collection. The qualitative method included key informants interview (with program coordinator and health professionals), and Focus Group discussions with community-based reproductive health agents (CBRHAs). A multistage sampling technique was employed to select 408 study subjects for the study. Descriptive statistics, multivariate analysis and logistic regression analysis were used for data analysis. Odd ratio, Chi-square, 95% confidence interval and p-value were used for statistical significance value. The results indicated that about 98.53% of respondents know at least one Modern Contraceptive Methods (MCM) in successful as compared to 88.23% in weak program areas. The proportions of women who were using MCM (94.12% & 52.45%) & attended antenatal care service at least once (42.65% & 18.34%) were found to be Statistically significant in Successful than weak program areas respectively. Attitude and knowledge of the women, interpersonal communication by the agents, the service and level of support were found to be the major factors affecting the women use of CBRHP. Almost all the reproductive health programs given at the community level were given before the birth of the child (prenatal), too low postnatal services for given for women after birth.
Keywords: Reproductive Health, Sexual Transmitted disease, Modern Contraceptive methods, Community Based Reproductive Health Program.