Survey On The Assessment Of Mothers Experiences And Satisfactions With Health Extension Program Related To Antenatal Care In Kirkos Sub-city Addis Ababa Ethiopia

Background: One of the focus areas in Health Extension Program of Ethiopia is maternal health.rnClient satisfaction is considered as one of the most wanted outcomes of health care and it is directlyrnrelated with utilization of HEP. On the other hand, there is no ample information on users’rnawareness about the service provided in the HEP. Therefore, this study is intended to assessrnmothers’ experiences and satisfaction with health extension service in Kirkos sub city, AddisrnAbaba.rnObjective: The objective of this study was to assess mothers` experience and satisfaction with HEPrnrelated to antenatal care in kirkos sub-city, Addis Ababa, EthiopiarnMethods: A community based cross sectional study employed by quantitative data collectingrnmethod was used. The data was conducted from April- May 2014 in kirkos sub-city, Addis Ababa,rnEthiopia. In randomly selected seven woredas of the sub city, a total of 290 mothers were includedrnin the study. Systematic sampling technique was used to select study respondents. Binary andrnMultivariate logistic regression was applied to identify the predictor factor for satisfaction.rnResults: 26.6 % of the respondents had an experience of interaction with health extension workersrnduring one year prior to the survey. 46.8% of mothers had only one follow up. 30.4 % of them hadrntwice of the service. The average score of Mothers’ Satisfaction was 109 (42.7 %) of the mothersrnsatisfied with the health extension program in relation to Antenatal care. (28.6%) Mothers werernsatisfied with courtesy, (28.6%) of the mothers with quality of care. Involvement of husband inrnHEP was found to be statistically significant independent predictor for satisfaction of mother onrnHEP with AOR =5.93(1.20 -29.22). Involvement of husband in the HEP increases almost six timesrnsatisfaction of mothers in using the service delivered by the Hews. This study is supported by thernstudy carried out in Jimma southern Ethiopia.rnConclusion: The HEP is implemented in urban community but mothers are not attracted by thernservice. In Addis Ababa there are different health service alternatives which the mother can getrnANC service. The involvement of husbands in the HEP was found to be a main predictor for thernsatisfaction of mothers with HEP related to ANC. The experience of mothers ever visited by HEWsrnduring the last one year was very low but the Knowledge of mothers about the services delivered byrnhealth extension workers are good. In this study the satisfaction and experience of interpersonalrnrelationship were reported to be low.rnKey words: HEP, Satisfaction, Experience, HEWs, Ethiopia

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