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The community-based Health Extension Program significantly improved contraceptive utilization in West Gojjam Zone, Ethiopia

Authors Yitayal M, Berhane Y, Worku A, Kebede Y

Received 12 February 2014

Accepted for publication 17 March 2014

Published 15 May 2014 Volume 2014:7 Pages 201—208

DOI https://doi.org/10.2147/JMDH.S62294

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Mezgebu Yitayal,1 Yemane Berhane,2 Alemayehu Worku,3 Yigzaw Kebede1

1University of Gondar, Gondar, Ethiopia; 2Addis Continental Institute of Public Health, Addis Ababa, Ethiopia; 3Addis Ababa University, Addis Ababa, Ethiopia

Background: Ethiopia has implemented a nationwide primary health program at grassroots level (known as the Health Extension Program) since 2003 to increase public access to basic health services. This study was conducted to assess whether households that fully implemented the Health Extension Program have improved current contraceptive use.
Methods: A cross-sectional community-based survey was conducted to collect data from 1,320 mothers using a structured questionnaire. A multivariate logistic regression was used to identify the predictors of current contraceptive utilization. A propensity score analysis was used to determine the contribution of the Health Extension Program “model households” on current contraceptive utilization.
Result: Mothers from households which fully benefited from the Health Extension Program (“model households”) were 3.97 (adjusted odds ratio, 3.97; 95% confidence interval, 3.01–5.23) times more likely to use contraceptives compared with mothers from non-model households. Model household status contributed to 29.3% (t=7.08) of the increase in current contraceptive utilization.
Conclusion: The Health Extension Program when implemented fully could help to increase the utilization of contraceptives in the rural community and improve family planning.

Keywords: Health Extension Program, current contraceptive utilization

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