Abstract            Volume:8  Issue-2  Year-2020         Original Research Articles

Online ISSN : 2347 - 3215 Issues : 12 per year Publisher : Excellent Publishers Email : editorijcret@gmail.com

Health extension program (HEP) is an innovative community based strategy to deliver preventive and promotive services. It brings community participation through creation of behavioral change. It also improves the utilization of health services by bridging the gap between the community and health facilities. The aim of this study is assessing attitude and participation level of households towards health extension program in Nefas Silk Lafto Sub-city, Addis Ababa, Ethiopia. Community based cross-sectional study design was used  with the sample size of 423 households were included by using systematic sampling method. Structured pre-tested questionnaire was used to collect data. Frequencies, proportions, odds ratio (95% CI), adjusted odds ratio(95% CI) and logistic regression were used for description of the study population, to determine dependent and independent variables association strength and relative effect of independent variables on dependent variables. Participation level of households in health extension program was 42% (95% C.I= 0.37-0.47). The attitude of households (HHs) on the change HEP implementation brought; satisfaction on HEP services; communication skill of HEWs; believing HEWs skillful and  satisfaction on HEWs service provision were associated with participation level of households in HEP [AOR(95%C.I): 0.15(0.04-0.54), 21.08(2.32-191.38), 0.06(0.01-0.64), 0.11(0.03-0.35) and 2.67(1.01-7.09) respectively. Participation level of households in health extension program is low. The level participation is associated with attitude on the change HEP implementation brought; satisfaction on HEP services; communication skill of HEWs; believing HEWs skillful and satisfaction of on HEWs service provision. Strong advocacy on HEP and continuous improvement of HEWs capacity is important.

Download this article as