Desalegn Ketsela, Loha Eskindir, Meskele Mengistu
Path Finder International, Southern Region, Hawassa, Ethiopia.
School of Public and Environmental Health, Hawassa University, Hawassa, Ethiopia.
J Family Reprod Health. 2017 Mar;11(1):7-17.
Family Planning is often taken as one of the "Magic Bullet" interventions owing to its high impact and wide reaching nature in achieving multiple goals. This study aimed to assess the current status and the factors associated with health post level Implanon service provision through trained health extension workers in Wolaita zone, southern Ethiopia. A cross sectional study was conducted among trained health extension workers in Wolaita zone in February 2013. A simple random sampling technique was used to identify a total of 285 trained HEWs. First bivariate, then multivariate logistic regression model along with 95% confidence interval was used to see the independent effect of factors associated with current Implanon service provision by the health extension workers. Currently, the number of Implaon providing trained health extension workers in Wolaita was 264(45.8%). Distance of health post from district health offices and health center, turnover of trained health extension workers in the health post, interest of trained health extension workers in providing Implanon and their job satisfaction to serve as a health extension workers and availability of service delivery guidelines and teaching aids were associated with the current provision of Implanon by health extension workers. Implanon provision among trained health extension workers was affected by different factors. Hence, improving the working conditions of trained health extension workers, regular and periodic facilitative supervision, availing service delivery guidelines and improvement of health management information system are recommended.
由于计划生育在实现多个目标方面具有重大影响且涉及面广，它常被视为“万灵药”式的干预措施之一。本研究旨在评估埃塞俄比亚南部沃莱塔地区通过经过培训的健康推广工作者提供皮下埋植避孕剂（Implanon）服务的卫生所的现状及相关因素。2013年2月在沃莱塔地区经过培训的健康推广工作者中开展了一项横断面研究。采用简单随机抽样技术共确定了285名经过培训的健康推广工作者。首先使用双变量分析，然后使用多变量逻辑回归模型以及95%置信区间来观察与健康推广工作者当前提供皮下埋植避孕剂服务相关因素的独立效应。目前，沃莱塔地区提供皮下埋植避孕剂服务的经过培训的健康推广工作者有264名（占45.8%）。卫生所与区卫生办公室及健康中心的距离、卫生所中经过培训的健康推广工作者的人员流动率、经过培训的健康推广工作者提供皮下埋植避孕剂服务的意愿及其作为健康推广工作者的工作满意度，以及服务提供指南和教具的可获得性，均与健康推广工作者当前提供皮下埋植避孕剂服务有关。经过培训的健康推广工作者提供皮下埋植避孕剂服务受到不同因素的影响。因此，建议改善经过培训的健康推广工作者的工作条件、进行定期和周期性的促进性监督、提供服务提供指南以及改善健康管理信息系统。
