http://ir.haramaya.edu.et//hru/handle/123456789/208 2026-04-07T12:03:20Z http://ir.haramaya.edu.et//hru/handle/123456789/8340 COMMUNITY SATISFACTION FROM HEALTH EXTENSION PROGRAM IMPLEMENTATION AND ASSOCIATED FACTORS IN JIGJIGA RURAL KEBELES, SOMALI REGION, EASTERN ETHIOPIA Mahamud Aden; (PhD) Agumasie Semahegn; (PhD) Merhawi Gebremedin The Ethiopian government's health extension program is a creative strategy to guarantee health equity by generating demand for basic healthcare services by delivering relevant health information to households in both rural and urban areas of the country. However, the degree of community satisfaction with the program has not yet been thoroughly examined in Ethiopia's Somali Region. The purpose of this study is to evaluate the degree of community satisfaction with HEP and the elements that are related to it. Objectives: To assess community satisfaction and associated factors towards health extension program in Rural Kebeles of Jigjiga city, Somali Region, Eastern Ethiopia from March 20 to Semtember 10, 2024. Methods: A community - based cross-sectional study was conducted among 506 households which were seleted Systematic random sampling. Each chosen kebeles received a proportionate share of the samples. A systematic questionnaire was used to gather data. After being imported into EpiData version 3.1, the data was exported to Stata version 17 for analysis and cleaning. To ascertain the proportions and associations of the variables, descriptive statistics and linear regression analysis were used. and variables with a P-value less than 0.05 with a 95% confidence interval were deemed statistically significant. Results: A total of 463 heads of household were responded correctly - with the response rate of 92%. The mean score of the respondents was 14.81 with SD of (±3.12). Over all 23.7% of the households were satisfied and community satisfaction with Health extension program was mostly explianed by Eductional status (ß=2.99 95%CI: 2.22, 3.76),selected model households(ß=1.18 95%CI: 0.57, 1.79),knowledge about maternal and child health (ß=2.88 95%CI:2.23, 3.54) and Perceived accessibility to health service (ß =2.67 95%CIs:-0.06, 5.58) were independent predictors of community satisfaction towards HEP. Conclusions: community satisfaction towards health extension program implementation was found to be low. Community satisfaction is highly influenced by a number of factors, including Educational status,selected model households,knowledge about maternal and child health and perceived accessibility. 88p. 2024-12-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8318 ANEMIA AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN LIVING IN KOLOJI CAMPS OF FAFAN ZONE OF SOMALI REGION, ETHIOPIA NIMO AHMED ISMAEL (BSC); MERGA DHERESA (PhD, Ass. Prof); WENDIMIYE ASHENAFI (PhD, Ass. Prof). Background: Anemia during pregnancy is a major cause of morbidity and mortality of pregnant women in developing countries and has both maternal and fetal consequences. The regional estimates of anemia among pregnant women living in refugee settings are limited. Therefore, this study is aimed to assess the prevalence and factors associated with anemia among the pregnant women living in internally displaced camp of Qoloji in Somali, Ethiopia. Objective: To assess prevalence of anemia and associated factor among pregnant women living in internally displaced camp of Qoloji in Somali Regional State, Ethiopia from February 1-29, 2024. Methods: Acommunity based cross-sectional study design was employed from February 1-29, 2024 among 390pregnant women living in internally displaced camp of Qoloji. Data was collected by local enumerators through an interview in the local language of the pregnant women. Data was entered to EpiData version 3.1 and exported to STATA 17for analysis. Using both bivariate and multivariable logistic regression analysis, the associations of anemia among pregnant women were assessed. Both crude and adjusted odds ratios together with their corresponding 95% confidence intervals were computed to see the strength of association between the outcome and independent variables. A p value of < 0.05 was considered to declare the result as statistically significancy in multivariable logistic regression model. The multicolinearity was checked with VIF and Hosmer–Lemeshow test was performed for model fitness in the final model. Result: A total of 380 pregnant women were included in this study making a response rate of 97.5%. The overall prevalence of anemia in this study was 42.11% (95% CI = 37.2%–47.1%). Among the anemic pregnant women, 52 (32.5%), 83 (51.88%), and 25 (15.63%) had mild anemia (Hgb ranges 10.0–10.9 g/dL), moderate anemia (Hgb ranges 7.0–9.9 g/dL), and severe anemia (Hgb < 7.0 g/dL), respectively. Educational status of pregnant women (AOR=3.94, 95%CI: 2.10- 7.37), gestational age(AOR=4.55, 95%CI: 1.46- 14.23), history of blood loose( AOR=7.84, 95%CI: 3.90-15.74), meal frequency perday(AOR=2.03, 95%CI:1.16- 3.56), frequently taking coffee or tea immediately after meal (AOR=8.02, 95%CI: 3.75- 17.16) and iron and folic acid supplementation (AOR=5.14, 95%CI:2.78- 9.50) were significantly associated with anemia at p value <0.05. Conclussion: The prevalence of anemia from this study was a regarded as severe public health problem based on WHO cut off values. Educational status of pregnant women, gestational age, history of blood loose, meal frequency perday , frequently taking coffee or tea immediately after meal and iron and folic acid supplementation were significantly associated with anemia among pregnant women. 69 2024-08-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8311 SEXUAL AND REPRODUCTIVE HEALTH SERVICES UTILIZATION AND ASSOCIATED FACTORS AMONG HIGH SCHOOL ADOLESCENTS IN JIGJIGA TOWN, SOMALI REGION, EASTERN ETHIOPIA MUSTEFE HASSEN MAHAMED; Jemal Yusuf (MPH, Assistant professor); Merga Deresa (PhD, Associate professor) Background: Adolescence is a period in which rapid physical, social and psychological development takes place. It is a period of opportunity, but also full of health risks. However, the family guidance center in Jigjiga Town report a high rate of sexual activity among adolescents. This involves early sexual beginning, early marriage, and a high rate of unintended pregnancies. Objective: The objective of this study is to investigate the level of sexual and reproductive health services utilization and associated factors among adolescent in Jigjiga town, Somali region, Eastern Ethiopia July 1 to July 31, 2024. Methods: A school-based cross-sectional study was conducted among a total of 403 adolescents selected using a multi-stage sampling from four randomly selected secondary schools, in Jigjiga town. A semi-structured, pretested, and self-administered questionnaire was used to collect data. Data was entered using Epi Data version 4.6 and exported to SPSS version 27 for analysis. Bi variable and multivariable binary logistic regression was used to identify factors associated with school adolescents’ utilization of sexual and reproductive health services. Model fitness was checked using Hosmer-Lemeshow, statistically significant associations were declared at P value < 0.05 and Adjusted Odd Ratio with 95% confidence intervals. Result: All the selected participants (n = 403) completed the questionnaire, resulting in a 100% response rate. the overall level of sexual and reproductive health service was 20.3% (CI; 16.4 – 24.3 in the past 12 months. sex (AOR = 2.082; 95% C.I: 1.013 – 4.276), marital status (AOR = 3.026; 95% C.I: 1.182 – 7.749), ever use family planning (AOR = 3.620; 95% C.I: 1.529 – 8.571) and knows where to get contraceptive method (AOR = 3.707; 95% C.I: 1.416 – 9.702) were significantly associated with sexual reproductive health service utilization. Conclusion: The study identifies key factors influencing SRHS utilization among adolescents, including sex, marital status, prior family planning use, and knowledge of contraceptive methods. These findings suggest that interventions to improve SRHS utilization should focus on enhancing to increase awareness and accessibility of contraceptive methods, and addressing the unique needs of different demographic groups. 105 2024-09-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8305 SEXUAL AND REPRODUCTIVE HEALTH SERVICES UTILIZATION AND ASSOCIATED FACTORS AMONG ADOLESCENTSATTENDING SECONDARY SCHOOL IN META DISTRICT, OROMIA REGION, EASTERN ETHIOPIA MOTI TULU GEMEDA; Mr. Jemal Yusuf; Dr. Haymanot Mezmur Background:Adolescence is a period in which rapid physical, social and psychological development takes place. It is a critical developmental period as a significant portion of the disease and injury burden encountered, implying something different must be done to respond to the needs of adolescents. In Ethiopia, there were many initiatives that support adolescent service utilization, but limited evidence exists on service utilization and associated factors in the study area. Objective:This study aimed to assess the magnitude of sexual and reproductive health services utilization and associated factors among secondary school students in Meta district, Eastern Ethiopia, from May 2–14, 2023. Methods:A school-based cross-sectional study design was used with 475 randomly selected secondary school students. Simple random sampling technique was used to select the study participants. A structured, pre-tested, self-administered questionnaire was used. Collected data was entered to Epi data version 3.1 and analyzed by SPSS version 26. Both descriptive and analytical statistics was performed. Bivariate and multivariable logistic regression analyses were executed.Variables with a P-value <0.05 and adjusted odd ratiowith a 95% confidence interval was used to declare the presence of a statistically significant association between the outcome and independent variables. Result:This study found the magnitude of sexual and reproductive health services utilization among the study participant was 26.7% (95% CI: 22.7%-30.9%). Adolescents who were in grade 12 (AOR = 4.33, 95% CI: 2.12-8.87), being urban residents (AOR = 2.47, 95% CI: 1.36-4.48), engaged in sexual activity (AOR = 2.67, 95% CI: 1.55-4.59), exposure to SRH information(AOR = 2.25, 95% CI: 1.06-4.77), discussions of SRH issues with someone else (AOR = 2.58, 95% CI: 1.45–4.61) and proximity to the health facility (AOR = 2.39, 95% CI: 1.03-5.56) were significantly associated with high school adolescent’s sexual and reproductive health services utilization. Conclusion:This study found that the magnitude of sexual and reproductive health services utilization among secondary school adolescents was 26.7% which is relatively low.Adolescents' use of services can be increased by expanding educational opportunities, distributing information about the services, encouraging open discussion about sexual issues, and enhancing the geographic accessibility of service providing facilities. 65 2023-02-01T00:00:00Z