Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study

Yilkal Tafere; Mirkuzie Woldie; Henok Assefa; Amanu Aragaw

doi:doi:10.11648/j.sjph.20140205.28

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Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study

Yilkal Tafere, Mirkuzie Woldie, Henok Assefa, Amanu Aragaw

Published in Science Journal of Public Health (Volume 2, Issue 5)

Received: 5 October 2014 Accepted: 13 October 2014 Published: 20 October 2014

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Abstract

Back ground: Studies in a number of countries have shown that wherever indiscriminate waste disposal is high, infant and child mortality rates are high. Although utilization of environmental health services is an important indicator for measuring success of the health extension program; data on environmental health services of urban health extension program are scarce in the study area and elsewhere in Ethiopia. Objective: To assess utilization of environmental health services of urban health extension program and associated factors in Debretabor town, Amhara region, Ethiopia. Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. The findings of quantitative data were triangulated with the qualitative one. Result: In this study 69.8% and 65.5% of households practiced proper solid and liquid waste management mechanisms respectively. Income was found to be predictors for liquid waste management (AOR=1.82) Educational status of respondents was found to be predictors for liquid waste management (AOR=1.83). Conclusion: Solid and liquid waste management practices were lower than the minimum 75% expectation of the national health extension program package and, Educational status, house ownership, income and graduated as model family were main factors affecting environmental health services. Improving socio economic status of households, provision of continuous advice and technical support at household level on the utilization of environmental health service are recommended.

Published in	Science Journal of Public Health (Volume 2, Issue 5)
DOI	10.11648/j.sjph.20140205.28
Page(s)	494-501
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Environment, Health, Urban Health Extension, Ethiopia

References

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[5]	Prüss A, Kay D, Fewtrell L, et al: Estimating the Burden of Disease fromWater, Sanitation, and Hygiene at a Global Level. Environ Health Perspect 2002, 110(5):537–542
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[10]	Federal Democratic Republic of Ethiopia Ministry of Health: Health Extension Program in Ethiopia profile. Addis Ababa; Health Extension and Education Center,2007
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[12]	USID/Ethiopia: End of project Evaluation for urban health extension program April 2012
[13]	Admassie A. e tal : Impact Evaluation of the Ethiopian HEP Working Paper 22, Addis Ababa, 2009
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[15]	FMOH: Guidelines for Health Extension Program. Addis Ababa: Ethiopia, 2007.
[16]	Ministry of health of Ethiopia special Bulletin 14th annual Review meeting 2012
[17]	Ministry of Health: National Hygiene and Sanitation Strategy. Addis Ababa Ethiopia; 2005. Available from:URL: http://www.wsp.org/sites/wsp.org/files/publications/
[18]	Mirkuze W, Contribution of the HEP to improve coverage and comprehensiveness of PHC services in Jimma Zone, Southwest Ethiopia, 2009
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[20]	Mohammed A. Assessing environmental sanitation in urban setting of Dukem Town, Ethiopia, University Of South Africa, 2011. Available from:URL: http://uir.unisa.ac.za/bitstream/handle/10500/6296/dissertation_mohammed_a.pdf?sequenc
[21]	Korma S. Assessment of the extent of implementation and affecting factors of environmental health extension packages at house hold level in Damboya Woreda, Kembata Zone, South Nation Nationalities and Peoples’ Region 2011. Available from:URL: http://etd.aau.edu.et/dspace/handle/123456789/2387
[22]	Awoke W, Muche S. A cross sectional study: latrine coverage and associated factors among rural communities in the District of Bahir Dar Zuria, Ethiopia. BMC Public Health.2013 Feb 4; 13:99.

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APA Style

Yilkal Tafere, Mirkuzie Woldie, Henok Assefa, Amanu Aragaw. (2014). Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Science Journal of Public Health, 2(5), 494-501. https://doi.org/10.11648/j.sjph.20140205.28

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ACS Style

Yilkal Tafere; Mirkuzie Woldie; Henok Assefa; Amanu Aragaw. Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Sci. J. Public Health 2014, 2(5), 494-501. doi: 10.11648/j.sjph.20140205.28

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AMA Style

Yilkal Tafere, Mirkuzie Woldie, Henok Assefa, Amanu Aragaw. Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Sci J Public Health. 2014;2(5):494-501. doi: 10.11648/j.sjph.20140205.28

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@article{10.11648/j.sjph.20140205.28,
  author = {Yilkal Tafere and Mirkuzie Woldie and Henok Assefa and Amanu Aragaw},
  title = {Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {2},
  number = {5},
  pages = {494-501},
  doi = {10.11648/j.sjph.20140205.28},
  url = {https://doi.org/10.11648/j.sjph.20140205.28},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140205.28},
  abstract = {Back ground: Studies in a number of countries have shown that wherever indiscriminate waste disposal is high, infant and child mortality rates are high. Although utilization of environmental health services is an important indicator for measuring success of the health extension program; data on environmental health services of urban health extension program are scarce in the study area and elsewhere in Ethiopia. Objective: To assess utilization of environmental health services of urban health extension program and associated factors in Debretabor town, Amhara region, Ethiopia. Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. The findings of quantitative data were triangulated with the qualitative one. Result: In this study 69.8% and 65.5% of households practiced proper solid and liquid waste management mechanisms respectively. Income was found to be predictors for liquid waste management (AOR=1.82) Educational status of respondents was found to be predictors for liquid waste management (AOR=1.83). Conclusion: Solid and liquid waste management practices were lower than the minimum 75% expectation of the national health extension program package and, Educational status, house ownership, income and graduated as model family were main factors affecting environmental health services. Improving socio economic status of households, provision of continuous advice and technical support at household level on the utilization of environmental health service are recommended.},
 year = {2014}
}

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TY  - JOUR
T1  - Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study
AU  - Yilkal Tafere
AU  - Mirkuzie Woldie
AU  - Henok Assefa
AU  - Amanu Aragaw
Y1  - 2014/10/20
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.20140205.28
DO  - 10.11648/j.sjph.20140205.28
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 494
EP  - 501
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20140205.28
AB  - Back ground: Studies in a number of countries have shown that wherever indiscriminate waste disposal is high, infant and child mortality rates are high. Although utilization of environmental health services is an important indicator for measuring success of the health extension program; data on environmental health services of urban health extension program are scarce in the study area and elsewhere in Ethiopia. Objective: To assess utilization of environmental health services of urban health extension program and associated factors in Debretabor town, Amhara region, Ethiopia. Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. The findings of quantitative data were triangulated with the qualitative one. Result: In this study 69.8% and 65.5% of households practiced proper solid and liquid waste management mechanisms respectively. Income was found to be predictors for liquid waste management (AOR=1.82) Educational status of respondents was found to be predictors for liquid waste management (AOR=1.83). Conclusion: Solid and liquid waste management practices were lower than the minimum 75% expectation of the national health extension program package and, Educational status, house ownership, income and graduated as model family were main factors affecting environmental health services. Improving socio economic status of households, provision of continuous advice and technical support at household level on the utilization of environmental health service are recommended.
VL  - 2
IS  - 5
ER  -

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Author Information

Yilkal Tafere

Department of Nursing, college of Health Sciences, Debre tabor Health Science College, Debre Tabor, Ethiopia
Mirkuzie Woldie

Department of Health Services Management, Jimma University, Jimma, Ethiopia
Henok Assefa

Department of Epidemiology and Biostatistics,Jimma University, Jimma, Ethiopia
Amanu Aragaw

Department of Nursing and midwifery, college of Health sciences, Bahir Dar Health Science College, Bahir Dar City, Ethiopia

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APA Style

Yilkal Tafere, Mirkuzie Woldie, Henok Assefa, Amanu Aragaw. (2014). Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Science Journal of Public Health, 2(5), 494-501. https://doi.org/10.11648/j.sjph.20140205.28

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ACS Style

Yilkal Tafere; Mirkuzie Woldie; Henok Assefa; Amanu Aragaw. Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Sci. J. Public Health 2014, 2(5), 494-501. doi: 10.11648/j.sjph.20140205.28

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AMA Style

Yilkal Tafere, Mirkuzie Woldie, Henok Assefa, Amanu Aragaw. Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study. Sci J Public Health. 2014;2(5):494-501. doi: 10.11648/j.sjph.20140205.28

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@article{10.11648/j.sjph.20140205.28,
  author = {Yilkal Tafere and Mirkuzie Woldie and Henok Assefa and Amanu Aragaw},
  title = {Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {2},
  number = {5},
  pages = {494-501},
  doi = {10.11648/j.sjph.20140205.28},
  url = {https://doi.org/10.11648/j.sjph.20140205.28},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140205.28},
  abstract = {Back ground: Studies in a number of countries have shown that wherever indiscriminate waste disposal is high, infant and child mortality rates are high. Although utilization of environmental health services is an important indicator for measuring success of the health extension program; data on environmental health services of urban health extension program are scarce in the study area and elsewhere in Ethiopia. Objective: To assess utilization of environmental health services of urban health extension program and associated factors in Debretabor town, Amhara region, Ethiopia. Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. The findings of quantitative data were triangulated with the qualitative one. Result: In this study 69.8% and 65.5% of households practiced proper solid and liquid waste management mechanisms respectively. Income was found to be predictors for liquid waste management (AOR=1.82) Educational status of respondents was found to be predictors for liquid waste management (AOR=1.83). Conclusion: Solid and liquid waste management practices were lower than the minimum 75% expectation of the national health extension program package and, Educational status, house ownership, income and graduated as model family were main factors affecting environmental health services. Improving socio economic status of households, provision of continuous advice and technical support at household level on the utilization of environmental health service are recommended.},
 year = {2014}
}

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TY  - JOUR
T1  - Utilization of Environmental Health Services of Urban Health Extension Program and Associated Factors in Debretabor Town, North West Ethiopia: Cross Sectional Study
AU  - Yilkal Tafere
AU  - Mirkuzie Woldie
AU  - Henok Assefa
AU  - Amanu Aragaw
Y1  - 2014/10/20
PY  - 2014
N1  - https://doi.org/10.11648/j.sjph.20140205.28
DO  - 10.11648/j.sjph.20140205.28
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 494
EP  - 501
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20140205.28
AB  - Back ground: Studies in a number of countries have shown that wherever indiscriminate waste disposal is high, infant and child mortality rates are high. Although utilization of environmental health services is an important indicator for measuring success of the health extension program; data on environmental health services of urban health extension program are scarce in the study area and elsewhere in Ethiopia. Objective: To assess utilization of environmental health services of urban health extension program and associated factors in Debretabor town, Amhara region, Ethiopia. Methods: A community based cross sectional study was conducted in Debretabor town from September 1-30, 2013. A total of 422 households were included in the study using systematic sampling technique. Data were collected using structured questionnaire and analyzed using SPSS version 16.0. Degree of association between independent and dependent variables was assessed with a 95% confidence level and p-value less than 0.05 was used to detect statistical significance. The findings of quantitative data were triangulated with the qualitative one. Result: In this study 69.8% and 65.5% of households practiced proper solid and liquid waste management mechanisms respectively. Income was found to be predictors for liquid waste management (AOR=1.82) Educational status of respondents was found to be predictors for liquid waste management (AOR=1.83). Conclusion: Solid and liquid waste management practices were lower than the minimum 75% expectation of the national health extension program package and, Educational status, house ownership, income and graduated as model family were main factors affecting environmental health services. Improving socio economic status of households, provision of continuous advice and technical support at household level on the utilization of environmental health service are recommended.
VL  - 2
IS  - 5
ER  -

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