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Determinants of Primary Health Care Utilization in Ethiopia

  • Journal of Regional Studies and Development
  • Abbr : JRSD
  • 2016, (), pp.269-293
  • DOI : 10.18350/ipaid.2016.25s.269
  • Publisher : Institute for Poverty Alleviation and International Development: IPAID
  • Research Area : Social Science > Area Studies > Regional Studies in general > Comparative / Statistical Regional Studies
  • Published : March 25, 2016

Dohyeong Kim 1 Eun Woo Nam ORD ID 1 Kidist Birmeta 2 김철수 3 Bimala Sharma 4 Sarita Dhakal 4 LEEHOCHEOL ORD ID 1

1연세대학교
2에티오피아 아디스아바바 환경 및 커피 연구소
3에티오피아 명성의과대학교
4Yonsei Global Health Center

Accredited

ABSTRACT

In Ethiopia, primary health care services utilization remains low and irregular. This study attempted to assess utilization and associated factors in Holeta Town, Oromia region, Ethiopia. A cross sectional survey was conducted among randomly selected 1,422 households. Multivariate logistic regression analysis was applied to calculate crude and adjusted odds ratios(aOR) at 5% level of significance using Andersen model. The primary health care services utilization was 60.0%. Logistic regression analysis revealed predisposing factors: Gurage ethnicity (aOR=0.48), being married (aOR=1.53), and having favorable attitudes towards health services (aOR=1.74); enabling factors: monthly income of 501-1,000 birr (aOR=1.51), and not having health insurance (aOR=1.89); and need factor: absence of experience of illness (aOR=0.48) that determined primary health care utilization. Primary health care utilization was influenced by predisposing, enabling, and need factors, concerned authorities should focus on the needs of low-income households, improving their socio-economic status, and strengthening primary healthcare services to promote utilization.

Citation status

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This paper was written with support from the National Research Foundation of Korea.