work experience sharing orsphtc. orsphtc hetosa.pdf · institutional delivery service utilization...

Work experience sharing ORSPHTC

By Hailu Temesgen( MPH)

Arsi ZHD

NOV,2016

Presentation out line

• Objectives of the project

• Major Activities of ORSPHTC

• Collaboration work

• Things learn from

• Overview of thesis done Hetosa

Hetosa District Map

Dodota Z. dugeda

Tiyo

L. Hetosa

ORSPHTC

• Constructed by collaboration of Ethiopia and

Korea Government.

• Financial support from Korea Government

• Inaugurated May 05/ 2010 and phase out in Feb

2015

Objectives of the TC /project

1. Increase the contraceptive practice rate

2) Enhance the awareness of importance of institutional

delivery& utilization of family planning method.

3) Strengthen the sustainability of Oromia Regional Pub

lic Health Training Center.

Social Mobilization

Market

Capacity building

o Training for nurses, health officer and midwifes

On LAFP for 10 days and removal of implanon &

jadle

o Training for HEWs on Implanon insertion

o Training on computer skill

Capacity building for health care providers

HEWs training on implanon insertion

Nurse training on LAFP

Improve the accessibility of health care services

Services provided by Health extension workers after training

Community based education

• School based

non-educated women

• Gare level

Collaboration work

GNI

• Hetosa Woreda sectors & Community leaders

• Arsi Zonal health office • Oromia Regional Health

Bureau • Arsi University including

Asella hospital • Tulane University • Asella FGAE • NGOs

IGA

Brick producing

Tewukando

Cattle bank

Coffee ceremony

Bazar

Construction of tea house

Why bazar?

• For gap filling of the health center

• Medical equipment

• Bed Mattress

• Bed sheet

• Pillow

• Stationary

• Generator

Experience sharing

About 10 staffs of Arsi zonal health, Hetosa woreda health office,Health centers head was visited Korea

Gonde H/Center

Shashamane /west Arsi

Things learn from

• Participated Planning

• Time Management

• Working together

• Learning From each others

• Commitment for work

• Way of monitoring & evaluation

Acknowledgements

• I would like to express my deepest appreciation to Korea international corporation agency (KOICA) for funding of financial, Addis Continental Institute of Public Health & Adama Science & Technology University for allowing the conduct of this study and Especial thanks goes Ato Hailu Fikade for constructive and strong technical assistance.

Tittle of thesis

• Prevalence and associated factors

affecting institutional delivery services

utilization in Hetosa district.

Objectives

• To assess prevalence and associated

factors affecting institutional

delivery in Hetosa District

Socio- Demographic characteristics of the

study participants

A total of 735 mothers who gave birth in the last 12 months were

interviewed , of these, 88.8% (652) were rural and 11.2% (83) were

urban residents

Five hundred twenty three mothers (71.2%) attended formal

education while 12.7% (27) mothers were unable to read and

write.

Concerning the time they travelled on foot to reach the nearby

health facility, 652 (88.7%) of them said less than one hour, 83

(11.3%) said greater than one hour.

Institutional delivery service utilization

• Of the total respondents, 360(49%) of them gave

birth at health facilities and 375 (51%) delivered

at home

• Among mothers delivered at facility level 98.1%

conducted in public institution,61% assisted by

midwife,91% attend ANC, about 41% visited

health institution due to sickness.

Determinants of utilization of institutional

delivery Hetosa woreda, 2015

• Urban residence, Parity and living together

with partner were factors significantly associated

with institutional delivery service utilization in

Hetosa district.

Conclusion:

• This study revealed that the proportion of

women who gave birth at health facilities in

the woreda seem higher as compared to some

of the studies conducted on different parts of

the country and with national Demographic

and Health Survey of 2012.

Recommendation

• Births attended by skilled personnel is crucial in ensuring safe

delivery of mothers and hence reducing maternal death, however

the majority of our mothers still deliver at home without any

skilled person assistance. Therefore, policy makers and health

care planners need to recognize the factors hampering

institutional delivery and work on improving the situation,

otherwise with Such high birth unattended by skilled personnel

our maternal mortality will remain one of the highest.

• THANK YOU