Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia

Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors...

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Veröffentlicht in:Journal of environmental and public health 2021, Vol.2021, p.8835780-7
Hauptverfasser: Bitew Workie, Shimelash, Mekonen, Niguse, Michael, Mulugeta W., Molla, Getahun, Abrha, Solomon, Zema, Zewde, Tadesse, Takele
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container_end_page 7
container_issue
container_start_page 8835780
container_title Journal of environmental and public health
container_volume 2021
creator Bitew Workie, Shimelash
Mekonen, Niguse
Michael, Mulugeta W.
Molla, Getahun
Abrha, Solomon
Zema, Zewde
Tadesse, Takele
description Background. The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.
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The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.</description><identifier>ISSN: 1687-9805</identifier><identifier>EISSN: 1687-9813</identifier><identifier>DOI: 10.1155/2021/8835780</identifier><identifier>PMID: 33505477</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Adults ; Age ; Analysis ; Chronic diseases ; Chronic illnesses ; Confidence intervals ; Data collection ; Education ; Health care ; Health care facilities ; Health care industry ; Health care reform ; Health facilities ; Health services utilization ; Hospital facilities ; International economic relations ; Marital status ; Maternal &amp; child health ; Medical care ; Mortality ; Open data ; Population ; Public health ; Questionnaires ; Random sampling ; Regression analysis ; Secondary education ; Sociodemographics ; Socioeconomics ; Statistical analysis ; Statistical sampling ; Surveys ; Urban areas ; Urban environments ; Utilization ; Variables</subject><ispartof>Journal of environmental and public health, 2021, Vol.2021, p.8835780-7</ispartof><rights>Copyright © 2021 Shimelash Bitew Workie et al.</rights><rights>COPYRIGHT 2021 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2021 Shimelash Bitew Workie et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. 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The Ethiopian government is striving to improve the health status of its population through the expansion and strengthening of primary health care services in both rural and urban settings of the country. The study aimed to measure modern health service utilization and associated factors in Wolaita Sodo town, Ethiopia. Method. A cross-sectional study design was implemented from May to June 2019 in Wolaita Sodo town, Ethiopia. All 786 study participants were selected by multistage systematic random sampling. Data were collected by face-to-face interviews using a pretested structured questionnaire. Data were collected by an open data kit. Stata window version 15.0 was also employed for statistical analysis. Multiple logistic regression was conducted, and a 95% confidence interval was considered for interpretation. Result. Health service utilization was 77.2% with (95% CI of 74.1%, 80.0%). In terms of health facilities in which they visit, first 50.6% were at the public health center and 25.5% of them were at Teaching and Referral Hospital. Respondents with marital status married and widowed have higher odds of utilizing health services compared to single marital status (AOR: 2.96; 95% CI: 1.7–5.2 and 9.0; 95% CI: 1.69–48.0), respectively. Respondents with middle and highest wealth status have higher odds of health service utilization than poor wealth status with AOR (1.75 95% CI 1.03–2.97 and 1.58 95% CI; 1.01, 2.77). Similarly, respondents who had chronic disease and perceived poor health status have higher odds of health service utilization. Conclusion. Modern health services utilization was found to be unsatisfactory. Being married, wealth status being middle and high, having chronic health conditions, and having poor perceived health status were found to have a statistically significant association with health service utilization.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>33505477</pmid><doi>10.1155/2021/8835780</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6159-6309</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Open Access; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access
subjects Adults
Age
Analysis
Chronic diseases
Chronic illnesses
Confidence intervals
Data collection
Education
Health care
Health care facilities
Health care industry
Health care reform
Health facilities
Health services utilization
Hospital facilities
International economic relations
Marital status
Maternal & child health
Medical care
Mortality
Open data
Population
Public health
Questionnaires
Random sampling
Regression analysis
Secondary education
Sociodemographics
Socioeconomics
Statistical analysis
Statistical sampling
Surveys
Urban areas
Urban environments
Utilization
Variables
title Modern Health Service Utilization and Associated Factors among Adults in Southern Ethiopia
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