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AMREF Afar Pastoralist Health Development Programme, Gebe Zone

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AMREF Afar Pastoralist Health Development Programme, Gebe Zone AMREF Afar Pastoralist Health October 25 Development 2009 Programme, Gebe Zone Baseline Survey [Reach Consult PLC] (Final Report) African Medical and Research Foundation: Baseline Survey, Zone 3 of Afar National Regional State Table of Contents Acronyms .............................................................................................................................................. 4 1. Inrodcution ........................................................................................................................................ 5 Executive Summary ............................................................................................................................... 7 2. Background ................................................................................................................................. 12 2.1. Situation of Reproductive Health, Maternal and Child Health Services in Ethiopia: An Over View ................................................................................................................................................ 12 2.2. Health Services in Pastoral Communities in Ethiopia ............................................................ 14 2.3. African Medical and Research Foundation (AMREF) ......................................................... 18 3. Objectives ................................................................................................................................... 19 3.1. General Objective ................................................................................................................. 19 3.2. Specific Objectives: .............................................................................................................. 19 4. Methodology ............................................................................................................................... 20 4.1. Study Area ............................................................................................................................ 20 4.2. Study Period .......................................................................................................................... 20 4.3. Study Design ......................................................................................................................... 20 4.4. Quantitative Method ............................................................................................................. 20 4.4.1. Household Survey ................................................................................................................. 20 4.4.1.1. Target Population .................................................................................................................. 20 4.4.1.2. Sample Size and Sample Selection ....................................................................................... 21 4.4.1.3. Data Collection Instrument (Questionnaire) ......................................................................... 21 4.4.1.4. Variables of Interest .............................................................................................................. 22 4.4.1.5. Selection and training of data collectors ............................................................................... 22 4.5. Data Entry and Analysis ....................................................................................................... 22 4.6.1. In-depth Interviews ............................................................................................................... 24 4.7. Analysis of Qualitative Data ................................................................................................. 24 4.8. Review of Secondary Data .................................................................................................... 24 4.9. Ethical Considerations .......................................................................................................... 25 Reach Consult Plc, P.O. Box 150361 Addis Ababa, Ethiopia, Nigatu Bldg 3rd Floor Kebena, Final Report 2 African Medical and Research Foundation: Baseline Survey, Zone 3 of Afar National Regional State 4.10. Plan for communicating and utilization of the results .......................................................... 25 5. Results and Discussion ............................................................................................................... 26 5.1. Demographic Socio-Economic Information ......................................................................... 26 5.2. Reproductive Health ............................................................................................................. 30 5.3. Awareness of Women towards Reproductive Health ........................................................... 35 5.4. Malaria .................................................................................................................................. 40 5.5. Harmful Traditional Practices ............................................................................................... 41 5.6. Child Health Situation ........................................................................................................... 42 5.7. Maternal and Child Health Services ..................................................................................... 44 6. Water Supply, Personal Hygiene and Environmental Sanitation .................................................... 46 7. Health Facility Assessment Report ............................................................................................. 50 Introduction ......................................................................................................................................... 50 7.1. Results and Discussion: .......................................................................................................... 50 Demographic characteristics of population served by HFs ................................................................. 50 Number and distribution of Health Facilities ...................................................................................... 51 Access population served per facility ................................................................................................. 51 Ten top leading causes of morbidity in Gebe zone. ............................................................................ 52 Basic Emergency Obstetric Care Service ........................................................................................... 52 MCH Services ..................................................................................................................................... 53 Maternal health indicators ................................................................................................................... 53 HIV/AIDS Services ............................................................................................................................ 54 Kebeles with trained health extension workers ................................................................................... 54 Proportion of Woreda office with plan ............................................................................................... 54 Woreda plan includes FGC prevention as priority .............................................................................. 55 8. Conclusion ...................................................................................................................................... 56 9. Recommendation ............................................................................................................................ 57 10. References………………………………………………………………………………………59 11. Annexes……………………………………………………………………………………...…..60 Reach Consult Plc, P.O. Box 150361 Addis Ababa, Ethiopia, Nigatu Bldg 3rd Floor Kebena, Final Report 3 African Medical and Research Foundation: Baseline Survey, Zone 3 of Afar National Regional State Acronyms AIDS Acquired Immune Deficiency Syndrome AMREF African Medical Research Foundation ANC Anti Natal Care ARI Acute Respiratory Infections ART Anti-retroviral therapy BCG Bacillus Caulmette Guerin CBO Community Based Organization C-IMCI Community IMCI CPR Contraceptive Prevalence Rate DHS Demographic Health Survey DPT Diphtheria, Pertusis, Tetanus EDHS Ethiopian DHS EOC Emergency Obstetric Care EPI Expanded Program on Immunisation FGD Focus Group Discussion FGC Female Genital Cutting FMOH Federal Ministry of Health GAVI Global Alliance on Vaccines and Immunizations HC Health Centres HEW Health Extension Workers HH House Hold HIV Human Immunodeficiency Virus HP Health Post HSDP-III Health Sector Development Program HSEP Health Service Extension Program HTP Harmful Traditional Practices ICC Interagency Coordination Committee Reach Consult Plc, P.O. Box 150361 Addis Ababa, Ethiopia, Nigatu Bldg 3rd Floor Kebena, Final Report 4 African Medical and Research Foundation: Baseline Survey, Zone 3 of Afar National Regional State IMCI Integrated Management of Childhood Illnesses ISY In-School Youth KII Key Informants Interview MCH Mother and Child Health MPS Making Pregnancy Safer NGO Non Governmental Organisation OPV Oral Polio Vaccine OSY Out of School Youth PMCT Prevention of mother to child transmission PNC Post Natal Care RBM Roll Back Malaria RED Reaching Every District RH Reproductive Health SPSS Statistical Package for Social Sciences STI Sexually Transmitted Infection TBAs Traditional Birth Attendants TFR Total Fertility Rate THCPs Traditional Health
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