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Determinants of Primary Health Care Utilization in Ethiopia
김도형,남은우,Kidist Birmeta,김철수,Bimala Sharma,Sarita Dhakal,이호철 연세대학교(미래캠퍼스) 빈곤문제국제개발연구원 2016 地域發展硏究 Vol.25 No.특별호
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.