An Evaluation Research to be submitted to Department of Health Economics, Management and Policy, Health Monitoring and Evaluation Unit in the Partial Fulfillment of the Requirements for the Degree of Master of science in Health Monitoring and Evaluation.

Abstract

Background: Breastfeeding contributes to infant nutrition and health through a number of important mechanisms. It provides a complete source of nutrients for the first six months of life, half of all requirements in the second six months of life, and one third of requirements in the second year of life. Objective: To evaluate the implementation level of the program in Metekel zone Bullen woreda. Methods and material: community based cross-sectional study was conducted quantitative and qualitative data were collected from April 04 to 15/2016. A total of 312 randomly selected mothers were interviewed. Key informants interview was conducted with health office head, health center head, HEW supervisor, key for nutrition program, women association leaders, health development army and salt supplier and health extension workers (total 11). Moreover, resource inventory and document review were conducted (total of 6 health facilities). Quantitative results were entered using Epidata version 3.1for data entry and SPSS version 20 for analysis. Univariate analysis was done for descriptive results. Binary and multiple logistic regressions were done to see the association among variables and determinant factor of adherence of mothers. Qualitative data was categorized and analyzed thematically. Result: Overall, the required resources were available in 74% of the health facilities studied. Service providers were complying with the guideline in 67% of the time. And adherence of mothers with the recommended practice was 72.4%. Rural mothers AOR, 0.378 CI95 % 0.215, 0.665 and community participation AOR 2.184 CI95% 1.184, 4.029 were predictors of mothers’ adherence. Conclusion and Recommendations: Overall, three dimensions was (72%) and Judged according to presented criteria as V.good achievement. Intervention recommended to focus on resource availability, compliance and continues community participation mainly women to ensure ownership and practicality.