Utilization Of Health Care Service In St. Lalibela Primary Hospital, Catchement Area, As a PHCU, Norht East Ethiopia

Abstract

Background;-Utilization of health care service that provides services to treat patients with curative, preventive, rehabilitative, and palliative disciplinary teams of trained professionals to meet health needs of individuals and populations. Client flow to Lalibela hospital catchment area is very low(0.2) or below from the expected catchment population(AS, a Primary Hhealth Care Unit). Therefor aim of this study is to identify utilization level and its associated factors of St. Lalibela Hospital catchement area. Objectives;- To assess utilization of health care services and associated factors at St. Labella Hospital, catchement area as (PHCU),Northern East Ethiopia 2019 G.C. Methods: A community based cross-sectional study have beeen conducted randomly selected 762 among people aged above 18 years in three woreda. A pre-tested and structured questionnaire was used to collect primary data for this study by participating 20 health extension workers.. Data was analyzed by using SPSS version 25 statistical software The Descriptive statistics was done to describe the data. Binary logistic regression was performed to assess the association between dependent and independent variables. Odds Ratios along with 95% confidence level were estimated to identify factors associated with the outcome variable using binary logistics regression. The level of statistical significance was declared at p-value less than 0.05. Results: The utilization of health care service in St. Lalibella hospital catchment area was 40.8%. Respondent’s educational status, occupation (OR= 1.37 (95% CI 1.18, 1.59; P value= 0.000)), marital status, age group, monthly income were the determinant sociodemographic variables. Distance to the health facility, information about health services, and information about serious mistakes committed by the health professional were also significantly associated variables. Government workers were 5.29 times more likely utilize health services given at St. Lalibela hospital catchment area than farmer household (AOR=5.29, 95%CI(1.63, 17.11)). The Utilization of Health Care Services among distance of the study area from their home 21-30 KM far have significant association (OR =0.073{0.043, 0.126} p=0.000) as compared with those are far than 31KM. Conclusion. The overall health seeking behavior of households was low. Modern health services utilization was found to be low in St. Lalibela hospital Catchment area. Recommendations;- Based on the conclussion, the researcher conclude that to the stockholders must efforts have to be made to increase utilization of modern health services through establishing systems like health extension workers and health taskforce.