H-DAV NDMC EPHI

End-Term Evaluation Report on Access Service and Utilization of Reproductive Health in Gamo gofa, Wolayita and Segen zones of SNNPR, Ethiopia


Description
Id EPHI-DS0182
Name End-Term Evaluation Report on Access Service and Utilization of Reproductive Health in Gamo gofa, Wolayita and Segen zones of SNNPR, Ethiopia
Format .dta
Coverage Location South Nation and Nationalities People Region (Gamo, Gofa, Wolayta, Konso and Segen zones)
Coverage Sex Both
Abstract

During the last two decades, Ethiopia made exceptional progress in Maternal, Neonatal, Child Health, and Family Planning. There were notable achievements under Millennium Development Goals (MDG)-4 and MDG-5. However, there have been restrictive norms and a lack of support to access SRH services and information limiting youths. Hence, Amref Health Africa in collaboration with the local key stakeholders has implemented a five-year project on access, service, and utilization of reproductive health with financial support from the EU in the southern part of Ethiopia. Therefore, the aim of this evaluation was to measure and compare the potential impact of the intervention in the project area with the benchmark that was conducted five years ago. 
This study used a combination of household, school, and health facility-based cross-sectional study with a mixed quantitative and qualitative methodology which was conducted between 1st of November to 20th of November 2019. In that regard, a sample of 423 married women, 232 adolescents, and youths, and 93 exit interview respondents were included in the survey for the qualitative study. All quantitative data were collected using ODK/KOBO Mobile applications, where a structured questionnaire with pre-coded answers was uploaded and analyzed using STATA 16. In addition, the project was evaluated against the five broad evaluation themes (Relevance, Effectiveness, Efficiency, Impact, and Sustainability). A summary of the major findings of the evaluation is presented below. 
This evaluation has shown women's educational attainment was lower as compared to their partners. The findings showed that more than 60% of married women had low educational status (below secondary education level), of which about 40% or 24% of the total married women had no formal education at all. The overall result of the study regarding the practice of marriage showed that women in the study areas married at the age of 19 years or after, which is considerably higher than the mean age figure found out in EDHS (2016) study (16.7 years). In addition, the results of this assessment showed only 56% of respondents married on their own, while 8% were due to abduction, and 35% were because of arranged marriage by their family. One of the dismay findings from women's perspective was that they pushed to give birth as immediately as possible after marriage. The average age of first pregnancy comes almost in the same year.
Regarding family planning knowledge and use, the majority of the women in the study area reported that they heard about the family planning method before, particularly the vast majority of respondents from Gamo Gofa reported that they heard about FP methods. Apparently, the results of the study indicated that two out of three women in the study area were found to be current family planning users. The main sources of information for most women who heard about modern family planning methods were health professionals/neighbors/ friends/spouses. The finding of the study showed a promising practice with regard to women's decision-making for their own FP use was reported.

Additional Material No
Keywords
  • Evaluation
  • End-term
  • Age at first marriage
  • Access service
  • Utilization
  • Reproductive health
  • SNNPR
  • Zones
  • Cross-section
  • Mixed
  • Family planning
  • Household
  • Health facility
  • PNC
  • relevance
  • Skilled birth
  • Unwanted pregnancy
  • Age at first pregnancy.
Recommended Yes
Location
Cleaned No
Cleaned Format . csdb
RawFormat . csdb
Comment
Remark
Note
Treatment
Date Data Collection Started 2015-01-01
Date Data Collection End 2019-11-30
Title End-Term Evaluation Report on Access Service and Utilization of Reproductive Health in Gamo gofa, Wolayita and Segen zones of SNNPR, Ethiopia
Data Type Survey
PublicationYear 2019
SugestedCitation

No suggested citation.

OtherIdType
Description

This dataset was produced by a combination of household, school, and health facility-based cross-sectional study with a mixed quantitative and qualitative methodology which was conducted between 1st of November to 20th of November 2019 among a total sample size of 47 respondents. The dataset captures information on socio-demographic characteristics: zone, woreda, level of education, age of the respondent, family size, age at first marriage, marriage arrangement, child marriage, age at first pregnancy, religion and occupation, Family planning knowledge and use: current family planning utilization, source of information about modern family planning, autonomy to make a decision for family planning use, unwanted pregnancy and birth among married women, antenatal care follow up/visits and PMTCT, skilled delivery and PNC and PNC services, experience of health facility visit: type of services women visited health facilities and women satisfaction on the services, Youth SRH Information and Services Findings: zone, woreda, age, sex of the respondents, religion, level of schooling, level of reproductive health knowledge, sexual intercourse experience and age at first sex, the experience of pregnancy, use of any modern contraceptive method, access to SRH information and services and level of satisfaction on SRH services.
To this end, the data for the evaluation study was collected electronically through a household survey using a structured questionnaire, desk review, individual interview, and focus group discussion. Moreover, the data collection tools used to collect data from different sources were developed after a detailed review of relevant project-related documents.  All quantitative data were collected using ODK/KOBO Mobile applications. The questionnaire was designed to gather information on the key indicators of the project. Therefore, the aim of this evaluation was to measure and compare the potential impact of the intervention in the project area with the benchmark that was conducted five years ago.

Dataset study design Longitudinal
Date Data Archived 2020-11-10
Date Data Cataloged 2020-11-17
Data Generating Unit Public Health Emergency Management
URL https://rtds.ephi.gov.et/public/showdetail/182

Tags
Unpublished

Open Access