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Background In 2003, the Ethiopian Federal Ministry of Health (FMOH) launched a new health care plan, the "Accelerated Expansion of Primary Health Care Coverage," through a comprehensive Health Extension Program (HEP).Recognizing the huge gap between need and health care services available, the FMOH has focused on "providing quality promotive, preventive, and selected curative health care services in an accessible and equitable manner to reach all segments of the population, with special attention to mothers and children (10). Objective To assess on family planning service utilization among model and non model family women enrolled in urban health extension program of kirkos sub-city administration. Method A cross sectional study design using a quantitative method was used .A total of 424 (212 model families and 212 non-model families) participated the study. To establish associations between dependent and independent variables, P values were used. Chi-square test was used to select associated independent variables for multiple logistic regressions. Adjusted ORs that controls the confounding effects of other covariates were calculated using the multiple logistic regression models of SPSS version 16 statistical programs. Statistical significance was considered at Pvalue less than 0.05. Result More in model than non model families (100% versus 93.4% respectively) have heard about cp methods (with p value=0.0002). From those ever use one of contraceptive methods, large proportion study population 210(81.08%) [109(78.4%)) and 101 (84.1%),) model and non model respectively] were they prefer to be informed by health professional and followed by other (like friend husband..) were 27(10.42%) [18(12.9%) and 9(7.5%) for model and non model families respectively] , media (radio and Tv) were 15(5.79%) [5(3.59) and10 (8.33%) for model and non model families respectively] and finally and the lest referred choice of study population were7 (2.7%) [7(5%) and 0 (0) for model and non model families respectively] with X2 =4.21, p value =0.000021. Conclusion the contribution of UHEP on FP utilization can be measured by considering the provision of the program in all aspects of FP service utilization like let the community to inform about the service and then to be as the major preferable informed choice for them. By this measurement the UHEP programs lacks the aspects expected to be done, as we have mentioned earlier. Recommendation FMOH should see the implementation strategies of UHEP on providing and upgrading family planning service |
