Does the delivery of integrated family planning and HIV/AIDS services influence community-based workers' client loads in Ethiopia?

Andreea A. Creanga, Heather M. Bradley, Aklilu Kidanu, Yilma Melkamu, Amy O. Tsui

Research output: Contribution to journalArticle

Abstract

Community-based reproductive health agents (CBRHAs) can increase community knowledge of and offer immediate access to reproductive health services, including HIV/AIDS. Due to growing interest in integration of family planning and HIV services in Ethiopia, it is important to examine whether CBRHAs are efficiently offering both service types. The present analysis uses survey data collected from Ethiopian CBRHAs and examines associations between agents' demographic, personality and work-related characteristics and their capacity to provide integrated services and have high client volumes. Multivariate probit and bivariate probit regression models are fitted for the two outcomes of interest. Nearly half of CBRHAs in our sample offer integrated services, but this is not jointly associated with increased productivity. Personality traits and work experience are more strongly associated with agents' capacity to provide integrated services than demographic characteristics, while agents' gender and work-related characteristics are significantly associated with increased likelihood of serving more clients.

Original languageEnglish (US)
Pages (from-to)404-414
Number of pages11
JournalHealth policy and planning
Volume22
Issue number6
DOIs
StatePublished - Nov 1 2007

Keywords

  • Client volume
  • Community-based workers
  • Family planning
  • HIV/AIDS
  • Reproductive health
  • Service integration

ASJC Scopus subject areas

  • Health Policy

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