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Health Policy and Planning Advance Access originally published online on September 26, 2007
Health Policy and Planning 2007 22(6):404-414; doi:10.1093/heapol/czm034
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Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2007; all rights reserved.

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

Andreea A Creanga1,*, Heather M Bradley1, Aklilu Kidanu2, Yilma Melkamu3 and Amy O Tsui1

1Population, Family and Reproductive Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
2Miz-Hasab Research Center, Addis Ababa, Ethiopia.
3Department of Community Health, Addis Ababa University, Addis Ababa, Ethiopia.

*Corresponding author. Population, Family and Reproductive Health Department, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205–2179, USA. Tel: +1 410–955–2232. Fax: +1 410–955–0792. E-mail: acreanga{at}jhsph.edu

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.

Key Words: Community-based workers, reproductive health, HIV/AIDS, family planning, service integration, client volume

Accepted for publication 9 July 2007.


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