Page 80 - GHES-1-1

Global Health Econ Sustain Clinician’s attitude toward health extension program

The four factors account for 91% of the total variance, solution provides a more comprehensible four factors
with F1, F2, F3, and F4 accounting for 67.9%, 11.3%, model, with F1 labeled as perceived clinician attitude
7.1%, and 4.2% of variances, respectively. Following toward HEW’s skill (17 items), F2 labeled as clinician
factor extraction, the item structure for interpretation knowledge toward HEP activities (15 items), F3 labeled
was determined using the orthogonal varimax rotation as perceived clinician attitude towards the impact of HEP
method. As illustrated in Table 2, the varimax rotated (10 items), and F4 labeled as latrine construction (1 item).

Table 2. Explanatory factor loading, and Cronbach’s alpha of clinician’s attitude, Ethiopia, 2019
Code Questions Factors
F1 F2 F3
KR01 HEWs are providing appropriate health education through home visit
KR02 HEWs are encouraging households to construct latrine
KR03 HEWs are providing preventive health services such as vaccination for children and mothers
KR04 HEWs are treating under five children with diarrhea 0.64
KR05 HEWs are treating under five and adults with malaria 0.64
KR06 HEW who are trained in ICCM are treating under five children with pneumonia 0.68
KR07 HEWs who are trained in ICCM identify under five children with danger signs 0.62
KR08 HEW who are trained in ICCM identify under five children with ear problems 0.59
KR09 HEW who are trained in ICCM are treating under five children with malnutrition 0.60
KR10 HEWs are rendering ANC services at health posts and household visits 0.45
KR11 HEWs are providing PNC services at health post or home visits 0.49
KR12 HEWs are providing OTP for under five children 0.55
KR13 HEWs are conducting malnutrition screening and counseling for children, pregnant and lactating mothers 0.45
KR14 HEWs are not providing delivery service at health post level
KR15 HEWs who are trained FP are providing long-acting contraceptives except permanent methods 0.43
KR16 HEWs are providing first aid for emergency cases at health post level
KR17 HEWs are making referrals for patients from health post or home visit to higher level facilities such as HC and hospitals
KR18 HEWs are collecting family health data using family folders 0.46
KR19 HEWs are conducting rapid diagnostic test and treatment for malaria 0.67
KR20 HEWs are providing TB DOTs at Health post level 0.49
KR21 HEWs are addressing adolescent health care needs such as behavioral change and family planning 0.41
KR22 HEWs are distributing ITN
KR23 HEWs are carrying out epidemic surveillance and report
ARW01 HEWs can efficiently conduct rapid diagnostic test and treatment for malaria if they receive ICCM training 0.48
ARW02 HEWs can effectively provide community-based TB DOTs 0.41
ARW03 HEWs can effectively treat under five children with diarrhea through training 0.67
ARW04 HEWs can effectively treat under five and adults with malaria if they got training 0.62
ARW05 With training HEWs can effectively treat under five children with pneumonia 0.60
ARW06 HEWs can effectively refer under five children with danger signs if they got training 0.58
ARW07 HEWs can treat under five children with ear problems if they got training 0.56
ARW08 HEWs with training can effectively treat under five children with malnutrition 0.60
ARW09 HEWs can effectively implement medical abortion if this task is shift to them with training
ARW10 HEWs can contribute meaningful identification and referral of cases to higher level facility 0.57
ARW11 HEWs can provide long-acting reversible contraceptives including IUCD if they got training 0.42
ARW12 HEW can provide uncomplicated delivery service at health post level
ARW13 HEWs can effectively deliver first aid services for emergency cases at health post 0.51
(Cont’d...)

Volume 1 Issue 1 (2023) 6 https://doi.org/10.36922/ghes.0887