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Table 5 Barriers and facilitators for HEWs in provision of antenatal and delivery care ( n =50)

From: Knowledge and performance of the Ethiopian health extension workers on antenatal and delivery care: a cross-sectional study

Barriers and facilitators reported by HEWs %
Barriers mentioned by HEWs  
Lack of behavioral change (lack of awareness and wrong cultural beliefs) 72
Low utilization of health posts by community 62
No further education for HEWs 56
High work load of HEWs 48
Low competency of HEWs 44
Giving too much focus on environmental sanitation and less attention to maternal health care 38
Transportation problem 36
Health posts are less equipped (no water, electricity, waiting rooms, and so on) 34
Long walking distance and topographical problems 32
Low salary for HEWs 26
Less confidence of community on HEWs 16
No residence rooms at the health posts for HEWs 14
Less support for HEWs from kebele leaders 10
Meetings 10
Facilitators mentioned by HEWs  
Presence of volunteer community health workers 62
Increasing proportion of women visiting HEWs or health facilities for antenatal care 60
Maternity leave from safety net program 46
Support from kebele administration 24
Support from supervisors 24
Presence of family health card for providing health education for women 20
Support from other sectors (women’s association/non-governmental organizations/agriculture sector) 20
Availability of supplies at health posts 10
Community mobilization and conversation 8
Presence of ambulance 8