Maternal Health Care use among Rural Women of Asgede Tsi’mbla District of North Western Tigray, Ethiopia

The study revealed that the maternal health of women's in rural of asgede tsimbla district These are malaria control and prevention, diarrhea control and prevention, immunization, family planning, ANC, referral for delivery, PNC, pit latrine construction, safe water use and health education initiated recently.The Low services utilization and health-seeking behavior is observed with the less availability of health education and awareness creation at household level similarly associated with the frequency of HEWs visits to households.HEWs emphasized in supervising specific helps like malaria control and prevention, diarrhea control and prevention and construction of pit latrine construction followed by assisting in the health post for the majority of the respondents for malaria treatment, immunization and family planning.The health post utilization of respondents and the visit of households by health extension workers are low.The availability of curative drugs, decision making, attitude of peoples toward the skill of HEWs and travel time to health institutions influences the health post utilization of peoples.HEWs have an important role in providing care in the health post and supervising households on health services; these are malaria control and prevention, pit latrine construction, promoting safe water use, child immunization, family planning, ANC, PNC, referral for delivery, diarrhea treatment and control and health education and communication study area.There are challenges to the health extension workers in providing quality of service.Distance of health post and the scattered settlement of the community, lack of curative drugs in the health post, lack of skill competency, and the lack of time for visit households or a lot of works in the health post, difficult to reach areas (hilly areas), the strong cultural beliefs of the community and the lack of refresher course for HEWs are the major challenges which are reported by HEWs in the study area.Majority of the respondents who participated in this study have a positive attitude towards HEWs service provisions, communication skills, and social behaviors.The communication skill, quality of services provided and the social behavioral/conduct of HEWs influences the attitude of the community on health extension workers positively and negatively.