Individual and contextual factors affect the implementation fidelity of youth-friendly services, northwest Ethiopia: A multilevel analysis

Yohannes Ayanaw Habitu, Gashaw Andargie Biks, Abebaw Gebeyehu Worku and Kassahun Alemu Gelaye

PLOS ONE, 2022, vol. 17, issue 2, 1-19

Abstract: Background: The evaluation of all potential determinants of implementation fidelity of Youth-Friendly Services (YFS) is crucial for Ethiopia. Previous studies overlooked investigating the determinants at different levels. Therefore, this study aimed to assess the determinants of implementation fidelity of YFS considering individual and contextual levels. Methods: This study was conducted among 1,029 youths, from 11 health centers that are implementing the YFS in Central Gondar Zone. Data were collected by face to face interview and facility observation using a semi-structured questionnaire. A Bivariable multi-level mixed effect modelling was employed to assess the main determinants. Four separate models were fitted to reach the full model. The fitness of the model was assessed using Akaike Information Criterion (AIC) and level of significance was declared at p-values

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0263733

DOI: 10.1371/journal.pone.0263733

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