Table 2 EFA loading and Cronbach’s Alpha for clinician attitude, Ethiopia, 2019

AW01

I believe that rural HEWs can efficiently conduct rapid diagnostic for malaria if they receive training.

0.67

AW02

I am confident that rural HEWs can effectively provide community-based Tb DOTs

0.55

AW03

I believe that rural HEWs can effectively treat under five children with diarrhea through training

0.77

AW04

I believe that rural HEWs can effectively treat under five & adults with malaria if they got training

0.78

AW05

With training, I believe that rural HEWs can effectively treat under five children with Pneumonia

076

AW06

I believe that rural HEWs can effectively refer under five children with danger signs if they got training

0.60

AW07

I believe that rural HEWs can treat under five children with ear problems if they got training

0.66

AW08

I believe that rural HEWs with training can effectively treat under five children with malnutrition

0.62

AW09

I am sure rural HEWs can effectively implement medical Abortion if this task is shift to them with training

AW10

I believe that HEWs can contribute meaningful identification and referral of cases to higher level facility

0.57

AW11

I believe that rural HEWs can provide long acting reversible contraceptive including IUCD if they got training

0.52

AW12

I support and feel confident that rural HEWs can provide uncomplicated delivery service at health post level

AW13

I accept and believe that rural HEWs can effectively deliver first aid services emergency cases at health post

AW14

I accept and believe that rural HEWs can successfully provide vaccination for children and mothers

0.58

AW15

I believe that Adolescent health needs such as behavioral change and family planning can be addressed through rural HEWs

0.56

AW16

I believe that clinicians have to give value and respect for the works done by HEWs

AW17

I would be happy to work with rural HEWs in any health related activity

AW18

I do not have doubt on the competence of rural HEW to run their daily activities

AW19

I believe that rural HEWs are well trained and qualified to the level their job demands

AW20

I believe that rural HEWs are playing their role in improving community health needs

AW21

Generally I support the existence and continuity of rural HEWs activity in the community

AP01

I believe that rural HEP has been promoting community health needs well

AP02

I believe that rural HEP has been meeting Health care needs of hard to reach communities

AP03

I thought that health seeking behavior of rural community has increased after the implementation of Rural HEP

AP04

I thought that rural HEP has contributed to decreased maternal and under five mortality in rural community

AP05

I believe that rural HEP is a necessary and desirable for improvement of community health needs

AP06

In my view, primary healthcare delivery coverage is improved since the implementation of Rural HEP

AP07

Overall, rural HEP has a significant impact on improvement of community health in rural Ethiopia

Cronbach’s alpha

0.91