scholarly journals Assessment of Sexual and Reproductive Health Status of Street Children in Addis Ababa

2013 ◽  
Vol 2013 ◽  
pp. 1-20 ◽  
Author(s):  
Demelash Habtamu ◽  
Addisie Adamu
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Addis Ababa ◽  
Street Children ◽  
Cross Sectional Study ◽  
High Risk Group ◽  
Reproductive Health Services ◽  
Cross Sectional

Street children worldwide do not have the information, skills, health services, and support they need to go through sexual development during adolescence. This study is undertaken to systematically investigate the fit between street children’s sexual and reproductive health needs and the existing services. A cross-sectional study was conducted among 422 street children and four service providers. About 72.5% of the respondents were sexually active during data collection and 84.3% of males and 85.7% of females tended to have multiple sexual partners. More than two-thirds (67.3%) of the participants had used at least one type of substance. History of substance use (OR = 2.5; 95% CI = 1.42–4.56) and being on the street for the first one to three years (OR = 5.9; 95% CI = 1.41–7.22) increased the likelihood of having sexual activity. More than half (64.9%) of the street children did not attend any kind of sexual or reproductive health education programs. Lack of information on available services (26.5%) was the biggest barrier for utilization of local sexual and reproductive health services. From the individual interview with coordinator, the financial and networking problems were hindering the service delivery for street children. In conclusion, street children who are special high risk group have not been targeted and hence continue to remain vulnerable and lacking in sexual and reproductive health services and sexual health services are poorly advertised and delivered to them.

scholarly journals Sexual and reproductive health problems among Ugandan youth during the COVID-19 pandemic lockdown: An online cross-sectional study

2020 ◽  
Author(s):  
Simon Binezero Mambo ◽  
Franck K. Sikakulya ◽  
Robinson Ssebuufu ◽  
Yusuf Mulumba ◽  
Henry Wasswa ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Reproductive Health Services ◽  
Long Distance ◽  
Cross Sectional ◽  
Sexually Transmitted

Abstract BackgroundThe COVID-19 pandemic threatens access to sexual and reproductive health services. With global health emergencies, there is often a total reversal of priorities and access to sexual and reproductive health services may become challenging. The aim of this study was to establish the problems related to sexual and reproductive health among Ugandan youths during the COVID-19 lockdown. MethodsThis was an online cross-sectional study carried out from April 2020 to May 2020 in Uganda. An online questionnaire was used and participants aged 18years to 30 years recruited using the snowballing approach. The statistical analysis was done using STATA version 14.2.Results Out of 724 participants, 203 (28%) reported not having information and/or education concerning sexual and reproductive health (SRH). About a quarter of the participants (26.9%, n=195) reported not having testing and treatment services of sexually transmitted infections available during the lockdown. Lack of transport means was the commonest (68.7%) limiting factor to access to SRH services during the lockdown followed by the long distance from home to SRH facility (55.2%), high cost of services (42.2%) and curfew (39.1%). Sexually transmitted infections were the commonest (40.4%) problem related to SRH during the lockdown followed by unwanted pregnancy (32.4%) and sexual abuse (32.4%). The multivariate regression analysis shows that problems were more prevalent among the co-habiting youth [APR: 2.3 (1.6 - 3.29), p<0.001] followed by unemployed (volunteer or unpaid) [APR: 1.6 (1.03 - 2.64), p: 0.037] than in other participants. ConclusionsThe findings of this study show that Ugandan youths have accessing SRH information and services during the COVID-19 lockdown. Cohabiting and unemployed participants were the most affected. Lack of transport means and high cost of services were the major limiting factors to access SRH services among the youths. The findings call for concerted efforts from the Uganda government and international non-governmental organisations to ensure access and availability of SRH services for Ugandan youths during the COVID-19 lockdown.

scholarly journals Access to and use of sexual and reproductive health services among street children in Uganda: Does Migration matter?

2020 ◽  
Author(s):  
Mulekya Francis Bwambale ◽  
Paul Bukuluki ◽  
Cheryl A. Moyer ◽  
Bart H.W Van den Borne
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Street Children ◽  
Binary Logistic Regression ◽  
Urban Migration ◽  
Reproductive Health Services ◽  
Time Space ◽  
Rural Urban Migration ◽  
The City

Abstract Background While the nexus of migration and health outcomes is well acknowledged, the effect of rural-urban migration on uptake of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural-rural urban migration on uptake of SRH services and whether there is a difference in uptake of SRH services among migrant and non-migrant street children. Methods Data were collected among 513 street children aged 12-24 years using face‐to‐face interviews. Participants were recruited by venue-based time-space sampling (VBTS). Using STATA 16.00, we performed multivariate binary logistic regression to identify correlates of SRH service uptake with migration status as the main predictor while controlling for confounding. In this study, migrants are defined as children who had moved to settle in the city for at least 24 months preceding the survey. Results Overall, two-thirds (66.82%) of children had moved to the city in the last 2 years, 20% in the last 3-5 years and 13.18% in 6 years or longer. Only 18.13% of the street children had ever used contraception/family planning, 45.89% had ever tested for HIV and knew their status while 34.70% had ever been screened for sexually transmitted infections. Multivariate analysis shows that migrant street children had reduced odds of using sexual and reproductive health services (HIV testing, use of contraception and screening for STIs) compared to the lifelong native street children (aOR=0.59, 95%CI 0.36- 0.97). Other factors associated with use of SRH services among street children include age (aOR=4.51; 95%CI 2.78-7.33), schooling status (aOR=0.34; 95%CI -1.830 0.15-0.76), knowledge of place of care (OR=3.37,95%CI 2.04-5.34) and access to SRH education information (aOR=2.7, 95%CI 1.67- 4.53). Conclusion Rural-urban migration is associated with low SRH service uptake. Access to and use of SRH services among migrant street children is low compared to non-migrant street children. Our findings point to the need for urban health systems to design effective interventions to improve equitable access to and use of quality SRH services among street children while taking into consideration their migration patterns.

scholarly journals Addressing the deprived: need and access of sexual reproductive health services to street adolescents in Ethiopia. The case of Nekemte town: mixed methods study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme
Keyword(s):  
Reproductive Health ◽  
Sexual Behaviors ◽  
Service Providers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Knowledge Gap ◽  
Reproductive Health Services ◽  
Research Knowledge ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Objectives Globally, the research knowledge gap exists in the sexual reproductive health (SRH) services of street adolescents. The intensity of the problem is high in settings like Ethiopia, where there are limited access and integration of services. This study aimed at exploring risky sexual behaviors, needs, and barriers of SRH services among street adolescents in Nekemte town. A community-based cross-sectional study design with mixed approaches was used on a sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for a quantitative study. Quantitative data were analyzed by SPSS version 24.0. Results About 93% of street adolescents reported difficulty in accessing contraceptives. Behavioral change and sustainable access to SRH services are lacking among street adolescents. The Knowledge gap is more evident in early adolescents (10–13) period than the other classes. In general, street adolescents are deprived of access to SRH services. Mobile and flexible access to contraceptives should be designed targeting street adolescents.

scholarly journals Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Ellen Abrafi Boamah-Kaali ◽  
Seyram Kaali ◽  
Grace Manu ◽  
Stephaney Gyaase ◽  
Elisha Adeniji ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Professionals ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Unwanted Pregnancy ◽  
Health Programs ◽  
Reproductive Health Services ◽  
District Health ◽  
Sexually Transmitted

Introduction. Tailoring sexual and reproductive health programs and services to the needs of adolescents will help adolescents make informed decisions and choices regarding their sexual and reproductive health. Objective. To assess the opinions of service providers on tailoring sexual and reproductive health services to the needs of adolescents. Method. A qualitative study using indepth interviews was held among eight decision-makers and service providers in two hospitals within the Kintampo North Municipality and Kintampo South District as well as the Municipal and District Health Directorates in Kintampo North and South between April and May 2011. Results. All respondents expressed the opinion that it is a good idea to tailor sexual and reproductive health services to the needs of adolescents. They admitted that very limited sexual and reproductive health programs targeting adolescent needs were available in the study area. Service providers also reported very low levels of health facilities use by adolescents for sexual and reproductive health information and services. Health professionals attributed the poor sexual and reproductive health services utilization by adolescents to stigma from the society and attitudes of service providers. Conclusion. There are no targeted sexual and reproductive health programmes and services for adolescents. Services providers indicated that it is important to tailor sexual and reproductive health services to the needs of adolescents to prevent stigma, unwanted pregnancy, abortion, and sexually transmitted infections.

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