scholarly journals Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia

2021 ◽  
Vol 12 ◽  
pp. 215013272110189
Author(s):  
Shewangizaw Hailemariam ◽  
Lidiya Gutema ◽  
Wubetu Agegnehu ◽  
Msganaw Derese
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Exploratory Study ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Service ◽  
Cultural Barriers ◽  
Early Marriage ◽  
Community Based ◽  
Sexual Reproductive Health ◽  
Out Of School

Introduction Due to the limited access to sexual and reproductive health service, out-of-school-adolescents become at a higher risk for early marriage, early pregnancy early parenthood, and poor health outcomes over their life course. Hence, the aim of this study was to explore the challenges faced by female out-of-school adolescents in accessing sexual and reproductive health service in Bench-Sheko zone. Methods A community-based qualitative exploratory study was carried out from November 01/2020 to December 01/2020 among selected out-of-school adolescents residing in rural and urban districts of Bench-Sheko Zone, and healthcare professionals working in the local health centers. FGD participants and healthcare providers were purposely selected for this study. Eight focus group discussions and 8 in-depth interviews were conducted among female out-of-school adolescents, and health care professionals, respectively. Result The study revealed that out-of-school adolescents encounter several challenges in accessing sexual reproductive health service which includes socio-cultural barriers, health system barriers, perceived legal barrier, inadequate information regarding sexual reproductive health service, and low parent-adolescent communication. Conclusion The finding suggests the need to engage community influencers (religious leaders, community leaders, and elders) in overcoming the socio-cultural barriers. Program planners and policy makers have better make an effort to create adolescent friendly environments in SRH service areas. Furthermore, implementing community-based awareness raising programs, parental involvement in sexual reproductive health programs, and encouraging parent-adolescent communication on sexual reproductive health issues could improve sexual reproductive health service utilization by out-of-school adolescents in the study area.

scholarly journals Youth Reproductive Health Service Utilization and Associated Factors among Amhara Region Female Night Students, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tewachew Muche Liyeh ◽  
Yitayal Ayalew Goshu ◽  
Habtamu Gebrehana Belay ◽  
Habtamu Abie Tasew ◽  
Gedefaye Nibret Mihiretie ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Service ◽  
Health Issues ◽  
Reproductive Health Services ◽  
Amhara Region

Introduction. Youth is a decisive age to shape the direction of their life and that of their family. However, due to the host of biological, social, and economic factors, adolescent females can be at high risk of adverse sexual and reproductive health outcomes. Therefore, assessing youth reproductive service utilization and associated factors among female night students is very crucial for timely intervention to their gaps. Method. An institutional-based cross-sectional study design was conducted in Amhara region among 2,050 female night students from September 15 to November 15, 2018. A self-administered pretested questionnaire was used to collect the data. Bivariate and multivariable logistic regression models were used. Odds ratio with 95% confidence interval was computed to determine the strength of association between predictor and outcome variables. P value less than or equal to 0.05 is considered as the level of significance. Results. Out of the total respondents, about 54.6%(CI: 52.5%-56.8%) of them utilized reproductive health services. Respondents who were attending secondary education ( AOR = 2.55 , 95 % CI = 1.97 ‐ 5.62 ), attitude towards youth reproductive health services ( AOR = 2.74 , 95 % CI = 2.07 ‐ 5.30 ), those who had a habit of communicating on sexual and reproductive health issues with their family ( AOR = 3.66 , 95 % CI = 3.59 ‐ 7.41 ), discussion on sexual and reproductive health issue with peers/friends ( AOR = 1.43 , 95 % CI = 1.01 ‐ 2.02 ), respondents with good knowledge on youth reproductive health services ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ), and those who had faced reproductive health problems ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ) were significantly associated with youth reproductive health service utilization. Conclusion. Youth reproductive health service utilization among female night students was not satisfactory. Therefore, special focus should be given to female night students by providing accessible, acceptable, confidential, flexible, and friendly reproductive health service utilization. Finally, community health promotion and education are mandatory to promote the practice of discussing youth reproductive health issues with their children.

scholarly journals Uptake of Sexual And Reproductive Health Services and Associated Factors Among Rural Adolescents in Southern Ethiopia, 2020

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Logistic Regression ◽  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Sexual And Reproductive Health ◽  
Burden Of Illness ◽  
Reproductive Health Service ◽  
Southern Ethiopia ◽  
Reproductive Health Services

Introduction: Although 25% of Ethiopia’s population is an adolescent cohort of age 15-19 yrs, the Adolescent Sexual and Reproductive Health Service (ASRH) service utilization has not been adequately researched and addressed, and, therefore, they have had to deal with multiple reproductive health problems. Therefore, assessing the determinants of sexual and reproductive health service uptake in this age group is critical to boosting service use and, in doing so, reducing the burden of illness and disability among adolescents. And so, the motivation at the rear of this research was to look into the level of sexual and reproductive health services utilization and to find out determinants among adolescents who reside in rural districts of Guraghe zone, southern Ethiopia. Methods: A community-based cross-sectional study was undertaken from May 1-30, 2020. A multi-stage method of sampling was employed. A total of 1028 adolescents have been randomly chosen and participated in the study. Pre-tested structured questionnaires were used for data collection. The data was encoded and entered into Epi-Data version 3.1 and exported for analysis to SPSS version 23. A bivariable logistic regression analysis was conducted, and variables with a p-value less than 0.25 were considered candidates for a multivariable logistic regression model. In multivariate logistic regression, variables with p-values <0.05 were declared as statistically significant. Results: of the sampled 1028 participants, 1009 took part in the study and yielded a response rate of 98.1%. The study found that 281 (27.8%) of adolescents received sexual and reproductive health services. Accordingly, among these SRH service users (n = 281), provision of SRH information and education was the most common item received by 171(60.8%) of adolescents whereas relatively few respondents 32(11.4%) got safe and /or postabortion care. Variables that became important determinants of SRH service utilization were; taking part in peer education (AOR:2.07; 95%CI:1.46-2.94), parental discussion (AOR:3.94; 95%CI:2.77-5.60), availability of youth clubs (AOR:3.15; 95%CI:2.22-4.49), and being knowledgeable on SRH issues (AOR:3.48; 95%CI: 2.44-4.96). Conclusion: In the study area, sexual and reproductive health service utilization was low. Since most adolescents are enrolled in school, schools can be an excellent way to increase adolescents’ awareness of SRH services through behavioral change communication (BCC). Furthermore, special attention should be given to promoting discussion between parents and adolescents and the creation and strengthening of youth clubs as important steps to improving the use of Sexual and reproductive services for adolescents by the relevant stakeholders.

scholarly journals Sociocultural Relevance of Communication Strategies of Adolescent Sexual and Reproductive Health Programmes in Mozambique: A Study of Programa Geraçao Biz Activities in Nampula Province

Afrika Focus ◽  
2020 ◽  
Vol 33 (1) ◽  
Author(s):  
Lurdes Da Silva
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Mother Tongue ◽  
Participant Observation ◽  
Communication Strategies ◽  
Cultural Barriers ◽  
Early Marriage ◽  
Open Communication ◽  
Cultural Challenges ◽  
Effective Delivery

Adolescent sexual and reproductive health (ASRH) challenges in Mozambique include early marriages, early pregnancies and HIV/AIDS. In 1999 the Programa Geração Biz (PGB) was created to address youths’ problems and improve their sexual and reproductive health (SRH). However, studies show Mozambican youths continue to be exposed to risks related to their SRH. Mozambique is a multicultural country but only 40% of Mozambicans speak Portuguese, the official language, while 93.5% of the population uses a Bantu language as their mother tongue. This raises an important issue – should PGB communication strategies (CS) take into account the country’s complex cultural reality? Studies recognise the role of culture in enhancing effective delivery of communication programmes. Concurrently, studies point to a lack of research analyzing CS of health campaigns. This paper’s aims are: (i) to examine PGB communication strategies; (ii) identify cultural challenges to these strategies; and (iii) determine the implications of these impediments for the PGB. Research methods included non-participant observation, in-depth interviews and focus group discussions. Research questions were based on the McGuire Communication/Persuasion Model, and data analyzed thematically using Nvivo Pro11. Results revealed the following: (i) interpersonal methods are used to deliver preventive messages, with sociocultural approaches often ignored or not used to reduce cultural barriers; (ii) cultural challenges identified include initiation rites, taboos surrounding sexuality, language and health terminologies, and parents’ attitudes towards early marriages; and (iii) these factors hinder effective delivery of programme messages. The conclusion is that the CS used by PGB does not sufficiently take into account the Mozambican sociocultural context. Taboos around sexuality have silenced open communication in this regard. Ideas of sexual abstinence, condom use and campaigns against early marriage stand in opposition to certain orientations of traditional initiations. KEY WORDS: COMMUNICATION STRATEGIES, SEXUAL AND REPRODUCTIVE HEALTH, PROGRAMA GERAÇÃO BIZ, McGUIRE’S COMMUNICATION/PERSUASION MODEL, CULTURAL CHALLENGES

Audit of patient retention in pre-exposure prophylaxis (PrEP) services in an integrated sexual reproductive health service setting

2019 ◽  
Vol 30 (14) ◽  
pp. 1432-1435
Author(s):  
Eleanor Cochrane ◽  
Carys Knapper
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Perceived Risk ◽  
Reproductive Health Service ◽  
Health Board ◽  
Sexual Reproductive Health ◽  
Sex With Men ◽  
Exposure Prophylaxis ◽  
Lost To Follow Up

Pre-exposure prophylaxis (PrEP) for HIV in Wales was launched in July 2017. We set up a PrEP service delivered via our integrated sexual reproductive health service in Aneurin Bevan University Health Board (ABUHB), south east Wales. Public Health Wales (PHW) data show a 22% ‘lost to follow-up’ rate amongst Welsh PrEP patients. Over 18 months, 278 patients booked into ABUHB PrEP clinics. Of these, 275 were men who have sex with men (MSM). One hundred and ninety-three patients commenced PrEP, 5 were diagnosed with HIV at baseline, 42 did not attend their first appointment. The remainder declined PrEP. Of those commenced on PrEP, 51.7% had reduced clinic attendances; all were MSM. Patients with reduced attendances were more likely to be younger (mean age 33 vs. 37 years), reside outside ABUHB catchment area (56.4% vs. 49.6%) and have mental health issues (28.6% vs. 18.8%), but were less likely to disclose substance misuse (24.2% vs. 27.1%) than those attending in line with operational guidance. Of the 63 patients who stopped attending the PrEP clinic, 32.3% (21) had documented reasons, the most common being reduced self-perceived risk. This is the first evaluation of reasons why patients stop attending as well as risk factors associated with those lost to follow-up in PrEP services in Wales.

scholarly journals Implementation of a sexual and reproductive health service integration model: South African providers’ reports

2019 ◽  
Vol 6 (1) ◽  
pp. 1592740 ◽  
Author(s):  
Cecilia Milford ◽  
Mags Beksinska ◽  
Letitia Rambally Greener ◽  
Zonke Mabude ◽  
Jennifer Smit ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
South African ◽  
Sexual And Reproductive Health ◽  
Service Integration ◽  
Reproductive Health Service ◽  
Integration Model
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