scholarly journals Assessment of access and utilization of adolescent and youth sexual and reproductive health services in western Ethiopia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Temesgen Tilahun ◽  
Tariku Tesfaye Bekuma ◽  
Motuma Getachew ◽  
Assefa Seme
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Qualitative Inquiry ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
History Of ◽  
Western Ethiopia

Abstract Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess factors associated with the utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youth aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service providers, focus group discussions, and observation checklists of service units in the study facilities. Data were analyzed thematically. Results The mean age of participants was 18.99 years (SD ± 2.49). Two hundred seventeen (28.1%) of participants reported that they have ever heard about adolescents' and youth’s reproductive health services. Only 66 (8.6%) have ever visited health facilities for sexual and reproductive health (SRH) services. Factors associated with the utilization of sexual and reproductive health service were age from 15 to 19 years (AOR = 0.36; 95%CI: 0.17, 0.76), history of having sexual intercourse(AOR = 5.34;95%CI: 2.53, 11.23), ever heard about sexual reproductive health service (AOR = 11.33; 95%CI: 5.59, 22.96), and visited a health facility for other health services (AOR = 5.12; 95%CI:1.72,15.24). Conclusion Sexual and reproductive health service utilization among adolescents and youth was found to be low. The factors associated with adolescents and youth sexual and reproductive health services utilization were age, history of ever having sexual intercourse, ever heard about SRH services, and visit the health facility for other services. Therefore, it is better if the concerned bodies work on improving awareness of adolescents and youth towards SRH services and integrating these services into other routine services.

scholarly journals Assessment of access and utilization of Adolescent and Youth Sexual and Reproductive Health services  in Western Ethiopia

2021 ◽  
Author(s):  
Temesgen Tilahun ◽  
Tariku Tesfaye Bekuma ◽  
Motuma Getachew ◽  
Assefa Seme
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Qualitative Inquiry ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
History Of ◽  
Western Ethiopia

Abstract Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess access and utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youths aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face to face interview using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service providers, focus group discussions, and observation checklists of service units in the study facilities. Results The mean age of participants was 18.99 years (SD ± 2.49). Two hundred seventeen (28.1%) of participants reported that they have ever heard about adolescents and youths' reproductive health services. Only 66 (8.6%) have ever visited health facilities for sexual and reproductive health (SRH) services. Factors associated with the utilization of sexual and reproductive health service were age from 15 to 19 years (AOR = 0.36;95%CI:0.17,0.76), history of having sexual intercourse(AOR = 5.34;95%CI: 2.53,11.23), ever heard about sexual reproductive health service (AOR = 11.33; 95%CI: 5.59, 22.96), and visited a health facility for other health services (AOR = 5.12; 95%CI:1.72,15.24). Conclusion Sexual and reproductive health service utilization among adolescents and youths was found to be low. The factors associated with adolescents' and youths' sexual and reproductive health services utilization were age, history of ever having sexual intercourse, ever heard about SRH services, and visit of health facility for other services. Therefore, it is better if the concerned bodies work on improving awareness of adolescents and youths towards SRH services and integrating these services into other routine services.

scholarly journals Utilization status of sexual and reproductive health services among high school students in assosa zone; western ethiopia, 2021.

2021 ◽  
Author(s):  
Hunduma Dina Hambisa ◽  
Simachew Kassa ◽  
Shumiye Shiferaw
Keyword(s):  
High School ◽  
High School Students ◽  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
School Students ◽  
Western Ethiopia

Abstract Introduction: - Sexual and reproductive health service is critical for youths; because it does not only set the stage for health beyond the reproductive years; it also affects the health of the next generation. Youth is one of life’s most fascinating and complex life stages and accompanied by special sexual and reproductive health needs.Objective: - This study was aimed to determine; utilization status of sexual and reproductive health services and associated factors among high school students in Assosa Zone Western Ethiopia. Methods: - School-based quantitative cross sectional study was carried out among all students from systematically selected in high school of Assosa Zone. Total of 400 samples were proportionally allocated for the stratum and eligible students in were interviewed. Pretested structured questionnaires were employed to obtain quantitative data. The collected data was interred into Epidata version 3.1 and analysed using SPSS version 25 software.Results: - Over all utilization of sexual and reproductive health services by youth students was 32% in the past six months. Counseling services was the major (33.6%) service utilized and Private clinic was the major 73% place of sexual and reproductive health service utilized. Having pocket money [95 %CI (AOR=2.81(2.35, 5.09)], being sexually active [95 %CI (AOR=1.82(1.25, 3.26)], parental discussion [95 %CI (AOR=2.78(1.59, 4.67)], peer education was also significantly associated with utilization of sexual and reproductive health services. Conclusions: - Over all utilization of sexual and reproductive health service among youth students in the past six months was 32%. To improve youth’s sexual and reproductive health service utilization; increasing accessibility, awareness creation at all levels as well as making the service confidential should be interventional areas.

scholarly journals Reproductive health service utilization and associated factors among adolescents at public school in Adama town east Shewa Ethiopia; 2018

2020 ◽  
Author(s):  
Abenet Menene Gurara ◽  
Admasu Belay Gizaw ◽  
Awoke Koyachew Ayalew ◽  
Aliye Kediro Adem
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Health Service Utilization ◽  
Associated Factors ◽  
Health Services Utilization ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Services Utilization ◽  
Factors Associated

Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia. Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service. Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important.

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 Utilization of Reproductive Health Services and associated factors among secondary school students in Woldia Town, Northeast Ethiopia, 2020

2020 ◽  
Author(s):  
Teshome Gebremeskel ◽  
Biruk Beletew
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Secondary School ◽  
Associated Factors ◽  
Secondary School Students ◽  
Dropout Rate ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
School Students

Abstract Background: Despite policy actions and strategic efforts made reproductive health service uptake of youths in Ethiopia, its utilization remains low. Local evidence about the utilization of reproductive health service among adolescents and associated factors are relevant to design age-appropriate intervention strategies. Objective: The main aim of this study was to assess the utilization of reproductive health service and associated factors among adolescents in Woldia town secondary schools, Amhara, Ethiopia, 2019.Methods: Institutional based descriptive cross-sectional study was conducted on 420 secondary school students in Woldia Town from January - June 2019. A self-administered, structured questionnaire was used to collect the data. The samples were distributed proportionally and participants in each school were selected by systematic sampling technique. Bivariate and multivariable logistic regression was carried out to asses’ association between dependent and independent variables. Result: Two hundred seventy (64.3%) respondents utilize reproductive health service. Residence, educational status of the partner, presence of RHS facility in school, good knowledge level on RHS were significantly associated with the reproductive health services utilization. Conclusion and Recommendations: Knowledge of respondents on reproductive health issues in the study area was found to be low. This low service utilization might make students disposed to different reproductive health risks; STI, HIV, and unwanted pregnancy; which in turn can increase the school dropout rate, and have an impact on an individual’s future life.

scholarly journals Technical Efficiency of Maternal and Reproductive Health Services in Public Hospitals of Oromia Regional State, Ethiopia

2019 ◽  
Vol 12 ◽  
pp. 117863291983763 ◽  
Author(s):  
Kiddus Yitbarek ◽  
Ayinengida Adamu ◽  
Gebeyehu Tsega ◽  
Yibeltal Siraneh ◽  
Belay Erchafo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Technical Efficiency ◽  
Reproductive Health Service ◽  
Public Hospitals ◽  
Maternal Health Service ◽  
Reproductive Health Services ◽  
Catchment Population ◽  
Regional State

As the Ethiopian health system faced critical resource constraints, wise use of the available health resources is a priority agenda. Therefore, our study aimed to assess technical efficiency of maternal and reproductive health services in public hospitals of Oromia regional state, Ethiopia. Two-stage data envelopment analysis was performed among 14 hospitals with input orientation and variable returns to scale assumptions. Technical efficiency scores were computed at the first stage, and predictors were determined using Tobit regression at the second stage. The assessment revealed that 12 (85.7%) hospitals were pure technical efficient and 9 (64.29%) hospitals were scale efficient. Level (primary/general) (β = 1.17, 95% confidence interval [CI] = 0.16-2.18), service years (β = 0.02, 95% CI = 0.003-0.03), and size of catchment population (β = 5.58E–07, 95% CI = 2.95E–08 to 1.09E–06) were positively associated with technical efficiency of maternal and reproductive health service, whereas average waiting time for maternal health service (β = –0.03, 95% CI = –0.05 to −0.01) was negatively associated with efficiency. In conclusion, most of the hospitals were technically efficient and around two-thirds were operating scale efficient. Allocation of more resources to older secondary hospitals with larger catchment population could result in more efficient use of resources for maternal and reproductive health service delivery.

scholarly journals Utilization of Reproductive Health Services and Associated Factors among Secondary School Students in Woldia Town, Northeast Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Teshome Gebremeskel Aragie ◽  
Biruk Beletew Abate
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Secondary School ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Secondary School Students ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
School Students

Background. Reproductive health is a universal concern but it has special importance for women particularly during the reproductive year. Although policy actions and strategic efforts made reproductive health service uptake of youths in Ethiopia, still its utilization remains low. Adolescence is not quite capable of understanding complex concepts. This makes them vulnerable to sexual exploitation and high-risk sexual behaviors and reproductive health problems. Objective. The aim of this study was to assess the utilization of reproductive health services and associated factors among adolescents in Woldia town secondary schools, Amhara, Ethiopia, 2019. Methods. An institutional-based descriptive cross-sectional study was conducted on 420 secondary school students in Woldia Town from January to June 2019. A self-administered, structured questionnaire was used to collect the data. The samples were distributed proportionally, and participants in each school were selected by the systematic sampling technique. Bivariable and multivariable logistic regression was carried out to assess the association between dependent and independent variables. Result. Out of 420 students participated in this study, 270 (64.3%) of the respondents utilize reproductive health service. Residence (AOR = 4.40, 95%CI (1.23, 9.362)), educational status of the partner (AOR = 2.66, 95%CI (2.35, 5.24)), presence of RHS facility in school (AOR = 2.53, 95%CI (1.57, 4.06)), and good knowledge level on reproductive health services (AOR = 1.77, 95%CI (1.14, 2.75)) were significantly associated with reproductive health service utilization. Conclusionand Recommendations. Knowledge of respondents on reproductive health utilization in the study area was found to be low. Students who were from rural families have low utilization of reproductive health services. This low service utilization in these students might be disposed to different reproductive health risks such as sexually transmitted infections, HIV/AIDS, and unwanted pregnancy, which in turn can increase the school dropout rate and have an impact on an individual’s future life. However, students who have good knowledge and were encouraged by their friends have good reproductive health service utilization. Therefore, it needs a great effort and attention of all concerned bodies including parents, school staff, and health professionals to improve service utilization in schools.

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