scholarly journals Adolescent sexual behaviour in a refugee setting in Uganda

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Paul Bukuluki ◽  
Peter Kisaakye ◽  
Hadijah Mwenyango ◽  
George Palattiyil
Keyword(s):  
Reproductive Health ◽  
Sexual Behaviour ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Binary Logistic Regression ◽  
Low Income Countries ◽  
Reproductive Health Services ◽  
Binary Logistic Regression Model ◽  
Adolescent Refugees ◽  
Standing Up

Abstract Background Children under 18 years old constituted more than half (52%) of the refugee population in 2017. Adolescent Sexual and reproductive health is an essential component of primary health care. Yet, not every refugee adolescent is able to access sexual and reproductive health services. Methods Using quantitative data from 356 refugee adolescents and qualitative data (17 in-depth interviews and nine key informant interviews), we examine refugee adolescent sexual behaviour in Bidibidi settlement—the largest refugee settlement in Uganda using a binary logistic regression model. Results The results show that 25% of refugee adolescents in Bidibidi refugee settlement had ever had sex. After controlling for all factors, results show that refugee adolescents aged 16–18 years (OR  =  3.47; 95% CI  =  1.09–10.94), males (OR  =  17.59; 95% CI  =  4.48–69.07), not in school (OR  =  14.57; 95% CI  =  2.20–96.35) were more likely to engage in sexual behaviour than their counterparts. Refugee adolescents who do not agree that a girl cannot get pregnant if she has sex while standing up (knowledge about getting pregnant) were significantly less associated with sexual behaviour (OR  =  0.30; 95% CI  =  0.10–0.85). Conclusions Results from this study show that keeping refugee adolescents in school and providing sexual and reproductive health information are likely to delay refugee adolescents’ engagement in sexual behaviour. Therefore, there is need to promote keeping refugee adolescents in school in order to improve sexual and reproductive health of adolescent refugees living in low-income countries such as Uganda.

scholarly journals Sexual and Reproductive Health Services Utilization and Associated Factors among College Students at West Arsi Zone in Oromia Region, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Demelash Wachamo ◽  
Yadessa Tegene ◽  
Abdisa Tibeso ◽  
Assefa Washo
Keyword(s):  
College Students ◽  
Reproductive Health ◽  
Low Income ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Transmitted Disease ◽  
Low Income Countries ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Arsi Zone

Background. Young people are challenged with sexual and reproductive health (SRH) problems due to limited access to services and information. It contributes a high burden of sexually transmitted disease, unsafe abortion, and premature mortality, especially in low-income countries like Ethiopia. Hence, this study aimed at assessing the SRH service utilization and associated factors among college students at West Arsi Zone in Oromia region, Ethiopia. Methods. Institutional-based cross-sectional study was conducted among 519 randomly selected college students from January 01, 2019, up to April 30, 2019. Data were collected through self-administered pretested questionnaires. Data entry and analysis for descriptive and logistic regression models were performed by using SPSS (version 23). The result was declared as statistically significant at p < 0.05. Results. The utilization of at least one SRH service in the last twelve months was seen in 304 (58.6%) students. Mainly information and counseling (81.3%), voluntary testing and counseling for HIV (80.6%), condom service (37.2%), pregnancy test (35.5%), family planning services (33.2%), and abortion care services (26.0%) were most frequently utilized. The students’ aged between 20 and 24 years [AOR = 2.05, 95% CI: 1.38–3.06], female students [AOR = 1.92, 95% CI: 1.30–2.82], those not living with family [AOR = 1.54, 95% CI: 1.05–2.26], those who discussed about SRH with family/friends [AOR = 1.92, 95% CI: 1.31–2.82], and those who participated in school clubs [AOR = 1.75, 95% CI: 1.19, 2.58] more frequently used SRH service compared with their counterparts. Conclusions. The utilization of SRH services was low when compared with other studies and needs improvements to tackle RH-related problems. It requires pertinent health education and the SRH club at higher educational institutions is crucial.

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

scholarly journals Mental Wellbeing and Self-reported Symptoms of Reproductive Tract Infections among Girls

2017 ◽  
Vol 52 ◽  
pp. 29-41
Author(s):  
Sushama A. Khopkar ◽  
Sangita Kulathinal ◽  
Suvi M. Virtanen ◽  
Minna Säävälä
Keyword(s):  
Reproductive Health ◽  
Low Income ◽  
Reproductive Tract ◽  
Mental Wellbeing ◽  
Low Income Countries ◽  
Service Development ◽  
Western India ◽  
Reproductive Health Services ◽  
Reproductive Tract Infections ◽  
Tract Infections

This study examined the self-reported mental wellbeing among slum-dwelling adolescents in Western India and asked whether adolescent postmenarcheal girls’ mental wellbeing and self-reported symptoms suggestive of reproductive tract infections (RTIs) were associated. A sub-section of a cross-sectional personal interview survey among unmarried 10–18-year-old adolescents (n= 85) in a slum in the city of Nashik was analyzed. Logistic regression models were used to assess the associations between sociodemographic variables, physical health indicators, and adolescent postmenarcheal girls’ mental wellbeing. Nearly every other postmenarcheal girl reported having experienced symptoms suggestive of RTIs during the last twelve months. Adolescent postmenarcheal girls’ mental health and some aspects of somatic health appear to be closely interrelated. Understanding the relationship between adolescent mental wellbeing and reproductive health in low-income countries requires further investigation. Health service development in growing informal urban agglomerations in India and beyond should provide combined mental and reproductive health services for adolescents.  

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 Impact of the Pandemic on Sexual and Reproductive Health Services in Low Income Countries with Reference to Nepal

Patan Pragya ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 197-209
Author(s):  
Thuma Kumari Poudel
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Pregnant Women ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Health Centre ◽  
Unwanted Pregnancy ◽  
Reproductive Health Services ◽  
Increased Risk ◽  
The Impact

Access to reproductive health services saves women for safe sex, safe pregnancy and child birth. This paper intends to analyze the impact of pandemic on reproductive health services during one decade 1920-2020 B.S. To achieve the above mentioned objective, descriptive method is used. Data are collected from secondary sources and major biggest pandemic of one hundred years which have larger impact on public health including reproductive health and large scale of mortality. The history of pandemic shows that service delivery of reproductive health to women was seriously affected during pandemic period. There was difficult to achieve basic health facility to pregnant women during pandemic period, they also face problems to achieve reproductive health services. The influenza   affects to the pregnant women. They were severely ill during their pregnancy. There was a negative impression with health providers and pregnant women at health centre at the time of providing sexual and reproductive health services during the Ebola virus. The Zika virus effects on women's sexual and reproductive rights. The reproductive health services became at more serious cases at the time of HIV/AIDS pandemic. Pregnant women, infants and young children had serious impact of H1N1 virus. Women are facing problems to get reproductive health services like access of family planning, abortion care and other infectious diseases during Covid-19 periods. These problems also increased risk to unwanted pregnancy, risk of unsafe abortion and risk of STDs to the women. Women were facing lacking of sexual and reproductive health services due to the lockdown, physical distance, travel restrictions and economic slowdown during covid-19 pandemic.

scholarly journals Starting at the Roots: Using Human-Centered Design to Develop a Sex and Pregnancy Education Curriculum for Adolescents in Kenya

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Sean Buehler, BSPH ◽  
Julie Thorne, MD, MPH
Keyword(s):  
Reproductive Health ◽  
Adolescent Pregnancy ◽  
Low Income ◽  
Creative Thinking ◽  
Sexual And Reproductive Health ◽  
Target Population ◽  
Low Income Countries ◽  
Human Centered Design ◽  
Team Members ◽  
New Research

The rate of adolescent pregnancy worldwide remains unacceptably high. Sixteen million adolescent girls between the ages of 15 and 19, and 2 million under the age of 15 become pregnant each year. Ninety-five percent of these births occur in low-income countries, with four times the rate of adolescent pregnancy in the poorest regions of the world compared to high-income countries. There has been a shift globally to focus on the sexual and reproductive health needs of adolescents, including adolescent pregnancy. With increased awareness of this need has come a renewed call for evidence-based provision of adolescentfocused sexual and reproductive health (ASRH) services, as well as programs to prevent pregnancy in this age group. “Human-centered design” methodology is emerging as an innovative, feasible, and effective participatory approach to program design and implementation in health care. The standard Human Centered Design format includes 5 steps: (1) Understand people’s experiences, challenges, and priorities; (2) Use existing knowledge and new research to define and clarify the problem; (3) Prompt creative thinking to design many different solutions; (4) Build and workshop prototypes of ideas to quickly learn how they can be improved; and (5) Deliver solutions that meet the needs of the target population. Through this process, design team members identified a need to “help adolescents by removing the uncertainty that surrounds information on pregnancy and treatment choices”. To meet this need, we utilized participatory program development to build an adolescent-specific sex and pregnancy education program at Moi Teaching and Referral Hospital in Eldoret, Kenya.

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