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

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.

2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on 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 quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.


2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on 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 quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.


2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on 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 quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.


2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on 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 quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.


2019 ◽  
Author(s):  
Kifle Lamade ◽  
Teklemichael Gebru Tesfaye ◽  
Admas Berhanu ◽  
Membere W/tsadik

Abstract Background The risky behaviors of youngsters or youths may further be worsened by the logic that university students are too many in number, lack facilities for sexual and reproductive health services and live away from their parents and free from parental control. To tackle the issue, evidence based intervention like improved access for youth’s friendly reproductive health services is crucial. In Ethiopia, despite the fact that much has been said about sexual and related issues of higher institution students, the assessment of the problem is not widely covered and search for solutions is mostly after the problem become deep-rooted. So, the purpose of this study was to assess the level of risky sexual behaviors among Wolkite University (one of the public higher institute) students. Methods A facility based cross-sectional study was employed using Cluster sampling to identify 1,123 students’ from each college, departments & sections of the colleges in the University, list of clusters (groups) was established with area of study and year of study. To select these clusters, list of cumulative frequencies of number of students was calculated. The total sample size was divided proportionately to the selected clusters and to both sexes (male and female). Accordingly, males and females were selected based on percentages calculated. Finally, a systematic sampling method was applied to select males and females from the cluster selected for the study after dividing the cluster in to male and female groups. Result In this emerging university ever use of substance reportedly was somewhat higher than a quarter, 28.7% (322) from a total of 1123 students. Among students reported ever use of substances, alcohol consumption was the predominant one, 157(14.0%), followed by khat, 57 (5.1%). Conclusion and recommendation The institute needs substantial progress in availing youth friendly reproductive health services as huge number of the youngsters, 225(20%) had risky sexual behavior and currently 7(1.5%) were HIV positive. Moreover, services for youths should be friendly and available with skillful professionals. This can be realized through the effort of tremendous stakeholders in the compound and elsewhere in the country like ministry of education/health or non-governmental organizations.


2013 ◽  
Vol 2013 ◽  
pp. 1-20 ◽  
Author(s):  
Demelash Habtamu ◽  
Addisie Adamu

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.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
A. I. Olugbenga-Bello ◽  
O. A. Adeoye ◽  
K. G. Osagbemi

Introduction. All over the world, numbers of prisoners have being increasing with majority in the sexually active age group; hence diseases such as HIV, Tuberculosis and Hepatitis are more prevalent in prisons than in the community. This study thus aims to provide an overview of the reproductive health status of adult prison inmates in Osun State.Methodology. This is a cross-sectional study among adult inmates in Osun State prison. Data was obtained from 209 selected respondents using pre-tested semi structured questionnaire.Result. Majority of the respondents were in the age group 20–39 years with mean age of30.9+7.5. 73.2% are aware of STIs, 93.3% HIV/AIDS and 81.3% contraception. 54.6% had multiple sexual partners before incarceration and 23.3% of them used condom always. 89.5% were not involved in any sexual practice inside the prison, 9.1% masturbated and 1.4% had homosexual partners. Less than 6% had access to male condoms gotten from prison staffs and prison clinics.Conclusion and recommendation. No comprehensive reproductive health care system to address reproductive health services in prisons. Respondents’ knowledge about STIs, HIV/AIDS and contraception is good, but their condom usage is low compared with the knowledge. Government should put in place specific reproductive health programmes in prisons.


2020 ◽  
Vol 2 (Number 1) ◽  
pp. 7-11
Author(s):  
Shila Rani Das ◽  
Monowar Ahmad Tarafdar ◽  
Md. Saizuddin ◽  
Nadia Begum ◽  
Sultana Begum ◽  
...  

This cross sectional study of fifteen days’ duration was conducted among Married women attending in OPD at Dhamrai Dhaka to know Reproductive Health Practice of Married Women in the Rural Community with a sample size of 100 following purposive sampling technique using pretested semi-structured questionnaire by face to face interview method after taking informed consent. Data were analyzed manually and by using computer. Only 39% respondents were found within age group 20-30 years and 33% completed primary education. Majority the of respondents (79%) were married. This study also found that 39% were housewives and majority (56%) had poor monthly income (TK <10,000). Majority (78%) of respondent’s duration of married life less than or equal to 15 years. This study also revealed that (72%) respondents were found having their first issue less than or equal to 25 years of age. About 40% respondents were found having two children. About 47%, 52% & 25% respondents received advices on healthy diet, personal hygiene and cautions about drug uses respectively during antenatal period. Majority (84%) of respondents were done USG on their routine antenatal care investigation. About 65% respondents delivered their last issue at hospital among them 55% respondents last delivery conducted by qualified doctors. Majority (85%) respondent received TT immunization and 71% respondents were not faced any complication in last delivery and 53% respondents were suffering from problems related to reproductive system and among them abortion (35%), PPH (30%) and perineal tear (20%). Reproductive health practice was still worse among the rural community Effective strategies must be taken to improve reproductive health status of the rural women.


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