scholarly journals Autonomy in the reproductive health of quilombolas women and associated factors

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Elionara Teixeira Boa Sorte Fernandes ◽  
Sílvia Lúcia Ferreira ◽  
Cláudia Suely Barreto Ferreira ◽  
Eliene Almeida Santos

ABSTRACT Objective: Identify the level of reproductive autonomy of quilombola women and associate it with sociodemographic characteristics and aspects of sexual and reproductive health. Methods: Cross-sectional census study carried out in quilombola communities in a municipality in Bahia. Data was collected through questionnaires from the National Health Survey and the Reproductive Autonomy Scale, applied to quilombola women who agreed to participate. Descriptive statistics procedures were used and associations were made between reproductive autonomy scores and sociodemographic and reproductive characteristics. Results: The average total score for reproductive autonomy was 2.06. An association was found between the “decision-making” score and marital status. The score for “total reproductive autonomy” was associated with the use of contraceptive method. Conclusion: The reality of the study participants converges with the literature regarding the interference of sociodemographic and reproductive factors in the reproductive autonomy of black women.

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Demelash Wachamo ◽  
Yadessa Tegene ◽  
Abdisa Tibeso ◽  
Assefa Washo

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.


2019 ◽  
Vol 1 (4) ◽  
pp. 1-15 ◽  
Author(s):  
Niguse Mengesha Habte ◽  
Abulie Takele Melku ◽  
Mulusew Teshome Alemayehu

Background Adolescents is the transition from childhood to adulthood .Which is a time of opportunity, but also one of risk. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time related to many parents not feeling happy to discuss sexual matters in addition to early sexual commencement among adolescents. Objective This study was intended to assess parent-adolescent communication on sexual and reproductive health matters and associated factors among secondary and preparatory school students in Robe Town, Bale Zone, South East Ethiopia, 2017. Methods Institution based cross sectional study was conducted among 394 secondary and preparatory school students in Robe town from April 10-25, 2017. Simple random sampling technique was used. Data was obtained through the use of a self administered questionnaire and supplemented by focus group discussion with parents. Data was entered using Epi Data 3.1 and analyzed by SPSS 20. Descriptive statistics and logistic regression analyses were done. Data quality was assured through careful questionnaire design, pretest and training. Results One hundred eighty six (47%) of the study participants had discussed at least two SRH issues with their parents. Grade eleven students were about nearly five times more likely discussed on sexual and reproductive matters with their parent compared with grade nine students (AOR: 4.88, 95% CI: 1.76, 13.54). Those living with relatives were 3.13 times less likely discussed as compared to those students are living with both parents (AOR: 0.32, 95%CI: (0.12, 0.80) and the odds of discussion on SRH matters is 2 times higher among females compared with their counterpart (AOR=2.02, 95% CI: 1.25, 3.26). Conclusions Communication on sexual and reproductive health matters between adolescent and parent was low. Majority of student preferred to discuss with their peers than parent. Being ashamed, parents lack of communication skill and parent knowledge on SRH issues were the major reasons mentioned by the students for not discussing about SRH matters with their parents. Therefore; comprehensive family life education needs to be initiated for the students and parents. Sexual information exchange between peers needs to be strengthened.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Shibiru Bikila ◽  
Nagasa Dida ◽  
Gizachew Abdissa Bulto ◽  
Bikila Tefera Debelo ◽  
Kababa Temesgen

Background. Sexual and reproductive health (SRH) communication is most likely to promote healthy sexual practices and to reduce risky sexual behavior among adolescents. Communication is the principal means for parents to transmit sexual values and knowledge to their children. Although there are few studies conducted on parent-adolescent communication, there is no study conducted in the town of Ambo. This study was aimed at assessing the level of parent-adolescent communication on SRH issues and its associated factors among school students in Ambo town, Oromia, Ethiopia. Method. An institution-based concurrent mixed-method cross-sectional study was conducted among 591 secondary and preparatory school students in Ambo town from February 24th to March 9th, 2019. A systematic sampling technique was used to select the study subject. Data were collected through self-administered questionnaires, and FGD was conducted with parents of students. Data was entered using EpiData version 3.1 and exported to SPSS version 23.0 for statistical analysis. Binary and multivariable logistic regression analyses were used to ascertain the association using a 95% confidence interval (CI) and p value (<0.05). Results. The proportion of students who had communication on sexual and reproductive health issues with their parents was 222 (37.6%). Being female ( AOR = 2.07 , 95% CI: 1.40-3.07), private school ( AOR = 2.77 , 95% CI: 1.17-3.69), a father with secondary education ( AOR = 2.93 , 95% CI: 1.05-8.12) and diploma and above ( AOR = 3.27 , 95% CI: 1.23-8.71), considering sex education necessary ( AOR = 2.83 , 95% CI: 1.22-6.57), got information about SRH issues from school ( AOR = 2.01 , 95% CI: 1.06-2.36) and media ( AOR = 2.92 , 95% CI: 1.49-3.71), and mother’s openness to communicate about SRH issues ( AOR = 3.30 , 95% CI: 1.31-4.05) were found to be significantly associated with parent-adolescent communication on SRH issues. Conclusions. The study showed that parent-adolescent communication on SRH issues is low. Being female, those from a private school, father’s education, perceived importance of sex education, source of information about SRH issues (school and media), and mother’s openness to communicate about SRH issues were identified to be factors associated with the communication. Therefore, the concerned body should consider the identified factors to improve the current level of parent-adolescent communication and adolescent reproductive health.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Maru Mekie ◽  
Wubet Taklual ◽  
Abenezer Melkie ◽  
Dagne Addisu

Abstract Objective This study was aimed to assess parental communication on sexual and reproductive health (SRH) issues and its associated factors among preparatory school students in Debre Tabor, Northcentral Ethiopia. Institution based cross sectional study was employed among 394 preparatory school students through self-administered questionnaire. Result A total of 394 students were participated in the study with a response rate of 100%. The magnitude of parental communication on SRH issues was found to be 68.5%, (95% CI (63.7, 72.8)). Low grade (AOR = 0.31, 95% CI (0.17, 0.58)), feel embraced to discuss about SRH issues (AOR = 0.31, 95% CI (0.17, 0.56)), and living with mother/father (AOR = 0.15, 95% CI (0.06, 0.36)) were associated with reduced parental communication on SRH. While, family size < 5 (AOR = 2.46, 95% CI (1.25, 4.84)), and believe on the importance of discussion on SRH (AOR = 10.83, 95% CI (5.07, 23.17) were found to be associated with increased communication about SRH issues. Health education shall be given to preparatory school students on importance of discussion on SRH issues and related consequences of risky sexual behaviors.


2021 ◽  
Vol 121 (2) ◽  
pp. 150-160
Author(s):  
Seteamlak Adane Masresha ◽  
Gedefaw Diress Alen

PurposeThe purpose of this paper is to assess the magnitude of parent-adolescent communication on sexual and reproductive health (SRH) issues and its association with gender and premarital sexual practice among school adolescents of Woldia town.Design/methodology/approachSchool-based cross-sectional study was conducted on 368 unmarried secondary and preparatory school adolescents (15–19 years) in Woldia town. Simple random sampling was employed to select study participants. Self-administered questionnaire was used. Data were entered by EPI-Data version 3.0.2 and analyzed by using SPSS version 20.FindingsIn this study, 56.3% of school adolescents had parental communication on sexual and reproductive health issues. The result of this study showed that adolescents who had history of sexual intercourse where 64% less likely to communicate with parents on sexual and reproductive health issues (AOR: 0.36 95% CI: 0.20, 0.65), but there was no association between gender and sexual and reproductive health communication between adolescent and parent (AOR: 1.06, 95% CI: 0.64, 1.75).Originality/valueParent-adolescent communication about sexual matters is one of the means that encourages adolescents to adopt responsible sexual behavior. Many children in Africa are uncomfortable to have a communication about sexual and reproductive health issues with their parents because the subject is a taboo topic in most homes.


Author(s):  
Sushma Pokhrel ◽  
Susmita Nepal ◽  
Prajita Mali ◽  
Swechhya Baskota ◽  
Richa Aryal ◽  
...  

Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents.  Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and was found to be strongly associated with availability of services within 30 minutes of walking distance (p value=0.001), interaction with parents (p-value: 0.02) and with sexually being active within 12 months (p value=0.001). Utilization of SRH services was slightly higher among females (19.8%) compared to males (15.3%). Most utilized services were services related to menstrual problems and family planning including ECP. This study concludes that fear of family and society hinders the utilization of SRH services.Conclusions: As adolescent fear to talk and seek for the services, due to the social cultural norms and stigma attached to SRH services, utilization among adolescent of selected colleges in Kathmandu is low.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.


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