Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

Research Knowledge ◽

Cross Sectional ◽

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.

Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

10.21203/rs.2.14854/v4 ◽

2019 ◽

Author(s):

Abdo Abazinab Ababor ◽

Desalegn Wirtu Tesso ◽

Melese Chego Cheme

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual Behaviors ◽

Service Providers ◽

Sampling Technique ◽

Knowledge Gap ◽

Research Knowledge ◽

Cross Sectional ◽

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.

Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

10.21203/rs.2.14854/v1 ◽

2019 ◽

Author(s):

Abdo Abazinab Ababor ◽

Desalegn Wirtu Tesso ◽

Melese Chego Cheme

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual Behaviors ◽

Service Providers ◽

Sampling Technique ◽

Knowledge Gap ◽

Research Knowledge ◽

Cross Sectional ◽

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.

Addressing the deprived: need and access of sexual reproductive health services to street adolescents in Ethiopia. The case of Nekemte town: mixed methods study

BMC Research Notes ◽

10.1186/s13104-019-4850-7 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Abdo Abazinab Ababor ◽

Desalegn Wirtu Tesso ◽

Melese Chego Cheme

Keyword(s):

Reproductive Health ◽

Sexual Behaviors ◽

Service Providers ◽

Sampling Technique ◽

Cross Sectional Study ◽

Knowledge Gap ◽

Research Knowledge ◽

Cross Sectional ◽

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.

Perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in selected cities of Rwanda

10.21203/rs.3.rs-19213/v1 ◽

2020 ◽

Author(s):

Pacifique Ndayishimiye ◽

Roseline Dzekem Dine ◽

Aline Dukuze ◽

Isabelle Kubwimana ◽

Jean Baptiste Nyandwi ◽

...

Keyword(s):

Reproductive Health ◽

Health Services ◽

Health Services Accessibility ◽

Community Outreach ◽

Health Facilities ◽

School Level ◽

Female Participant ◽

Cross Sectional ◽

Abstract Background: A fifth of the global population is made up of adolescents. Sexual reproductive health needs for young people is largely ignored by existing health, education and other social programs. In Rwanda, there is still an increase in teen pregnancies, HIV/ STIs as well as reports on the lack of access to accurate SRH information. The study aimed to explore the perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in the second cities of Rwanda.Methods: Cross-sectional study was conducted in six selected cities of Rwanda. In-depth interviews were conducted using semi-structured questionnaires among 121 adolescents aged 10-19 years old living in six selected cities.Results : Majority of the participants were female 62.8% and aged between 15-17 years old 32.8%. Females adolescents were more aware, and adolescents with primary school level 62.5% were not aware about SRH services provision at health facilities. Adolescents were mostly aware about the availability of HIV testing and circumcision services at 102 ( 86.4%). Results indicate that utilization of SRH services remains low (34.7%) among adolescents. A recent utilization of a particular service was linked to a use in the past: “I am aware of my HIV status because I was tested when I was going to receive a transfusion at a hospital” (Female participant, Rwamagana). Family, socio-cultural, religious influences and lack of privacy, high costs for the services, unavailability of some services at private facilities as well as lack of comfortable separated rooms, were the barriers reported by adolescents that prevented them from utilising SRH services.Conclusion : Accessibility to SRH services for adolescents remains low and SRH services provision doesn’t offer confidentiality to adolescents who seek services at health facilities. Family influences, socio-cultural stigma and religious barriers remain a burden to adolescents’ SRH services utilization. Increasing community outreach and adolescent’s engagement is needed to enable access to accurate SRH information. Multidisciplinary stakeholders should collaborate and cooperate to address the stigma associated with access to SRH services for adolescents.

Socio-demographic and economic factors influencing utilization of youth friendly reproductive health services among youths in selected universities in Nairobi County, Kenya

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202962 ◽

2020 ◽

Vol 7 (7) ◽

pp. 2437

Author(s):

Felix Mwendwa Mutua ◽

Jane Karonjo ◽

Jackline Mosinya Nyaberi ◽

Peter Kamau Wanyoike ◽

John Kausya ◽

...

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sampling Technique ◽

Systematic Sampling ◽

Bivariate Analysis ◽

Cross Sectional ◽

Health Service Provision ◽

The Government ◽

Youth Friendly

Background: The reproductive and sexual health of the youth remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services and also the access and utilization of youth friendly reproductive health services (YFRHS) among the college youth are dependent on many factors.Methods: Descriptive cross-sectional design was used to study 421 youths in selected universities in Nairobi County. Systematic sampling technique was used. Data was collected using a researcher-administered structured questionnaire and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 24.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.Results: The results indicated that 67.9% of youths utilized counselling services, 42.0% utilized VCT, 24.7% utilized family planning and 12.6% reported having used antenatal or pregnancy services. Utilization for all the reproductive health services increased with age with gender greatly associated with utilization of ANC services (p=0.0001), FP services (p=0.001) and STDs treatment (p=0.002) while age of an individual was associated with VCT services (p=0.0001), FP services (p=0.008) and counselling (p=0.007).Conclusions: Socio-demographic factors influence utilization of YFRHS and therefore there is a need for the Government through the Ministry of Health and partners in health service provision to increase the number of YFRHS and ensure that the recommendations of Adolescent Health Policy guidelines are implemented fully with good evaluation strategies in place.

Utilization of Reproductive Health Services among Youths in Owerri, Southeastern Nigeria

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210710 ◽

2021 ◽

Vol 6 (3) ◽

pp. 54-62

Author(s):

Onyeneke, J.U. ◽

Ibebuike, J. ◽

Vincent, C.C.N.

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sampling Technique ◽

Female Gender ◽

Chi Square ◽

Cross Sectional ◽

Southeastern Nigeria ◽

Reproductive Services ◽

Youth Friendly

Youths are faced with immense reproductive health problems and they have limited access to reproductive health services. This study was carried out to investigate the utilization of reproductive health services among youths in Owerri, Southeastern Nigeria. The study was a descriptive cross sectional study and the multistage sampling technique was adopted to select samples for the study. A well-structured questionnaire was used to interview the subjects and obtain data for the study which was uploaded into the SPSS version 21 software and the Chi-square was used to test for association at 5% level of significance. A total of 424 people were studied comprising of 276 (65.1%) males and 148 (34.9%) females. Results showed that only 106 (25%) showing good knowledge of reproductive health services while 318 (75%) showed poor knowledge. Among the 148 that have used reproductive services, 56.8% responded that they seek reproductive services in the home of a health worker, 29.1% seek reproductive health services through public health facilities such as health centers, clinic or NGO, and 14.2% obtain their reproductive health services through drug shops such as a pharmacy or chemist. SPSS analysis using the Chi-square showed that the male gender showed poorer knowledge of RHS than the female gender but gender was not found to be significant (p=0.098, χ2=1.993). Other significant socio-demographic factors include marital status (p=0.0001, χ2= 46.29), living pattern (p=0.005, χ2=6.93) and education (p=0.0001, χ2= 17.8). In conclusion, the study showed that the knowledge and the level of utilization RHS is still low among youths in the study area. It was recommended that stakeholders sensitize the public on the importance of youth reproductive health services and strengthen the idea of youth friendly reproductive health services. Keywords: Youth, Utilization, Knowledge, Reproductive Health Services, Youth Friendly Services.

Sexual and risky sexual behaviors experience of Wolkite University students Central Ethiopia-Descriptive cross-sectional study

10.21203/rs.2.12702/v1 ◽

2019 ◽

Author(s):

Kifle Lamade ◽

Teklemichael Gebru Tesfaye ◽

Admas Berhanu ◽

Membere W/tsadik

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual Behaviors ◽

Cross Sectional Study ◽

Risky Sexual Behaviors ◽

Sectional Study ◽

Cross Sectional ◽

Male And Female ◽

Males And Females

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.

Assessment of Sexual and Reproductive Health Status of Street Children in Addis Ababa

Journal of Sexually Transmitted Diseases ◽

10.1155/2013/524076 ◽

2013 ◽

Vol 2013 ◽

pp. 1-20 ◽

Cited By ~ 10

Author(s):

Demelash Habtamu ◽

Addisie Adamu

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual And Reproductive Health ◽

Service Providers ◽

Addis Ababa ◽

Street Children ◽

Cross Sectional Study ◽

High Risk Group ◽

Cross Sectional

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.