scholarly journals Predictors of adolescents’ use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among adolescents and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the adolescents. This study sought to determine factors that predict adolescents’ utilization of SRHS in Enugu State, Nigeria.MethodsThe study adopted mixed method research employing cross-sectional research design. The population of the study comprised adolescents (12-22 years). Multi-stage sampling procedure was used to select 1,447 adolescents used for the study. Questionnaire, in-depth interview and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, location and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.ConclusionThe study concluded that some socio-demographic, psycho-cultural and health system factors are predictors of adolescents’ access to and utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among adolescents and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the adolescents. This study sought to determine factors that predict adolescents’ utilization of SRHS in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised adolescents (12-22 years). Multi-stage sampling procedure was used to select 1,447 adolescents used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.Results Socio-demographic factors of gender, age, education, income and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict adolescents’ utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms


2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for the prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed-method research employing a cross-sectional research design. The population of the study comprised young people between the ages of 12 and 22 years. A multi-stage sampling procedure was used to select 1,447 young people used for the study. A questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, income, and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income, and living status), psycho-cultural, and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery, and policy reforms.


2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Background: Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods: The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software. Results: Socio-demographic factors of gender, age, education, income and living status ( p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors ( p = < .05) were also significant predictors of utilization of SRHS. Conclusion: The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms


2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.Results Socio-demographic factors of gender, age, education, income and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma Ofuebe ◽  
Anthony Ifeanyi Anike ◽  
Efiong Sunday Samuel

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for the prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed-method research employing a cross-sectional research design. The population of the study comprised young people between the ages of 12 and 22 years. A multi-stage sampling procedure was used to select 1447 young people used for the study. A questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software. Results Socio-demographic factors of gender, age, education, income, and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS. Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income, and living status), psycho-cultural, and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery, and policy reforms.


2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, income and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms.


Author(s):  
Tun W. Lat ◽  
Yan Aung ◽  
Min Thu ◽  
Thandar Tun ◽  
Kyaw S. Mya

Background: Premarital sexual practices among youth and adolescents have been highly recognized and are increasing worldwide. This study aimed to assess the awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth.Methods: The study used mixed method approach among 404 youth of equal number of male and female youth from urban and rural community using guided self-administered questionnaire and in-depth interview among 12 youth and key informant interview among 6 health professionals.Results: The study found that 11.4% (95% CI: 8.3, 14.5) of youth had premarital sex practice. After adjusting the covariates, the odds of practicing premarital sex were higher among 18 years and above (AOR=3.5, 95% CI: 1.2, 9.6), low education (AOR=3.3, 95% CI: 1.1, 10.7), youth having relationship (AOR=8.0, 95% CI: 3.0, 21.2) and youth who accepted premarital sex practice (AOR=10.9, 95% CI: 3.6, 33,1), having friends who had experience in premarital sex (AOR=3.9, 95% CI: 1.3, 11.4), compared to their counterparts. The qualitative findings revealed that most of youth and service providers did not accept premarital sex among youth because of its contradiction to traditional norms. Health care providers and youth suggested that privacy was the most critical thing in accessibility of reproductive health services among youth. All levels of providers pointed out that there were insufficient resources for provision of effective reproductive health services.Conclusions: Youth-friendly reproductive health services should be implemented to prevent unwanted pregnancy, abortions and sexually transmitted diseases to ensure safer sex practices among youth. 


Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.


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