Reproductive Health Services Utilization and Associated Factors Among Adolescents in Anchar District, East Ethiopia
AbstractObjective: To assess reproductive health service utilization and associated factors among adolescents in Anchar District, West Hararghe Zone, Oromia Region, East Ethiopia.Materials and methods: A community based cross-sectional study using quantitative and qualitative method of data collection was applied from March 1to 30, 2013. Simple random sampling method was used for quantitative and Purposive sampling technique used for qualitative method. Four hundred two adolescents were interviewed for quantitative study. Four focus groups and ten in-depth interviews were conducted for qualitative study. Binary and Multiple logistic regressions were used for association at p < 0.05 using SPSS Version 16.0 software. Qualitative data was transcribed, and result was presented by narration.Results: Forty two (39.3%) female adolescents have ever used family planning. One hundred eight four (45.8%) adolescents have ever used VCT services. Males were 5.25 times more likely to use VCT than females (AOR = 5.25,C.I = 1.07, 25.87) and those perceived themselves as high risk for HIV were 8.22 times more likely to use VCT than their counterparts (AOR = 8.22, C.I = 1.065, 35.49). Lack of adolescent reproductive health services, Harmful Traditional Practices, lack of privacy and inconvenient service hour were reasons for not utilizing the service.Conclusion: More than half of adolescents were not utilizing family planning, and VCT services. Therefore, intensified effort is needed to increase utilization of these services for adolescents.
E.rosen J. Adolescent Health and Development 'A Resource Guide for World Bank Operations Staff and Government Counterparts. Washington DC: International Bank for Reconstruction and Development / The World Bank; April2004.
WHO. Young people’s health – a challenge for society, Report of a WHO health group on young people and health for all by the year 2000. Geneva:1986.
Schwarz SW. Adolescent Reproductive and Sexual Health, Facts for Policymakers. April 2010. Available at:http://www.nccp.org/publications/pub_931.html
WHO. Promoting Adolescent sexual and reproductive health through schools in low income countries; an information brief Department of child and adolescent health Geneva: WHO;2008.
Kirby D. A Proposed adolescent reproductive health initiative Population Technical Assistance Project; November1994.
Belachew T, Nigussie S, Mengistie B. Manual on Reproductive Health. Ethiopia: Funded under USAID Cooperative Agreement No. 663-A-00-00-0358-00. August 2003.
Ingwersen R. Adolescent reproductive and sexual health in the developing world. Canberra, Australia: Development studies network;2001.
Family health international, Adolescent reproductive health, network spring; 1997. Available at :http://fhi.org/en/RH/Pubs/Network/v17_3/nt1732.htm.
Karl L D, Gabriele R. Sexually transmitted infections among adolescents the need for adequate health services: WHO and GTZ;2005.
De BruynMaP. Adolescents unwanted pregnancy and abortion. Policies, counseling and clinical care. USA: IPAS; 2004.
Neelofur-Khan D. Adolescent pregnancy: unmet needs and undone deeds: a review of the literature and programmes. Geneva: Development DoCaAHa;2007.
Nwobodo E. Reproductive health issues of the adolescent in Africa: Review and commentary. Nigerian Journal of Physiological Sciences.2002;17:(1-8)
Kate Wood PA. Promoting Young People’s Sexual and Reproductive Health: Stigma, Discrimination and Human Rights. London: Department for International Development (DfID)
Govindasamy P, Kidanu A, Bantayerga H. Youth Reproductive Health in Ethiopia. Calverton, Maryland: ORC Macro; November 2002.
UNFPA. People and possibilities in a world of 7 billion, state of world population 2011: UNFPA;2011.
Central Statistical Agency (CSA) [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: CSA and ICF International,2012.
Central Statistical Agency (CSA) [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: CSA and ORC Macro,2006.
Tegegn A, Gelaw Y. Adolescet reproductive health services in jimma city: accessibility and utilization. Ethiopian Journal of Health science 2009;19:91-102.
Seifu A, Fantahun M, Worku A. Reproductive health needs of out-of-school adolescents: A cross-sectional comparative study of rural and urban areas in northwest Ethiopia. Ethiopian Journal of Health Development 2006;20:10-17.
Lawrence D.E. I, Rose T. Sexual initiation and contraceptive use among female adolescents in Kenya. African Journal of Health Sciences 2007;14:1-13.
CorreiaDS, Ana C.P. Pontes JCC, E. Sócrates T. Egito, Eulália M.C. Maia. Adolescents: Contraceptive Knowledge and Use, a Brazilian Study. Scientific World Journal 2009;9:37-45.
Erulkar AS, Mekbib T, Simie N, Gulema T. Differential use of adolescent reproductive health programs in Addis Ababa, Ethiopia. Journal of Adolescent Health 2006;38:253-60.
Hall KS, Moreau C, Trussell J. Associations Between Sexual and Reproductive Health Communication and Health Service Use Among U.S. Adolescent Women. Perspectives on sexual and reproductive health. March 2012; 44:6-12.
Ketende C, Gupta N, Bessinger R. Facility-level reproductive health interventions and contraceptive use in Uganda. International family planning perspectives2003;29:130-7.
Chukwuemeka E. Nwachukwu1, Odimegwu, C. Regional patterns and correlates of HIV voluntary counselling and testing among youths in Nigeria. African journal of reproductive health. June2011;15:131-6.
Molla M, Emmelin M, Berhane Y, Lindtjørn B. Perception of Ethiopian youth regarding their risk of HIV: A community-based study among youth in predominately rural Butajira. Ethiopian Journal of Reproductive Health. December2009;3:44-51.
Hutchinson PL, Mahlalela X. Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa. AIDS Care 2006;18:446-55.
Biddlecom AE, Munthali A, Singh S, Woog V. Adolescents' views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. Afr J Reprod Health 2007 ;11: 99-110.
Adebayo O, Clement D, Vincent O, EsiteU, EsiteA, AdebunmiO,et al. Care Seeking Determinants among Adolescents in Lagos, Nigeria. Sierra Leone Journal of Biomedical Research 2010;2: 38-46.