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Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study

Received: 26 April 2021     Accepted: 21 June 2021     Published: 26 June 2021
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Abstract

Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. Objective: this study assessed reproductive health service utilization and associated factors among youths in Addis Ababa, Yeka Sub city (Woreda one), Ethiopia. Methods: a community based cross-sectional study was conducted from September 13, 2020 to October 25, 2020. Three hundred seventy eight youths were selected by systematic random sampling technique and interviewed using structured self-administered questionnaire. Data were analyzed using SPSS windows version 24.0. Multiple logistic regression was run to identify variables that predict RHS utilization. P-values <0.05 were taken as a decision line to consider a variable is statistically significant or not. Results: Three hundred thirty nine (89.4%) respondents were properly filled and returned the questionnaire. One hundred sixty two (47.8%) of them were female and 177 (52.2%) of them were male participants. Two hundred fifty two (74.3%) of the respondents had heard about reproductive health services and 87.3% had knowledge about sexually transmitted infection and 42.8% of the respondents utilized RHS. Age (AOR=0.342, 95% CI: 0.124-1.942), marital status (AOR=3.420, 95% CI: 1.088-11.065), living arrangement (AOR=0.142, 95% CI: 0.032-0630), father education (AOR=6.613, 95% CI: 2.363-18.505), mothers education (AOR=0.334 95% CI: 0.133-1.936) and self-determination (AOR=0.294 95% CI: 0.149-0.581) were predictors of youth reproductive health service utilization. Conclusion: irrespective of the youth knowledge/information about reproductive health service (sexually transmitted diseases and family planning), youths reproductive health service utilization is low. Therefore, life skill training for youth, parental scaffolding and communication with youth, and training and updating care providers in the youth center, capacitating the youth center in terms of resources helps to enhance youth reproductive health service utilization.

Published in Journal of Family Medicine and Health Care (Volume 7, Issue 2)
DOI 10.11648/j.jfmhc.20210702.13
Page(s) 39-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Youth, Sexual and Reproductive Health, Service Utilization, Community

References
[1] WHO (1999). Programming for Adolescent Health and Development Report of WHO/UNFPA/UNICEF. Study Group on Programming for Adolescents Health. WHO, Geneva.
[2] United Nation Department of Economics and Social Affairs Population Division (2015). www.unpopulation.org.
[3] Ethiopian Demographic Health survey (2016). Addis Ababa, Ethiopia.
[4] Ethiopia Ministry of Health (2006). National Reproductive Health Strategy 2006-2015.
[5] Nations U. (1994). Report on the International Conference on Population and Development in Cairo. September 5-13, New York.
[6] Ministry of Health (2008). Standards on Youth Friendly Reproductive Health Services Service Delivery guideline.
[7] Abera M. (2018). Risky sexual behaviors and associated factors among preparatory school students in Arba Minch town, Southern Ethiopia. Journal of Public Health and Epidemiology, V. 12-10.
[8] WHO (2014). African regional health report.
[9] Ki-Moon B. (2013). The Millennium Development Goals Report. United Nations Publications.
[10] AKaHB. GP (2002). Youth Reproductive Health in Ethiopia. Calverton, Maryland: ORC Macro.
[11] African Youth Report (2009). Economic Commission for Africa: Addis Ababa, Ethiopia.
[12] United Nation Department of Economics and social affairs of Population Division (2014). World population concise report.
[13] UNFPA (2013). Sexual and Reproductive Health of Adolescents and Youths: Situation Analysis.
[14] Kenean G., Mesfin A., Tefera M., Mikiyas A., Feleke H., (2018). Reproductive health services utilization and its associated factors among adolescents in Debre Berhan town, Central Ethiopia: a community-based cross-sectional study. Open Access Journal.
[15] Susanne R.,(2018). Sexual and Reproductive Health among University Students in Addis Ababa, Ethiopia. Master Thesis (unpublished), The Arctic University of Norway.
[16] Zainab A., Nourossadat K., Masoumeh S., Fazlollah A., (2017). Empowerment of Adolescent Girls for Sexual and Reproductive Health Care: A Qualitative Study. African Journal of Reproductive Health December 2017; 21 (4): 80.
[17] Teshome N., (2016). Factors Affecting Utilization of Reproductive Health Services by Adolescent Females Using the Health Belief Model in Maraka District, Dawuro Zone, Southern Ethiopia. Journal of Culture, Society and Development.
[18] Dahal, G., Hennink, M., Hinde, A. (2005). Risky sexual behavior among young men in Nepal; applications and policy working paper. England: University of Southampton.
[19] Healthy Teen Network. (2014). Youth 360°: How & where healthy youth live, learn, & play: The social-ecological health promotion.
[20] Central Statistical Agency (2007). Addis Ababa, Ethiopia.
[21] WHO (2008). Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality. Sixth ed.
[22] Website. Population of Addis Ababa 2019, https://populationof2019.com/population-of-addis-ababa-2019.html.
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  • APA Style

    Eyob Ayenew. (2021). Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study. Journal of Family Medicine and Health Care, 7(2), 39-46. https://doi.org/10.11648/j.jfmhc.20210702.13

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    ACS Style

    Eyob Ayenew. Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study. J. Fam. Med. Health Care 2021, 7(2), 39-46. doi: 10.11648/j.jfmhc.20210702.13

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    AMA Style

    Eyob Ayenew. Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study. J Fam Med Health Care. 2021;7(2):39-46. doi: 10.11648/j.jfmhc.20210702.13

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  • @article{10.11648/j.jfmhc.20210702.13,
      author = {Eyob Ayenew},
      title = {Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study},
      journal = {Journal of Family Medicine and Health Care},
      volume = {7},
      number = {2},
      pages = {39-46},
      doi = {10.11648/j.jfmhc.20210702.13},
      url = {https://doi.org/10.11648/j.jfmhc.20210702.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210702.13},
      abstract = {Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. Objective: this study assessed reproductive health service utilization and associated factors among youths in Addis Ababa, Yeka Sub city (Woreda one), Ethiopia. Methods: a community based cross-sectional study was conducted from September 13, 2020 to October 25, 2020. Three hundred seventy eight youths were selected by systematic random sampling technique and interviewed using structured self-administered questionnaire. Data were analyzed using SPSS windows version 24.0. Multiple logistic regression was run to identify variables that predict RHS utilization. P-values <0.05 were taken as a decision line to consider a variable is statistically significant or not. Results: Three hundred thirty nine (89.4%) respondents were properly filled and returned the questionnaire. One hundred sixty two (47.8%) of them were female and 177 (52.2%) of them were male participants. Two hundred fifty two (74.3%) of the respondents had heard about reproductive health services and 87.3% had knowledge about sexually transmitted infection and 42.8% of the respondents utilized RHS. Age (AOR=0.342, 95% CI: 0.124-1.942), marital status (AOR=3.420, 95% CI: 1.088-11.065), living arrangement (AOR=0.142, 95% CI: 0.032-0630), father education (AOR=6.613, 95% CI: 2.363-18.505), mothers education (AOR=0.334 95% CI: 0.133-1.936) and self-determination (AOR=0.294 95% CI: 0.149-0.581) were predictors of youth reproductive health service utilization. Conclusion: irrespective of the youth knowledge/information about reproductive health service (sexually transmitted diseases and family planning), youths reproductive health service utilization is low. Therefore, life skill training for youth, parental scaffolding and communication with youth, and training and updating care providers in the youth center, capacitating the youth center in terms of resources helps to enhance youth reproductive health service utilization.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Youth’s Sexual and Reproductive Health Service Utilization and Associated Factors in Addis Ababa: Community Based Cross-sectional Study
    AU  - Eyob Ayenew
    Y1  - 2021/06/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.jfmhc.20210702.13
    DO  - 10.11648/j.jfmhc.20210702.13
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 39
    EP  - 46
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20210702.13
    AB  - Background: youth is a period of change and adjustment. It is a period of life in which an individual display significant physiological, psychological and social changes that expose them at high risk of reproductive health problems. Consequently, many youth are less informed, less experienced and less comfortable in utilizing reproductive health services. Objective: this study assessed reproductive health service utilization and associated factors among youths in Addis Ababa, Yeka Sub city (Woreda one), Ethiopia. Methods: a community based cross-sectional study was conducted from September 13, 2020 to October 25, 2020. Three hundred seventy eight youths were selected by systematic random sampling technique and interviewed using structured self-administered questionnaire. Data were analyzed using SPSS windows version 24.0. Multiple logistic regression was run to identify variables that predict RHS utilization. P-values <0.05 were taken as a decision line to consider a variable is statistically significant or not. Results: Three hundred thirty nine (89.4%) respondents were properly filled and returned the questionnaire. One hundred sixty two (47.8%) of them were female and 177 (52.2%) of them were male participants. Two hundred fifty two (74.3%) of the respondents had heard about reproductive health services and 87.3% had knowledge about sexually transmitted infection and 42.8% of the respondents utilized RHS. Age (AOR=0.342, 95% CI: 0.124-1.942), marital status (AOR=3.420, 95% CI: 1.088-11.065), living arrangement (AOR=0.142, 95% CI: 0.032-0630), father education (AOR=6.613, 95% CI: 2.363-18.505), mothers education (AOR=0.334 95% CI: 0.133-1.936) and self-determination (AOR=0.294 95% CI: 0.149-0.581) were predictors of youth reproductive health service utilization. Conclusion: irrespective of the youth knowledge/information about reproductive health service (sexually transmitted diseases and family planning), youths reproductive health service utilization is low. Therefore, life skill training for youth, parental scaffolding and communication with youth, and training and updating care providers in the youth center, capacitating the youth center in terms of resources helps to enhance youth reproductive health service utilization.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Higher Education Strategy Centre, Ministry of Science and Higher Education, Addis Ababa, Ethiopia

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