Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: a community-based cross-sectional studyReportar como inadecuado




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BMC Health Services Research

, 14:138

Health systems and services in low and middle income settings

Abstract

BackgroundAccording to World Health Organization, adolescents are people between 10 and 19 years of age; one-fifth of Ethiopian population constitutes adolescents and four-fifth live in rural areas. Local evidence about adolescents’ reproductive health knowledge, services utilization and associated factors are relevant to design age-appropriate program interventions and strategies. Hence, this study assessed the level of reproductive health knowledge and services utilization among rural adolescents in Machakel district, Northwest Ethiopia.

MethodsA community-based cross-sectional study was conducted to assess the level of reproductive health knowledge and services utilization of rural adolescents in Machakel district. The study employed both quantitative and qualitative methods. A systematic random sampling technique was used to select 415 adolescents from eligible households. Data were collected using pre-tested structured questionnaires and in-depth interview guides. The data were entered into Epi Info and analyzed by SPSS software for windows. Univariate, bivariate and multivariate analyses were done.

ResultMore than two-third 67% of the adolescents had knowledge about reproductive health. Age AOR = 3.77, 95% CI: 3.1-8.98, living arrangement AOR = 2.21, 95% CI: 1.81-6.04 and economic status AOR = 3.37, 95% CI: 1.65-6.87 were associated with reproductive health knowledge. However, only one-fifth 21.5% of the adolescents had ever used reproductive health services including family planning, sexually transmitted infections treatment and information, education and communication. Reproductive health services utilization was significantly associated with age AOR = 2.18, 95% CI: 1.13-8.03 and knowledge for reproductive health AOR = 1.23, 95% CI: 1.23-4.21. Parent disapproval, lack of basic information and pressure from partners were found to deter adolescents from accessing and using reproductive health services.

ConclusionReproductive health knowledge and services utilization amongst rural adolescents remained low. Age and economic status were significantly associated with reproductive health knowledge; moreover, reproductive health services utilization was associated with age and respective knowledge for reproductive health. Community-conversation in line with adolescent-to-adolescent-counseling, peer education and parent-adolescent communication should address sensitive topics such as sex education and life skill development.

KeywordsRural adolescent Reproductive health knowledge Services utilization AbbreviationsAFRHSAdolescent friendly reproductive health services

AIDSAcquired immunodeficiency syndrome

ARHAdolescent reproductive health

ASRHAdolescent sexual and reproductive health

AORAdjusted odds ratio

CORCrude odds ratio

EDHSEthiopian demographic and health survey

FPFamily planning

ICPDInternational conference on population development

IDIIn-depth interview

IECInformation, education and communication

HEWHealth extension workers

HIVHuman immunodeficiency virus

RHReproductive health

SRHSexual and reproductive health

SDStandard deviation

SPSSStatistical packages for social sciences

STISexual transmitted infections

WHOWorld Health Organization.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-14-138 contains supplementary material, which is available to authorized users.

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Autor: Amanuel Alemu Abajobir - Assefa Seme

Fuente: https://link.springer.com/







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