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Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia

Received: 27 May 2015     Accepted: 1 June 2015     Published: 15 June 2015
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Abstract

Background: More than a quarter of the world’s population is between the ages of 10 and24, with 86% living in less developed countries. These young people are tomorrow’s parents. The reproductive and sexual health decisions they make today will affect the health and wellbeing of their communities and of their countries for decades to come. Objective: To assess reproductive health service utilization and associated factors among adolescents (15-19 years old) in Goba town. Methods: A community based cross-sectional study design was conducted in Goba town to assess reproductive health service utilization and associated factors among adolescents (15-19 years old). A Structured and pre tested interviewer based questionnaire was used to collect the data. Data was checked for completeness, cleaned manually, and entered in to SPSS version 16.0 for further analysis. Binary and multiple logistic regression analysis were carried out to examine the existence of association between the outcome variables and selected predictor variables. Statistical significance was declared at P≤0.05. The strength of association was interpreted using the adjusted odd ratio and 95% confidence interval (CI). Result: Among those who had sexual intercourse, 150 (71.4%) utilized family planning service and out of all adolescents, 266 (67.3%) utilized voluntary counseling and testing (VCT) service. About 71.9% of sexually experienced adolescents utilized VCT service. The odds of family planning (FP) service utilization among those adolescents who have discussed with their sexual partner were 3 times higher than their counterparts (AOR=3.62(0.155, 0.843). Adolescents who had discussed with peer groups or friends were 2 times more likely to utilize VCT service than their counterparts (AOR=2.046(1.035, 4.403)). Whereas those adolescents who had discussed with health workers were 4 times more likely to utilize VCT service than their counterparts [AOR=4.48(0.201, 0.999 Conclusion: In general, it was found that the majority of adolescents were utilizing family planning and VCT services. Adolescents who have discussed with their sexual partner were more likely to utilize FP service and adolescents who had discussed with peer groups or friends and health workers were more likely to utilize VCT service than their counterparts.

Published in American Journal of Health Research (Volume 3, Issue 4)
DOI 10.11648/j.ajhr.20150304.12
Page(s) 203-212
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), 2015. Published by Science Publishing Group

Keywords

Reproductive Health, Service Utilization, Associated Factors, Adolescents (15-19 Years Old)

References
[1] Feleke W., Samuel G (2008). Reproductive health lecture note for health science students. University of Gondar; PP1-2.
[2] Malleshappa1 K, Shivaram K and Nandini C, Knowledge and attitude about reproductive health among rural adolescent girls in Kuppammandal: An intervention study, Biomedical Research, 22 (3): 305-310, 2011.
[3] Ashiru,MOA(2012). Women’s health reproductive health marriage law legistilation women’s rights children’s rights female circumcision abortion.East ASfricaian Journal of pease and Human Rights.18(1): 202-226.
[4] Ramathuba ,DU(2012). Sexuality reproductive health gender inequality communication .Indilinga: African Joranla of Indigenous knowledge systems .11(1): 73-82.
[5] Ghafari,M., Shamsuddin,K., Amiru,M(2013). Barriers to utilization of health services : perception of post secondary School Malaysian Urban Youth –Int J Prev Med .5:805-6.
[6] Roudi-Fahimi F, Ashford L: Sexual and Reproductive Health in the Middle East and North Africa: A Guide for reporters. Washington DC: Population Reference Bureau; 2008.
[7] Federal Democratic Republic of Ethiopia Ministry of Health: Reproductive health at a glance in Ethiopia; April 2011.
[8] Federal Democratic Republic of Ethiopia Ministry of Health: Adolescent and Youth Reproductive Health blended learning module for Health Extension Program: Addis Ababa 2011.
[9] Kim,CS., Ajde,HC., Wheaton,IL(2013). Adolesence to reproductive health and Family planning services in Darkar (Sengeal): Addis Health Care ,Inc. Reterived by http:// www. Addus.com/com-201302.htm.on Feburary 2013.
[10] United Nations population Fund(2008).Reproductive rights and sexual and reproductive health frame work : Making reproductive rights and sexual and reproductive health a reality for all reterived by http:// www.unfpa.org/sites/default /fieles/pub-pdf/SRH-Framework.pdf
[11] Branchflower,A., Hennell,S., Pingracz,S., Smart,M(2010). How important are difficult environments to achieving the MDGs?. Reterived by .http;//www.ageconsearch.umn.edu/bitstream/12821/1/pr040002/pdf.
[12] Tegegn,A., Gelaw,Y(2009). Adolesent Reproductive health services in Jimma City: Accesibility and Utilization .Adolesent Reproductive ghealth services .Ethiopia J Health Scie.19(2): 91-102.
[13] Fentahun,N., mame,A(2014). Risky sexual behavioures and associated factors among mnale and female students in Jimma Zone preparatory schools south west Ethiopia: Comparatiove study .Ethiop J Health Sci.24(1):29-68.
[14] Manlore,J., Logan,C., Moore,KA.,Ikramullab,E(2008). Pathways from family religiosity to Adolesent sexual activity and contraceptive use. Perspectives on sexual and reproductive Health ,40(2): 105-117.
[15] Browing,CR., Burrigton,LA., Leventhaz,T., Brooks-gunn,J(2008). Neighaborhood structural Inequa;lity ,collective efficacy,and sexual risk behavior among urban Youth J Health Soc Behav.49(3): 269-285.
[16] Musau,MJ(2013). Analysis of efficiency in resource utilization and cost reduction measurs in public secondary schools in Mwala District of Machakos country ,Kenya. Reterived by http://ir-library.ku.ac.ke/bitrstream/handle/12346789/9979/Analaysis of efficency in resource utilization and ..Pdf.
[17] Oster,EF(2009). Sexually transmitted infection,behavior hange and the HIV/AIDS epidemic.SSRN working paper series.Copyright social science research Netytwork Aug2009.Reterived by http://serach .proquest.com/.
[18] WHO: Adolescent pregnancy – Unmet needs and undone deeds: A review of the literature and programmes: Issues in Adolescent Health and Development. Geneva: WHO; 2007.
[19] Chisimba S. utilization of voluntary counseling service by the youth aged between 18 and 24 years in institutions of higher learning; Lusaka, Zambia 2006.
[20] Judith M, DrGongena E, DrConstantino L. An Analysis of Uptake in HIV Voluntary Counseling and Testing services: case of Mount Kenya University Students, Kenya, 2013.
[21] Janet C. An Investigation into Adolescents Access to Family Planning Services and Reproductive Health Information in Lilongwe District, January 2010.
[22] Central Statistical Agency [Ethiopia] and ICF International: Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
[23] UNAIDS report on global AIDS Epidemic. 2010. pp. 16–31. Http/www.unaids.org.
[24] Guzahegn,M., Woldemicheal,K., Godesso,A(2012). HIV sero-prevalence Trend among Blood Donors in Jimma University specialized Hospital,South West Ethiopia.Eth J Health Sci.22(1): 37-43.
[25] Senafikish A, Digsu N, Amsalu.F, Zelalem B. reproductive health service utilization and associated factors among adolescents (15-19 years old) in Gondar Town, Northwest Ethiopia. 2013
[26] Ayalew T, Yeshigeta. Adolescent reproductive health service in Jimma city: accessibility and utilization. July 2009.
[27] Amanuel M, Aassefa S. Reproductive health knowledge and service utilization among rural adolescents in machakel district, Northwest Ethiopia. June 2013.
[28] Awoke,W., Muhammed, J., Abeje, G(2013).Institutional Delivery Service Utilization in Woldia, Ethiopia, Science Journal of Public Health. Vol. 1, No. 1, 2013, pp. 18-23. doi: 10.11648/j.sjph.20130101.13
[29] Girmay T, Melkie E, Solomon M(2011). Assessment of Voluntary Counseling and Testing Service Utilization among DebreMarkos University Students, Northwest Ethiopia: a cross sectional survey, DebrenMarkos, 2011.
[30] Chen B, Lu YN, Wang HX, et.al. Sexual and reproductivehealth service needs of university/ college students: updates from a survey in Shanghai, China. Asian J Androl 2008.
[31] Gebremichael, H., Haile, F., Dessie,A., Birhane, A., Alemayehu,M.,Yebyo,H(2014).Acceptance of Long Acting Contraceptive Methods and Associated Factors among Women in Mekelle City, Northern Ethiopia. Science Journal of Public Health. 2, (4): 349-355. doi: 10.11648/j.sjph.20140204.27
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    Birhan Gebreselassie, Abule Takele, Nigus Bililign, Addis Adera, Yonas Yimam Ayene, et al. (2015). Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia. American Journal of Health Research, 3(4), 203-212. https://doi.org/10.11648/j.ajhr.20150304.12

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    ACS Style

    Birhan Gebreselassie; Abule Takele; Nigus Bililign; Addis Adera; Yonas Yimam Ayene, et al. Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia. Am. J. Health Res. 2015, 3(4), 203-212. doi: 10.11648/j.ajhr.20150304.12

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    AMA Style

    Birhan Gebreselassie, Abule Takele, Nigus Bililign, Addis Adera, Yonas Yimam Ayene, et al. Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia. Am J Health Res. 2015;3(4):203-212. doi: 10.11648/j.ajhr.20150304.12

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  • @article{10.11648/j.ajhr.20150304.12,
      author = {Birhan Gebreselassie and Abule Takele and Nigus Bililign and Addis Adera and Yonas Yimam Ayene and Ambachew Woreta and Markos Kidane},
      title = {Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia},
      journal = {American Journal of Health Research},
      volume = {3},
      number = {4},
      pages = {203-212},
      doi = {10.11648/j.ajhr.20150304.12},
      url = {https://doi.org/10.11648/j.ajhr.20150304.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20150304.12},
      abstract = {Background: More than a quarter of the world’s population is between the ages of 10 and24, with 86% living in less developed countries. These young people are tomorrow’s parents. The reproductive and sexual health decisions they make today will affect the health and wellbeing of their communities and of their countries for decades to come. Objective: To assess reproductive health service utilization and associated factors among adolescents (15-19 years old) in Goba town. Methods: A community based cross-sectional study design was conducted in Goba town to assess reproductive health service utilization and associated factors among adolescents (15-19 years old). A Structured and pre tested interviewer based questionnaire was used to collect the data. Data was checked for completeness, cleaned manually, and entered in to SPSS version 16.0 for further analysis. Binary and multiple logistic regression analysis were carried out to examine the existence of association between the outcome variables and selected predictor variables. Statistical significance was declared at P≤0.05. The strength of association was interpreted using the adjusted odd ratio and 95% confidence interval (CI). Result: Among those who had sexual intercourse, 150 (71.4%) utilized family planning service and out of all adolescents, 266 (67.3%) utilized voluntary counseling and testing (VCT) service. About 71.9% of sexually experienced adolescents utilized VCT service. The odds of family planning (FP) service utilization among those adolescents who have discussed with their sexual partner were 3 times higher than their counterparts (AOR=3.62(0.155, 0.843). Adolescents who had discussed with peer groups or friends were 2 times more likely to utilize VCT service than their counterparts (AOR=2.046(1.035, 4.403)). Whereas those adolescents who had discussed with health workers were 4 times more likely to utilize VCT service than their counterparts [AOR=4.48(0.201, 0.999 Conclusion: In general, it was found that the majority of adolescents were utilizing family planning and VCT services. Adolescents who have discussed with their sexual partner were more likely to utilize FP service and adolescents who had discussed with peer groups or friends and health workers were more likely to utilize VCT service than their counterparts.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15-19 Years Old) in Goba Town, Southeast Ethiopia
    AU  - Birhan Gebreselassie
    AU  - Abule Takele
    AU  - Nigus Bililign
    AU  - Addis Adera
    AU  - Yonas Yimam Ayene
    AU  - Ambachew Woreta
    AU  - Markos Kidane
    Y1  - 2015/06/15
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajhr.20150304.12
    DO  - 10.11648/j.ajhr.20150304.12
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 203
    EP  - 212
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20150304.12
    AB  - Background: More than a quarter of the world’s population is between the ages of 10 and24, with 86% living in less developed countries. These young people are tomorrow’s parents. The reproductive and sexual health decisions they make today will affect the health and wellbeing of their communities and of their countries for decades to come. Objective: To assess reproductive health service utilization and associated factors among adolescents (15-19 years old) in Goba town. Methods: A community based cross-sectional study design was conducted in Goba town to assess reproductive health service utilization and associated factors among adolescents (15-19 years old). A Structured and pre tested interviewer based questionnaire was used to collect the data. Data was checked for completeness, cleaned manually, and entered in to SPSS version 16.0 for further analysis. Binary and multiple logistic regression analysis were carried out to examine the existence of association between the outcome variables and selected predictor variables. Statistical significance was declared at P≤0.05. The strength of association was interpreted using the adjusted odd ratio and 95% confidence interval (CI). Result: Among those who had sexual intercourse, 150 (71.4%) utilized family planning service and out of all adolescents, 266 (67.3%) utilized voluntary counseling and testing (VCT) service. About 71.9% of sexually experienced adolescents utilized VCT service. The odds of family planning (FP) service utilization among those adolescents who have discussed with their sexual partner were 3 times higher than their counterparts (AOR=3.62(0.155, 0.843). Adolescents who had discussed with peer groups or friends were 2 times more likely to utilize VCT service than their counterparts (AOR=2.046(1.035, 4.403)). Whereas those adolescents who had discussed with health workers were 4 times more likely to utilize VCT service than their counterparts [AOR=4.48(0.201, 0.999 Conclusion: In general, it was found that the majority of adolescents were utilizing family planning and VCT services. Adolescents who have discussed with their sexual partner were more likely to utilize FP service and adolescents who had discussed with peer groups or friends and health workers were more likely to utilize VCT service than their counterparts.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Department of Nursing, College of Medicine and Health Sciences, Debre Birhan University, Debre Birhan, Ethiopia

  • Department of Nursing, College of Medicine and Health Sciences, Debre Birhan University, Debre Birhan, Ethiopia

  • Department of Midwifery, Faculty of health Sciences, Woldia University, Woldia, Ethiopia

  • Department of Nursing, Faculty of health Sciences, Woldia University, Woldia, Ethiopia

  • Department of Nursing, Faculty of health Sciences, Woldia University, Woldia, Ethiopia

  • Department of Biology, Faculty of Natural and Computational Sciences, Woldia University, Woldia, Ethiopia

  • Department of Economics, Faculty of Business and Economics, Unity University, Addis Ababa, Ethiopia

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