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Title: Assessment of Attitudes and Practices of Community-Based Reproductive Health Agents towards Sexual and Reproductive Health Service Provision to Unmarried Young People in North Wollo Zone, Amhara National Regional State, Northeast Ethiopia
Authors: Tuoumay, Halefom
Advisors: Dr. Mesfin Addissie
Keywords: Community-Based Reproductive
Sexual and Reproductive Health
Unmarried Young People
Copyright: Apr-2007
Date Added: 6-May-2012
Publisher: AAU
Abstract: Background Information: Sexual and reproductive health needs of young people remain poorly understood and met, with little access to appropriate and acceptable sexual and reproductive health services unlike that of married young people. In Ethiopia information on attitudes and practices of community-based reproductive health agents towards sexual and reproductive health service provision to young unmarried people is very limited. Objective: To assess the attitudes and practices of community-based reproductive health agents towards sexual and reproductive health service provision to unmarried young people. Methods: A cross-sectional study was conducted in five woredas of North Wollo Zone, Amhara National Regional State, Northeast Ethiopia from December 2006 to January 2007. Data were drawn from 303 actively functioning community-based reproductive health agents. Results: A total of 303, 78.5% males and 21.5% females, actively functioning communitybased reproductive health agents were interviewed using a structured questionnaire. Out of 285 agents, 46% were considered as good practicing and out of 266 respondents, 52% were with positive outlook towards sexual and reproductive health service provision to the young. Only about 15% and 21% of the respondents reported that their clients for family planning and sex education, respectively, were unmarried young people. About 45% of the total respondents preferred male clients to serve and only about 37% of agents had supported that unmarried A thesis on assessment of attitudes and practices of community-based reproductive health agents towards sexual and reproductive health service provision to unmarried young people By Tuoumay Halefom AAU, Faculty of Medicine April, 2007 Department of Community Health xi people are eligible for family planning services. Close to 90% of respondents supported the sexual and reproductive health service provision to unmarried young people. Moreover, about 74% of study subjects were willing to provide information on issues related to sexual and reproductive health of the unmarried young but only about 26% of them had supported the service provision to young unmarried people aged 18 or below years. Agents were also willing in 88% of the cases to give contraceptive services to this group of people but still with a restriction that the clients should be 18 and above years of age. While knowledge and refresher training were significantly associated with practice of the agents, service duration, supervision, knowledge and basic training of agents on sexual and reproductive health of the young were significantly associated with willingness of agents to contraceptive service provision to unmarried young people. Conclusions: The agents’ comprehensive practice and attitude were moderate. Majority of respondents supported and were willing to provide sexual and reproductive health services in general and contraceptive services in particular to unmarried young people. Nevertheless, this support and willingness was qualified by a condition that the clients should be married and 18 or above years of age. Therefore, frequent supervision and continuous refresher training with emphasis on the sexual and reproductive health needs of the young is highly recommended to be part and parcel of community-based reproductive health programs.
URI: http://hdl.handle.net/123456789/2677
Appears in:Thesis - Public Health

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