Browsing by Author "Bethlehem Fekade"

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    Predisposing, Enabling, and Need Factors Associated With Sexual and Reproductive Health Service Utilization among Internally Displaced Women and Girls: Evidence from Amhara Region
    (Addis Ababa University, 2022-10) Bethlehem Fekade; Chalachew Arega (MSc.)
    Background: Millions of people worldwide are displaced due to conflict and natural disasters. In Ethiopia's Amhara region, over two million people are internally displaced (IDPs) due to the northern conflict, creating a critical gap in access to essential health services, including Sexual and Reproductive Health (SRH) services. Objective: This study examines the factors influencing SRH service utilization including the levels, determinants, and challenges among IDPs in Amhara. Methods: A cross-sectional study design employing quantitative (survey with 549 IDP women aged 15-49) and qualitative (FGDs and KIIs with service providers, government officials, and IDP youth) methods were used in DebreBirhan, Gondar, and Woldiya town. Results: The study found significant associations between SRH utilization and education level, source of SRH information, household size, and preference for using health facilities. Qualitative findings revealed a gap between SRH policies and their implementation in IDP settings, with commodity shortages being a major constraint. It also revealed that inadequate attention was given to IDPs in general and for those who reside particularly in Gondar Camp. Recommendations: This study recommends multisectoral collaboration to improve SRH service delivery, including disseminating information through various channels, establishing youth-friendly services in camps, and coordinating with stakeholders to ensure adequate SRH commodity availability.