Predisposing, Enabling, and Need Factors Associated With Sexual and Reproductive Health Service Utilization among Internally Displaced Women and Girls: Evidence from Amhara Region
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Date
2022-10
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Addis Ababa University
Abstract
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.
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SRH, Women (aged 15-49), IDPs, Amhara region, northern war