Health Problems and Service Preference of School Adolescents in Addis Ababa With Emphasis on Reproductive Health
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Date
2000-12
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Addis Abeba Universty
Abstract
A cross-sectional descriptive survey to assess adolescents health related problems
and service utilization pattern and preferences was conducted from January to
December 2000 in randomly selected school adolescents in Addis Ababa. Data were
collected using an anonymous self-administered questionnaire.
A total of 2647 high school students from 13 schools participated in the study. Of
theses 1177(44.5%) were males and 1470(55.5%) were females. Five hundred fifty
eight (21.9%) adolescent reported to be sexually active. Condom use during the last
intercourse among the sexually active was 72.9%. Forty-four (7.9%) of the sexually
active adolescents claimed to have had symptoms of STD in the past three months.
Among the sexually active female, 32 (5 .7%) claimed to have been pregnant out of
which 22 (68.8%) ended up in abortion. Overall 1045 (39.5%) of the students reported
the use of at least one of the substa nces (alcohol, cigarette, kaht or cannabis);
1229(51.6%) had mental distress, and 284(10.9%) had attempted suicide in the past.
Seven hundred eighty three (32. 3%),523(24.5%) and 610(25.9%) of the adolescents
claimed that the existing reproductive health services are inaccessible, unaffordable
or unacceptable respectively for adolescents. For 1852(72.0%) of the adolescents
feeling of embarrassment at seeking reproductive health service was the reason for
not utilizing existing service while 1738 (67.8%) claimed it was for fear of being seen
by parents or others. The majority 1402 (57.0%) claimed that service fees are
unaffordable for adolescents. Five hundred fifty two (21.6%) preferred to have ARHS
with in the existing system but with special approch to adolescents by service
providers, while 1070(41 .9%) in separate setting outside of the existing service
including youth centers.
It was concluded that adolescents have specific health problems, risk taking and care
seeking behavior that have not been well addressed by the existing health services.
Hence recommended that organizing youth friendly RHS be given an urgent attention
by decision makers, public health planners and health care providers at all levels.
VI I
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Keywords
Health Problems and Service Preference of School Adolescents