Reproductive Health Services Utilization and Associated Factors Among Adolescent of Age 15-19 In Debre Birhan Town

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Addis Ababa University


Background: Reproductive health care is the constellation of methods, techniques and services that contribute to reproductive health and well-being by preventing and solving sexual health problems. Utilization of those services is an important component in preventing adolescents from different sexual and reproductive health problems. Objective: This study was aimed to investigate the level of reproductive health services utilization and associated factors among adolescents of age 15-19 who live in DebreBirhan town, Amhara National Regional State (ANRS), Ethiopia, 2016. Methodology: A community-based cross-sectional study was employed to assess reproductive health service utilization and its associated factors by administering a pre- tested semi-structured questionnaire from April 5 - May 1, 2016. A multi stage systematic sampling technique was used to select a total of 648 adolescents living in 5 randomly selected kebeles of DebreBirhan town. Data were entered and analyzed by SPSS version 21 software package. Logistic regression was done to identify possible factors associated with reproductive health service utilization. P value less than 0.05 was considered as a level of significance. Results: About one-third (33.8%) of adolescents utilized at least one of reproductive health services. Adolescents who had discussed sexual and reproductive health issues with their sexual partner and peers were 2 times more likely to use RH services than their counter parts (AOR= 2.368, 95% CI: 1.168-4.802 and AOR= 2.360, 95% CI: 1.155-4.820 respectively). Adolescents who weren’t co-resided with both their parents were also about 2 times more likely to utilize RH service than those who were living together (AOR= 2.570, 95% CI= 1.155-4.820). Positive perception of oneself towards acquisition of HIV/AIDS urged the adolescents to use RH services twice than those who didn’t perceive themselves as risky (AOR= 2.231, 95%CI: 1.001 – 4.975). Conclusion and recommendation: Utilization of RH services among adolescents in the study area were low. Discussion with sexual partner and peers, risk perception of oneself towards the acquisition of HIV/AIDS was among the predictors of RH services usage. Therefore, interventions such as advancing adolescents’ knowledge, facilitating parent to child communication, strengthening of youth centers and school reproductive health clubs are important steps to improve adolescent reproductive health service utilization. Key words: Reproductive health, Service utilization, Adolescent (of age 15-19)



Reproductive health, Service utilization, Adolescent