Intention to use youth friendly reproductive health services among youth in Bahirdar town, Amhara region, Ethiopia
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Date
2018-06
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Addis Ababa Universty
Abstract
Background: Globally youth’s age between 15- 24 years account for 1.1 billion, which is 18 percent of the total population. Although the young population accounts the largest group of the global population, they are suffering from much health and health related problems. Across a variety of global contexts, it has been demonstrated that youth friendly service can address this situation by improving the availability, acceptability, accessibility, and equity of health services for young people. The choices those youths make was strongly influenced by their own personal values as well as the customs and values they see among their peers, family, and community. This study assessed the intention and associated factors for utilization of youth friendly reproductive health service by using Theory of planned behaviour.
Objective: To predict the intention to use youth friendly service using theory of planned behavior among youth in Bahirdar town, Amhara region, Ethiopia 2018.
Method This study was carried out in Bahirdar city, Amhara region. School based cross- sectional study using quantitative methods. The study covered youth in high school and preparatory grades. Systematic sampling methods with sample size of 844 students were used for data collection. The data were entered, cleaned and descriptive, bivariate and multi variable regression analysis ware done using SPSS version20.0 and STATA 12.0.
Result: Eight hundred forty four students participated in this study giving a response rate of 96.4%. The model was explained by Attitude (β= 0.245, 95%CI (0.342,0.585) p<0.0001), perceived behavioral control(β= 0.141, 95% CI (0.131,0.0334), P,0.0001), subjective norm (β= 0.307, 95% CI (0.385,0.586) p<0.0001) and school type (private) (β= -0.074, 95% CI(-4.240, -0.432), P<0.016) significantly on prediction of intention to use YFRHS by 32% of the variance.
Conclusion: the present study demonstrated that the theory of planned behaviour (TPB) is a useful tool for predicting and explaining intended use of YFRHS services. It has identified the important predictors to consider in promoting the use of YFRHS services. Therefore, health interventions programs should be designed to develop youth’s ability to resist and change norms that can hinder the use of YFRHS this will help youth’s develop a positive attitude toward the services.
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Keywords
YFRHS, Reproductive health, youth, Intention, TPB, Bahirdar city, Ethiopia