Barriers to Use Contraceptive among Adolescents in the City of Addis Ababa

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Date

2004-04

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Addis Ababa University

Abstract

A cross sectional comparative survey was conducted to assess barriers to the use of contraceptive among adolescents and their contraceptives choices and preferences, in a randomly selected samples of in and out of school adolescents in Addis Ababa city administration from November to December 2003.The data was collected using anonymous self administered questionnaire and focus group discussion. A total of 1591 (of which 796 out of school and 795 in school) adolescents participated in the quantitative and four sex segregated focus group participated in the qualitative part of the study. Of the 1591 respondents 733 (92.1%) out of school and 778 (97.6%) in school adolescents have heard about contraceptives. Ninety percent of respondents who heard about contraceptive (from the two adolescent populations) also knew where to get contraceptive. Sexual activity was 16.6% among in school and 36.4% among out of school adolescents. Of the sexually active adolescents more out of school 61.4% than in school 57.5% ever used contraceptive but, only 28.6% of out of school and 49.3% of in school ever users consistently used contraceptive. Majority 677 (88.1%) out of school and 650 (86.4%) in school adolescents were interested to know more about contraceptive. A significant proportion adolescents (81% of out of school and 88.1% of in school adolescents) plan to use contraceptive in the future of which 79.9% of out of school and 76.8 % in school adolescents prefers to use modern contraceptives but they showed varied preferences on the sources of contraceptive for future use. Great majority (245 out of the 248 ever users) faced various barriers to use contraceptive. It was concluded that adolescents face a wide range of - barriers to use contraceptives both at acquisition and use xii levels. . Majority adolescents preferred to use modern contraceptive but they have varied preferences of sources of contraceptive for future use. And we recommend sensitizing communities to create supportive environments, and providers to build on youth friendly services at all delivery points. Key words are: Adolescents’ contraceptive use and barriers to use contraceptive

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Keywords

Adolescents’ contraceptive use, Barriers to use contraceptive

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