HIV and Unintended Pregnancy Risk Perception and Contraceptive Use among Youth in Debre Birhan District, Ethiopia
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Date
2010-06
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Addis Ababa University
Abstract
Background --Young people have special sexual and reproductive health needs. Because of
their low use of reproductive health service and their relatively high risk of being exposed to
inaccurate or incomplete information, they are affected by HIV and other Sexually Transmitted
infections (STIs) and experiencing unintended pregnancy.
Objective--to assess HIV and unintended pregnancy risk perception and contraceptive use
among youth in Debrebrhan District, Amhara Region.
Methodology--a community based cross-sectional survey of 400 youths aged 15-24 years and 4
FGDs composed of two men and two women groups conducted in Debrebrhan District , in the
eastern part of the country, from February 2010 to March 2010. Two-stage cluster sampling
technique was employed, out of nine kebeles in the district; five kebeles were selected by simple
random sampling. Respondents from each household were selected using a systematic sampling
technique. Data analysis for the quantitative part was analyzed using EPI info version 6 and
SPSS version 11 for windows and the qualitative part was manually summarized.
Result--About 45% of the respondents were sexually active. The mean age at first sexual
intercourse was 19.9+ 2.9years. Among the sexually active respondents 36.5% had ever used
contraceptives and 35.9% use contraceptives consistently. The leading determinants of
contraceptive use were to prevent unwanted pregnancy and HIV (accounting 35.3%) followed by
limit births. Risk perception to HIV and unintended pregnancy was 9.8% and 18.2%
respectively.
Risk perception to HIV was associated with age of first partner consistent condom use and khat
chewing Risk perception to pregnancy was associated with consistent contraceptive use
Conclusion--despite the high knowledge the youths have on HIV and unintended pregnancy and
contraception, contraceptive use and risk perception to HIV and unintended pregnancy is still
low. Attitude to wards reproductive health services is the barrier to contraceptive use. Peer-based
interventions and negotiate contraceptive use are important for promotion contraceptive use
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HIV and Unintended Pregnancy