Assessment of Sexual Behaviour, Exploitation and its Determinants Among Orphan and Vulnerable Childeren in Addis Ababa, Ethiopia, 2014

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Addis Ababa University


Background: The increased sexual risk and exploitation among orphans and vulnerable children and its associated physical, psychological and social consequences is becoming a major public health concern globally. The number of orphans has risen significantly in recent years in Ethiopia. Understanding the magnitude of risky sexual behavior and exploring factors underpinning this behavior are pivotal to address the needs of orphan and vulnerable children (OVC) and mitigating the negative outcomes of the growing OVC population worldwide. However, there is paucity of information in this regard in Ethiopia. Objectives: To assess the sexual practices, exploitation and its determinant factors among OVC in Addis Ababa city. Methodology: community based cross sectional study and phenomenological qualitative methods was conducted from March to June 2014 in Addis Ababa, Ethiopia. Quantitative data was collected from OVC who were got community based care from three organizations, selected by systematic sampling using self administered questionnaire and phenomenological qualitative methods use focus group discussion (FGD) and interview of street children. Logistic regression and open code were used to analysis data. Result : The study participants who were double orphans were about five times more at risky sexual behavior than the respondents who were maternal orphan only P=0.005, COR (95% CI) 5.455(1.674,17.770). The multivariate risk sexual behavior shows that, orphans, who were living with others (non- relatives and far extended relatives) were about four times more at risky sexual behaviors than those who live with their mothers [(P=0.033, AOR (95%CI) 3.849(1.116,13.272)]. Many street children were forced to have coercive sex with strangers and older street children. Conclusion: About 50 (44.6%) of OVC started early sexual intercourse to get basic need and followed by 39 (34.8%) of them start to facilitating social connection in their living environment. About 96 (85.7%) of OVC did not use a condom regularly while they had sexual intercourse with their partner. Sexual relationship among street children is widespread among the street groups and with outsiders, multiple partnerships is common. Obviously, these findings suggest that orphan children were at high sexual risk behavior and exploitation next to the death of their income earner through their lack of basic needs. Key words: orphan and vulnerable children, street children, risky sexual behavior, sexual exploitation, Addis Ababa.



Orphan and vulnerable children, Street children, Risky sexual behavior, Sexual exploitatio