Utilization of Reproductive Health Services and Associated Demographic and Socio-economic Factors among Adolescents (15-19 Years) in Selected Health Facilities in Addis Ababa, Ethiopia

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Addis Ababa University


Background: Utilization of reproductive health (RH) services is an important component in preventing reproductive age adolescents from reproductive health problems. Reproductive health is the pool of methods, techniques and services that contribute to reproductive health and wellbeing by preventing and solving sexual health problems especially for adolescents from 15-19 years old. Objective: This study was aimed at investigating the utilization of RH services in selected health facilities and associated demographic and socio-economic factors among adolescents aged 15-19 in Addis Ababa. Methodology: An institutional based cross-sectional study was used to assess the utilization of RH services and the associated demographic and socio-economic factors by administering a pretested semi-structured questionnaire from April 1 - May 30, 2021. A snowball sampling technique was used to select a total of 340 adolescents living in Addis Ababa from 5 purposefully selected health facilities. Data were entered and analyzed using SPSS version 23 software package. Logistic regression was done to identify possible factors associated with RH service utilization. P value less than 0.05 was considered as a level of significance. Results: Out of 306 participants 162 (53%) were males and 144 (47%) were females and 96.3% of the study participants were single. More than 93% were currently enrolled to school. From the total 25% of the study participants have had sex in their life. One hundred three (33.8%) of study participants utilized at least one of the RH services from the five RHs. The adolescents’ discussion of sexual and reproductive health issues with their sexual partners (AOR= 2.368, 95% CI: 1.168 - 4.802) and with their peers (AOR= 2.360, 95% CI: 1.155 - 4.820) showed positive association with the utilization of reproductive health services. Adolescents who did not live with both their parents showed a higher odds (AOR= 2.570, 95% CI= 1.155 - 4.820) in the utilization of reproductive health services as compared to those who had lived with parents. Conclusion and recommendations: The overall utilization of RH services among adolescents was low (33.8%). Discussion with sexual partners and peers were among the predictors for the use of RH services. Therefore, interventions such as advancing adolescents’ knowledge, strengthening of youth centers and school reproductive health clubs are important steps to improve adolescent RH service utilization.



Utilization, Reproductive health, Adolescents, demographic, socio-economic