Assessment of Reproductive Health Service Utlization and Associated Factors Among High School Youths in Addis Ababa, Ethiopia, 2015
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Date
2015-02
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Addis Ababa University
Abstract
Background: According to WHO, youths is between 15-24 years of age. Reproductive health
(RH) is critical for youths and adults because it does not only set the stage for health beyond the
reproductive years; it also affects the health of the next generation.
Objective: The purpose of this study is to determine factors affecting reproductive health service
utilization among high school youths in Addis Ababa.
Methodology: School-based quantitative cross sectional study was carried out among selected
secondary and preparatory students, in Addis Ababa city. Using the random sampling a total of
694 school youths (aged 15-24 years) were proportionally allocated and interviewed. Total of
Ten facilitators and a nurse supervisor was recruited to assist the data collection process. A
pretested structured questionnaire was employed to obtain the necessary information after getting
both written and verbal consent from the concerned bodies. The collected data was interred in to
Epidata and analysed using SPSS version 20 statistical package and the degree of association
between dependent and independent variables were assessed using bivariate and multivariate
analysis.
Result: From the total of 694 school youths responded, 199(28.7%) of the respondents utilized
reproductive health services in the past one year. Voluntary counselling testing of HIV and
Family planning were utilized by 127(18.3%) and 124 (17.9%) of youths respectively. The likely
hood of RH service utilization was 2.04 times higher among male‟s than female‟s [AOR=2.04
(1.41, 3.00)]. Youths with age of 15 to 17, youth who prefer to get service during usual working
hour and who prefer getting service by any provider were 0.60[AOR 0.60(0.41,0.89)], 0.61
[AOR 0.61(0.41, 0.90)] and 0.39 [AOR= 0.39(0.20,0.76)] times less likely to utilize RH services
respectively
Conclusion: Proportion of youths reporting RH services were generally low, slight higher than
one fourth. Sex, Age, preference of the same sex service provider and convenience of service
time were significant predictors of youth RH services.
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Keywords
Health Service, High School, Utlization