Assessment of contraceptive utilization and associated factors among female adolescent students in secondary and preparatory school of Sebeta town,Oromia Region,Ethiopia.
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Date
2021-09
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Addis Abeba University
Abstract
Background: Contraceptive is a key intervention in reducing and preventing unintended
pregnancy and their negative health consequence among young people. It also improves
adolescent‟s sexual and reproductive health, social and economic well-being. Little is known
about use of modern contraceptive among adolescent and factors influencing its use among
younger school girls in Ethiopia. Therefore, assessing contraceptive utilization and identification
of context and area specific determinants and gaps are vital that provide baseline information for
concerned body of evidence and enable one to take effective intervention concerning sexual and
reproductive health of younger girls in the local context.
Objective: The aim of this study is to assess the prevalence of contraceptive use and associated
factors among secondary and preparatory school female adolescent students in Sebeta town
Oromia region, Ethiopia.
Methods: An institutional based quantitative cross-sectional study was conducted among 583
adolescent (15-19 years) students in secondary and preparatory school of Sebeta town Oromia
region from April–May 2021. Multistage sampling procedure was used to select students. The
data was collected by using a pre- tested structured self-administered questionnaire. The data
field was edited and entered in to EPI-data version 4.3 and cleaned then exported to Statistical
Package for Social Sciences (SPSS) version 23 for analyses. Variables p-value < 0.25 in the
bivariate analysis were entered in the multivariable logistic regression analysis and a p-value of <
0.05 were taken as statistically significant.
Result: This study found that modern contraceptive utilization was very low(4.3%).The study
showed that grade level (AOR=6.3 ; 95% CI: 2.1 ,11.3) ,age (AOR=9.24; 95% CI: 1.7, 49.9)
,adolescent father occupational status (AOR=1.8; 95% CI: 1.4, 7.3) , engaged in sexual
intercourse the past 12 months (AOR=3.4 95% CI: 3.22, 8.6 ),respondent mother educational
with Primary and secondary education (AOR= 2.9; 95% CI: 2.2, 5.3) ,discussion time with
parents on modern contraceptive (AOR=5.15; 95% CI: 4.8, 15.9) and availability of modern
contraceptive providing facility in school (AOR=4.5; 95% CI: 1.3, 6.6) were significantly
associated with modern contraceptive use at p- value < 0.05.
Conclusion and recommendation: Current use of modern contraceptive method among sebeta
secondary and preparatory school female adolescent students was very low. Targeted
information education communication intervention should be intensified to school adolescent in
thus improve utilization of modern contraceptive method.
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Keywords
Modern contraceptive, Sebeta, Utilization of contraceptive, Adolescent