Reproductive Health Knowledge and Services Utilization among Rural Adolescents in Machakal district, Northwest Ethiopia
Keywords:
Rural adolescent, Reproductive Health Knowledge, Services utilizationAbstract
The objective of this study was to assess the reproductive health knowledge and services utilization among rural adolescents in Machakel district, Northwest Ethiopia. A community-based cross-sectional mixed method study was conducted to assess the reproductive health knowledge and services utilization. More than two-third (67%) of the adolescents had knowledge about reproductive health issues. Late adolescence (AOR=3.77, 95%CI (3.1, 8.98)), residing with grandparents and/or other relatives (AOR=2.21, 95%CI (1.81, 6.04)) and being from rich families (AOR=3.37, 95%CI (1.65, 6.87)) were associated with reproductive health knowledge. However, only a fifth (21.5%) of the adolescents has ever utilized reproductive health services. Parent (s) disapproval, lack of basic information and peer pressure from were found to deter adolescents from accessing reproductive health services. Late adolescents had more tendencies to use reproductive health services (AOR=2.18, 95%CI (1.13, 8.03)). The likelihood of utilizing reproductive health services was significantly associated with knowledge for reproductive health (AOR=1.23, 95%CI (1.23-4.21)). It was found that reproductive health knowledge and services utilization amongst rural adolescents remained insufficient. Community-conversation in line with adolescent-to-adolescent-counseling, peer education and parent-adolescent communication should address sensitive topics such as sex education and other reproductive health issues.
References
WHO, Programming for Adolescent Health and Development Report of WHO/UNFPA/UNICEF Study Group on Programming for Adolescents Health. Geneva: WHO, 1999.
World Health Organization and Deutsche Gesellschaft fuer Technische Zusammenarbeit (GTZ) GmbH. Sexually Transmitted Infections among Adolescents: the Need for Adequate Health Services: Geneva, 2005.
Malleshappa1 K, Shivaram K and Nandini C, Knowledge and attitude about reproductive health among rural adolescent girls in Kuppam mandal: An intervention study, Biomedical Research, 22 (3): 305-310, 2011.
Hughes J and McCauley AP, Improving the Fit: Adolescents’ Needs and Future Programs for Sexual and Reproductive Health in Developing Countries Studies in Family Planning, 29(2): 233-245, 1998.
UNFP, State of World Population: Making 1 Billion Count: Investing in Adolescent Health and Righrs, New York, UNFPA, 2003.
Health Unit, Association of Church-Based Development Program (ACDEP): A Baseline Survey on Adolescent Sexual and Reproductive Health in the Operational areas of Ten ACDEP-Member Primary Health Care Programmes in Northern and Upper East Regions: Northern Region Ghana, 2008.
Central Statistical Agency (CSA) [Ethiopia] and ORC Macro, Ethiopia Demographic and Health Survey (2005). Addis Ababa, Ethiopia and Calverton, Maryland, USA: CSA and ORC Macro, 2006.
Central Statistical Agency (CSA) [Ethiopia], MEASURE DHS, ICF Macro Calverton, Maryland, and USA. Ethiopia Demographic and Health Survey (2011): Preliminary Report. Addis Ababa, Ethiopia: 2011.
Gupta N and Mahy M. Adolescent Childbearing in sub-Saharan Africa: Can Increased Schooling alone raise ages at first Birth? Demographic Research, 8(4):93-106, 2003,
Associates for Community and Population Research (ACPR): Baseline Survey of Adolescent Reproductive Health Interventions in Bangladesh, 2003.
Butler, P.A, The Reproductive Health Situation of Adolescents. Progress in Reproductive Research, (64), 2003.
Sandoy IF, Associations between Sexual Behavior Change in Young People and the decline in HIV Prevalence in Zambia, BMC Public Health,.2007 [www.biomedcentral.com/content/pdf/1471-2458-7-60.pdf retrieved on 09/02/2011].
S.L. Chauhan and F. David, Biomedical Research: Improving Reproductive Health of Adolescents: An Urban School-Based Approach, 2002-2005.
Ayalew T, Meseret Y and Yeshigeta G, Reproductive Health Knowledge and Attitude among Adolescents: A community-based study in Jimma Town, Southwest Ethiopia, Ethiopian Journal of Health Sciences, 22(3) 2008.
CDC (U.S. Centers for Disease Control and Prevention) and ORC Macro, Reproductive, Maternal, and Child Health in Eastern Europe and Eurasia: A Comparative Report. Atlanta: U.S. Department of Health and Human Services. 2003.
Alemayehu T, Haider J and Habte D, Determinants of Adolescent Fertility in Ethiopia. Ethiop. J. Health Dev, 24 (1):30-38, 2010.
FMoH, National Reproductive Health Strategy: 2006-2015. Addis Ababa, Ethiopia, 2006.
FMoH, Adolescent Reproductive Health Extension Package, Addis Ababa, Ethiopia, 2003.
Berhane F, Health Problems and Service Preferences of School Adolescents in Addis Ababa with emphasis on Reproductive Health (Dissertation), Department of Community Health, Addis Ababa University, 2000.
Govindasamy, Pav, Kidanu A and Banteyerga H, Youth Reproductive Health in Ethiopia, Calverton, Maryland: ORC Macro, 2002.
Abul Barkat, Adolescent Reproductive Health in Bangladesh: Status, Policies, Programs and Issues, 2003.
P.V.Kotecha, Sangita P, R.K. Baxi, et al. Reproductive Health Awareness among Rural School going Adolescents of Vadodara district, Gujarat, Indian J Sex Transm Dis & AIDS, 2011.
Zhiyong L, Minmin Z, Hassen H, Zi L, Shuhua S and Zengzhen W. Reproductive Health Knowledge and Services Utilization among Unmarried rural-to-urban Migrants in three major cities, China. BMC Public Health, 11:74, 2011 [http://www.biomedcentral.com/1471-2458/11/74].
Bana A, Knowledge, Attitudes and Behaviours of Adolescents in relation to Sexual Transmitted Infections, Pregnancy, Contraceptive Utilization and Substance abuse in the Mhlakulo region, Eastern Cape, 52(2), 2010.
Sangeeta S, Rural Women Take Reproductive Health Matters into their own Hands: Rural Women's Social Education Center. Series on Upscaling Innovations in Reproductive Health in Aisa. The International Council of Management of Population Programmes. (1)51.
Ayalew T, Meseret Y and Yeshigeta G, Adolescent Reproductive Health Services in Jimma City: Accessibility and Utilization: Ethiop J Health Sci., 19 (2), 2009.
Alemayehu S, and Fantahun M. Reproductive Health Needs of out-of-school Adolescents: A cross-sectional comparative study of rural and urban areas in northwest Ethiopia. Ethiop.J.Health Dev., 20(1):10-17, 2006.
UNICEF, State of the World’s Children, UNICEF, New York, 2007.
Rani M and Lule E, Exploring the Socioeconomic Dimension of Adolescent Reproductive Health: A Multi-country Analysis, International Family Planning Perspectives, 30(3):110–117, 2004.
Van Eijk, Use of antenatal services and delivery care among women in rural western Kenya: a community based survey, Reproductive Health., 3(2) 2006 [http://www.reproductive-health-journal.com/content/3/1/2].
Madeni H and Davey J, Evaluation of a reproductive health awareness program for adolescence in urban Tanzania Reproductive Health, 8(21), 2011. [http://www.reproductive-health journal.com/content/8/1/21].
Fantahun M and Degu G, Health Service Utilization in Amhara Region of Ethiopia. Ethiop J Health Dev., 17(2):141-147, 2003.
G.D. Alene, J.G. Wheeler and H. Grosskurth, Adolescent Reproductive Health and Awareness of HIV among Rural figh school students, Northwest Ethiopia, AIDS CARE, 6 (1): 57-68, 2004.
Downloads
Published
Issue
Section
License
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.