scholarly journals Utilization of Reproductive Health Services among Youths in Owerri, Southeastern Nigeria

2021 ◽  
Vol 6 (3) ◽  
pp. 54-62
Author(s):  
Onyeneke, J.U. ◽  
Ibebuike, J. ◽  
Vincent, C.C.N.
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sampling Technique ◽  
Female Gender ◽  
Reproductive Health Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Southeastern Nigeria ◽  
Reproductive Services ◽  
Youth Friendly

Youths are faced with immense reproductive health problems and they have limited access to reproductive health services. This study was carried out to investigate the utilization of reproductive health services among youths in Owerri, Southeastern Nigeria. The study was a descriptive cross sectional study and the multistage sampling technique was adopted to select samples for the study. A well-structured questionnaire was used to interview the subjects and obtain data for the study which was uploaded into the SPSS version 21 software and the Chi-square was used to test for association at 5% level of significance. A total of 424 people were studied comprising of 276 (65.1%) males and 148 (34.9%) females. Results showed that only 106 (25%) showing good knowledge of reproductive health services while 318 (75%) showed poor knowledge. Among the 148 that have used reproductive services, 56.8% responded that they seek reproductive services in the home of a health worker, 29.1% seek reproductive health services through public health facilities such as health centers, clinic or NGO, and 14.2% obtain their reproductive health services through drug shops such as a pharmacy or chemist. SPSS analysis using the Chi-square showed that the male gender showed poorer knowledge of RHS than the female gender but gender was not found to be significant (p=0.098, χ2=1.993). Other significant socio-demographic factors include marital status (p=0.0001, χ2= 46.29), living pattern (p=0.005, χ2=6.93) and education (p=0.0001, χ2= 17.8). In conclusion, the study showed that the knowledge and the level of utilization RHS is still low among youths in the study area. It was recommended that stakeholders sensitize the public on the importance of youth reproductive health services and strengthen the idea of youth friendly reproductive health services. Keywords: Youth, Utilization, Knowledge, Reproductive Health Services, Youth Friendly Services.

scholarly journals Socio-demographic and economic factors influencing utilization of youth friendly reproductive health services among youths in selected universities in Nairobi County, Kenya

2020 ◽  
Vol 7 (7) ◽  
pp. 2437
Author(s):  
Felix Mwendwa Mutua ◽  
Jane Karonjo ◽  
Jackline Mosinya Nyaberi ◽  
Peter Kamau Wanyoike ◽  
John Kausya ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sampling Technique ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Health Service Provision ◽  
The Government ◽  
Youth Friendly

Background: The reproductive and sexual health of the youth remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services and also the access and utilization of youth friendly reproductive health services (YFRHS) among the college youth are dependent on many factors.Methods: Descriptive cross-sectional design was used to study 421 youths in selected universities in Nairobi County. Systematic sampling technique was used. Data was collected using a researcher-administered structured questionnaire and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 24.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.Results: The results indicated that 67.9% of youths utilized counselling services, 42.0% utilized VCT, 24.7% utilized family planning and 12.6% reported having used antenatal or pregnancy services. Utilization for all the reproductive health services increased with age with gender greatly associated with utilization of ANC services (p=0.0001), FP services (p=0.001) and STDs treatment (p=0.002) while age of an individual was associated with VCT services (p=0.0001), FP services (p=0.008) and counselling (p=0.007).Conclusions: Socio-demographic factors influence utilization of YFRHS and therefore there is a need for the Government through the Ministry of Health and partners in health service provision to increase the number of YFRHS and ensure that the recommendations of Adolescent Health Policy guidelines are implemented fully with good evaluation strategies in place.

scholarly journals KNOWLEDGE AND ATTITUDE

2015 ◽  
Vol 22 (06) ◽  
pp. 690-704
Author(s):  
Muhammad Ali Tarar ◽  
Saira Akhtar ◽  
Yasir Nawaz Manj ◽  
Manzoom Akhtar ◽  
Muhammad Iqbal Zafar ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sampling Technique ◽  
Health State ◽  
Body Parts ◽  
Reproductive Health Services ◽  
Chi Square ◽  
Number Of Children ◽  
Rural And Urban Area ◽  
Hiv Aids

Reproductive health is concerned with the people’s ability to have a satisfyingand safe sex life ensuring their capability to reproduce with a liberty of making a decision that if,when and how often they have to do so. In Pakistan, culturally females are married at a youngage; become mothers and are at risk of health complications i.e. HIV/ STD and STI. There isless utilization of reproductive health services throughout Pakistan that ultimately affects healthstatus of people at very young age. Most of the communities are not aware of reproductivehealth services, thus not availing these facilities. Objective: So the present study was designedto examine the females perceptions, attitude and practices about reproductive health servicesas well as to determine the level of their empowerment to take decisions and make choicesregarding their own reproductive health besides determining the level of the quality, availabilityand accessibility of reproductive health services and to suggest some measures for policymakers to improve the reproductive health state of young mothers in district Faisalabad. StudyDesign: A sample of 600 young married females of age 15-32 years was selected throughmultistage sampling technique. Period: 2009. Setting: Rural and urban area of DistrictFaisalabad. Material and Method: Uni-variate (frequency distribution and percentage) and Bivariateanalysis (Chi square and Gamma Statistics) was carried out. Results: Most (44.0%) ofthe respondents belonged to age category of 26-30 years; 35.5% were married for 18 years;39.3% had been married for 5 years; 71.8% had primary and above level of education. Majority(65.9%) had up to Rs.10,000 per month income, 49.2% possessed 6-10 family members,73.5% had at least 2 and above live children. Majority had the knowledge of reproductive health(67.7%) and HIV/AIDs (54.7%) whereas most of females had no knowledge of STIs (69.8%),RTIs (52.3%) and its development (51.8%). Most of the females experienced headache (62.8%),swelling of different body parts (61%) and back pain (62.7%) during their reproductive life. Bivariateanalysis showed highly significant relation among age at marriage, number of children,cultural hindrance and age of respondents vs. their reproductive health. Conclusion: Althoughmost of the females were young & educated mothers with good reproductive health experiencebut still lacking in knowledge about STIs, HIV/AIDS, RTIs and breast cancer that is because ofcultural hindrance, early age marriage pattern and male dominancy which indicates that weneed to pay more attention towards female education and empowerment and decision makingauthority status at domestic level through community mobilization with the help of NGOs,Religious scholars and existing health system/ Health personnel’s .i.e. doctors/ nurses /LHV/FHW.

scholarly journals Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Behaviors ◽  
Service Providers ◽  
Sampling Technique ◽  
Knowledge Gap ◽  
Reproductive Health Services ◽  
Research Knowledge ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.

scholarly journals Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Behaviors ◽  
Service Providers ◽  
Sampling Technique ◽  
Knowledge Gap ◽  
Reproductive Health Services ◽  
Research Knowledge ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.

scholarly journals Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Behaviors ◽  
Service Providers ◽  
Sampling Technique ◽  
Knowledge Gap ◽  
Reproductive Health Services ◽  
Research Knowledge ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.

scholarly journals Karakteristik Remaja yang Memanfaatkan Layanan Kesehatan Reproduksi Remaja Di Wilayah Kerja Puskesmas Martapura 1

2020 ◽  
Vol 11 (3) ◽  
pp. 267
Author(s):  
Annisa Febriana ◽  
Sigit Mulyono ◽  
Widyatuti Widyatuti
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Random Sampling ◽  
Sampling Technique ◽  
P Value ◽  
Reproductive Health Services ◽  
Services Research ◽  
Reproductive Services ◽  
Adolescent Reproductive Health ◽  
Relationship Of

Reproductive health is one of the problems that occur in adolescent life. Adolescents who have never been exposed to information about reproductive health from an early age are the main causes of these problems. Reproductive health service facilities for adolescents are available at the Puskesmas, but have not been properly utilized by adolescents. The purpose of this study was to determine the relationship of adolescent characteristics with the utilization of adolescent reproductive health services. The method used is descriptive. The sampling technique used was random sampling, as many as 370 teenagers who had used reproductive health services. Results. There is a relationship of age (p value 0.01), parental past education (p value 0.02), and parental income (p value 0.01) with the use of adolescent reproductive health services. Research recommendations are expected that community nurses can increase the scope of visits both at school and in families with adolescents so that adolescents are more exposed to information about reproductive health and are able to make use of available reproductive health services optimally. Keywords: characteristics; adolescents; reproductive health; utilization of reproductive services ABSTRAK Kesehatan reproduksi menjadi salah satu permasalahan yang terjadi dalam kehidupan remaja. Remaja yang tidak pernah terpapar informasi mengenai kesehatan reproduksi sejak dini menjadi penyebab utama timbulnya masalah tersebut. Fasilitas layanan kesehatan reproduksi untuk remaja telah tersedia di Puskesmas, namun belum dimanfaatkan dengan baik oleh remaja. Tujuan penelitian untuk mengetahui hubungan karakteristik remaja dengan pemanfaatan layanan kesehatan reproduksi remaja. Metode yang digunakan adalah deskriftif. Teknik pengambilan sampel yang digunakan adalah random sampling, sebanyak 370 remaja yang pernah memanfaatkan layanan kesehatan reproduksi. Hasil. Terdapat hubungan usia (p value 0,01), pendidikan terakhir orangtua (p value 0,02), dan penghasilan orangtua (p value 0,01) dengan pemanfaatan layanan kesehatan reproduksi remaja. Rekomendasi penelitian diharapkan perawat komunitas mampu meningkatkan cakupan kunjungan baik di sekolah maupun di keluarga dengan anak remaja agar remaja lebih terpapar informasi mengenai kesehatan reproduksi serta mampu memanfaatkan layanan kesehatan reproduksi yang tersedia secara optimal. Kata kunci: karakteristik; remaja; kesehatan reproduksi; pemanfaatan layanan reproduksi

scholarly journals Addressing the deprived: Need and access of Sexual reproductive health services to street adolescents in Ethiopia: The case of Nekemte Town: Mixed methods study.

2019 ◽  
Author(s):  
Abdo Abazinab Ababor ◽  
Desalegn Wirtu Tesso ◽  
Melese Chego Cheme
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Behaviors ◽  
Service Providers ◽  
Sampling Technique ◽  
Knowledge Gap ◽  
Reproductive Health Services ◽  
Research Knowledge ◽  
Cross Sectional ◽  
Sexual Reproductive Health

Abstract Objectives Research knowledge gap exists in addressing sexual reproductive health services to street adolescents globally. The intensity of SRH problem is high in the settings like Ethiopia where there is limited access and integration of services in the way it responds to the needs of the street adolescents and this study aimed at exploring risky sexual behaviors; needs and barriers of SRH services utilization among street adolescents in Nekemte town. Community based Cross-sectional study design with mixed approaches was used on sample size of 219 street adolescents. Supplementary qualitative data of 24 in-depth interviews were collected from the street adolescents and SRH service providers. Time-location sampling or venue sampling technique (VDT) was used for quantitative study. Quantitative data was analyzed by SPSS version 24.0.Results About 93% of street adolescents reported difficulty of accessing contraceptives. Behavioral change and sustainable access of SRH services is lacking among street adolescents; but, Knowledge gap is more evident in early adolescents (10-13) period than the other classes. Generally, street adolescents are deprived in terms of access of sexual reproductive health services. Mobile and flexible access of contraceptive should be designed targeting street adolescents.

ADOLESCENT BEHAVIOR IN UNWANTED PREGNANCY PREVENTION

2019 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Risky Sexual Behavior ◽  
Parental Education ◽  
Unwanted Pregnancy ◽  
Sampling Technique ◽  
Adolescent Behavior ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.

Multi-level Barriers for Utilization of Youth Friendly Reproductive Health Services (YFRHS) among Youths

2020 ◽  
Vol 8 ◽  
pp. 95-108
Author(s):  
Shanti Prasad Khanal
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
System Level ◽  
Mixed Method Research ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Personal Level ◽  
Multi Level ◽  
Youth Friendly

 The present study aims to examine the multi-level barriers to utilize by the youth-friendly reproductive health services (YFRHS) among the school-going youths of the Surkhet valley of Nepal. This study is based on the sequential explanatory research design under mixed-method research. The quantitative data were collected using the self- administered questionnaire from the 249 youths, aged between the 15-24 years, those selected by using random sampling. The qualitative data were collected using the Focus Group Discussions (FGDs) from the 12 participants who were selected purposively. The study confirmed that school-going youths do not have appropriate utilization of YFHS due to multi-layered barriers. However, the utilization of the service was higher among females, those the older age group, studying in the upper classes, the upper castes, and married youths. The key findings and themes are recognized as multi-layered barriers including personal-level, health system-level, community-level, and policy-level on the entire socio-ecological field. Among them, the existing health system is the foremost barrier. Multi-level interventions are, therefore, required to increase the YFRHS utilization and improve concerns for school-going-youths.  

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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