Introduction: Students in higher institutions of learning are exposed to diverse sexual and reproductive health problems, such as unintended pregnancies, Human Immuno Virus/Aquired Immuno Deficiency Syndrome, sexually transmitted infections, and unsafe abortions. Despite diverse efforts to improve student use of sexual and reproductive health services, there is still limited evidence on the level of university student use of the available sexual and reproductive health services at university set-ups. Therefore, this study aimed to assess sexual and reproductive health service utilization and associated factors among undergraduate university students in northwest Ethiopia.Methods: An institution based cross-sectional study was conducted on undergraduate students at the University of Gondar in 2014.Data were collected using a pretested, structured, and self-administered questionnaire on 874 students selected by the multistage sampling technique. Data were entered and analyzed using SPSS version 20 statistical software, while Bivariable and Multivariable logistic regression models were used to identify factors associated with the outcome variable.
Results:The prevalence of sexual and reproductive health service utilization was 62.3%, at a 95%CI (54.1%, 68.7%). Students who discussed SRH issues with families [AOR=4.5 (CI: 2.42, 10.27)], lived in rural areas [AOR=1.60, 95% (CI: 1.22, 2.16)], had better knowledge of SRH services [AOR=1.38 (95% CI: 1.94, 2.03)], and had high risk perception for HIV infection [(AOR=1.80, 95% CI (1.58, 1.10)] were significantly associated with sexual and reproductive health service utilization.
Conclusion:Sexual and reproductive health service utilization in the study area was found to be moderate. Factors like prior discussions of sexual and reproductive health issues, lived in rural areas, knowledge of sexual and reproductive health, level of risk perception for HIV/ AIDS were found to be associated with sexual and reproductive health services utilization. Therefore, interventions focused on such factors are recommended.