Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study

Jisso, Meskerem; Feyasa, Merga Belina; Medhin, Girmay; Dadi, Tegene Legese; Simachew, Yilkal; Denberu, Bisrat; Gerbaba, Mulusew; Alemayehun, Yibeltal Kiflie; Teklu, Alula M.

doi:10.1136/bmjopen-2021-056639

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…The ndings revealed that overall sexual and reproductive health service utilization was 27.4% (95%CI: 26.9, 27.8). This nding was higher than studies conducted in Gamo Gofa (16.9%) 15 Philippines (13.8%) 16 , Indonesia (24.3%) 17 East Gojam, Ethiopia (21.5%) 18 and Ethiopia 19.18%) 19 . However, lower than the study conducted in Jima Ethiopia, 41.1% 20 ; Eastern Ethiopia, 39.3% 21 ; Wolaita, Southern Ethiopia (49.8%) 22 and Kenya 36%) 23 .…”

Section: Discussioncontrasting

confidence: 57%

Disparities in Sexual and Reproductive Health Service Utilization and Associated Factors among Agrarian and Pastoralist Adolescents in South Omo Zone, Ethiopia: A Community-Based Comparative Cross-Sectional Study

Wolde,

Dana,

Kassa

et al. 2024

Preprint

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Introduction: Around1.2 billion of the world’s population is adolescents aged between 10 and 19 years. In Ethiopia, pastoralists are about 12% of total population. Studies on sexual and reproductive health service uptake in Ethiopia have been conducted, but they hadn’t shown the disparity in service utilization between agrarian and pastoralist settings. Method: A community-based, comparative, cross-sectional study was conducted from May to June 2023. A multi-stage sampling technique was used, and 502 adolescents were randomly selected to participate in the study. The data were entered into Epi data 4.6 version and the analysis was performed using SPSS version 25. Bivariate and multivariate logistic regression analyses were performed. Significance was considered at P-value <0.05, in the multivariate analysis. Results: In total, 98.2% adolescents took part in the study. The overall utilization of SRH services was 27.4% (95%CI: 26.9, 27.8). There was a significant difference in SRH service utilization between agrarians 36% (95%CI: 35.5, 36.5) and pastoralists 18.7% (95%CI: 18.3, 19.1). Level of Education:-Uneducated Adjusted Odds Ratio (AOR=0.187, 95%CI 0.065, 0.536), father/mother encouragement (AOR=2.817, 95% CI 1.120, 7.089), parent discussion (AOR=3.729, 95% CI 1.315, 10.574), and distance to SRH service (AOR=3.645, 95% CI 1.423, 9.337) were determinants of adolescent SRH service utilization. Conclusion: Overall, ASRH service utilization in the study area was very low. Promoting father/mother encouragement and establishing SRH service centers at health institutions and school levels should be emphasized. The health sector and other stakeholders need to strengthen their efforts to establish SRH services near adolescents in places where they do not yet exist, in both agrarian and pastoralist areas.

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Section: Discussioncontrasting

confidence: 57%

Disparities in Sexual and Reproductive Health Service Utilization and Associated Factors among Agrarian and Pastoralist Adolescents in South Omo Zone, Ethiopia: A Community-Based Comparative Cross-Sectional Study

Wolde,

Dana,

Kassa

et al. 2024

Preprint

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Effect of peer-group participation on Knowledge about condoms among adolescent girls in rural Eastern Ethiopia: a community-based repeated cross-sectional study

Fasil,

Worku,

Oljira

et al. 2024

Preprint

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Adolescent girls are at high risk of acquiring sexually transmitted infections (STIs), including the human immunodeficiency virus (HIV). Global evidence indicates the significance of comprehensive sexual education in empowering adolescents with accurate knowledge regarding safe sexual practices. Adolescents living in rural areas, particularly, have inadequately developed life skills and limited health promotion knowledge and are at risk of being coerced into sexual relationships. The study aimed to assess the effect of peer group participation on improving knowledge about condoms among adolescent girls in rural eastern Ethiopia. The study analyzed data from a repeated cross-sectional study involving 3186 and 3290 adolescent girls during the baseline period (2016) and the endline period (2019), respectively. The respondents were adolescent girls aged 13–17 years old. The study’s outcome was knowledge about condoms, which was assessed using 3-item questions. A weighted multivariable logistic regression analysis was used to examine the effect of peer group participation on improving knowledge about condoms by controlling for potential confounders. Statistical significance was set at a p-value <0.05. The magnitude of good knowledge about condoms among peer-group participants was 23% higher in the endline compared to the baseline. The odds of having good knowledge about condoms among girls who participated in an organized peer group were 2.15 times higher than those who didn't participate (AOR: 2.15, 95% CI: 1.42, 3.26). Moreover, the odds of having good knowledge about condoms among those who reported high confidence in perceived communication skills were 1.68 times higher than those who reported no or little confidence (AOR: 1.68, 95% CI: 1.33, 2.13). Peer-group participation improved knowledge about condoms. Girls with high confidence in their perceived communication skills also had better knowledge about condoms. Peer-group education interventions have the potential to improve condom knowledge and thus improve sexual and reproductive health outcomes of adolescent girls. Further studies are needed in other contexts to inform intervention scale-up.

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Health extension service utilization in Ethiopia: systematic review and meta-analysis

Tiruneh,

Fenta,

Endeshaw

et al. 2024

BMC Health Serv Res

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Introduction Ethiopia strives to achieve Universal Health Coverage (UHC) through Primary Health Care (PHC) by expanding access to services and improving the quality and equitable comprehensive health services at all levels. The Health Extension Program (HEP) is an innovative strategy to deliver primary healthcare services in Ethiopia and is designed to provide basic healthcare to approximately 5000 people through a health post (HP) at the grassroots level. Thus, this review aimed to assess the magnitude of health extension service utilization in Ethiopia. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist guideline was used for this review and meta-analysis. The electronic databases (PubMed, Cochrane Library, and African Journals Online) and search engines (Google Scholar and Grey literature) were searched to retrieve articles by using keywords. The Joanna Briggs Institute (JBI) meta-analysis of statistics assessment and review instrument was used to assess the quality of the studies. Heterogeneity was assessed using the I2 statistic. The meta-analysis with a 95% confidence interval using STATA 17 software was computed to present the pooled utilization of health extension services. Publication bias was assessed by visually inspecting the funnel plot and statistical tests using Egger’s and Begg’s tests. Result 22 studies were included in the systematic review with a total of 28,171 participants, and 8 studies were included in the meta-analysis. The overall pooled magnitude of health extension service utilization was 58.5% (95% CI: 40.53, 76.48%). In the sub-group analysis, the highest pooled proportion of health extension service utilization was 60.42% (28.07, 92.77%) in the mixed study design, and in studies published after 2018, 59.38% (36.42, 82.33%). All studies were found to be within the confidence interval of the pooled proportion of health extension service utilization in leave-out sensitivity analysis. Conclusions The utilization of health extension services was found to be low compared to the national recommendation. Therefore, policymakers and health planners should come up with a wide variety of health extension service utilization strategies to achieve universal health coverage through the primary health care.

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Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study

Cited by 4 publications

References 18 publications

Disparities in Sexual and Reproductive Health Service Utilization and Associated Factors among Agrarian and Pastoralist Adolescents in South Omo Zone, Ethiopia: A Community-Based Comparative Cross-Sectional Study

Disparities in Sexual and Reproductive Health Service Utilization and Associated Factors among Agrarian and Pastoralist Adolescents in South Omo Zone, Ethiopia: A Community-Based Comparative Cross-Sectional Study

Effect of peer-group participation on Knowledge about condoms among adolescent girls in rural Eastern Ethiopia: a community-based repeated cross-sectional study

Health extension service utilization in Ethiopia: systematic review and meta-analysis

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