Youth Friendly Reproductive Health Service Utilization and Associated Factors Among School Youths in Ambo Town, Oromia Regional State, Ethiopia, 2018

Fikadu, Amerti; Teferi, Elias; Mekuria, Mulugeta; Birhanu, Adamu; Benti, Tsegaye

doi:10.11648/j.ajhr.20200804.12

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…This finding is lower than the studies conducted in Amhara region, Harar town, east Ethiopia, Bossat District, Oromia Region, Ethiopia and Bale Zone of Ethiopia [ 2 , 4 , 14 , 17 ]. However this finding is higher than the study findings reported in Western Ethiopia, Ambo Town, Oromia Regional State, Ethiopia and Mecha District, Northwest Ethiopia [ 9 , 19 , 24 ]. The possible justification for the discrepancy might be the variation in socio-demographic characteristics, study design and period.…”

Section: Discussioncontrasting

confidence: 73%

Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022

Tsegaw

Kassie

Alemnew

2023

BMC Health Serv Res

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Background Youths are people aged between 15 and 24 years. Globally, there were 37.7 million people living with HIV/AIDS, and 90% occur among youths. Despite enormous efforts made in Ethiopia to improve the reproductive health of the youth the utilization is still low. There is no study conducted on YFRHS utilization and associated factors among youths in East Belesa. Therefore, this study is aimed to assess YFRHS utilization and its associated factors among secondary school youths in East Belesa district. Objective To assess the prevalence of youth friendly reproductive health service utilization and associated factors among secondary school students in East Belesa district, Ethiopia, 2022. Method Institution based cross-sectional study design was used with a total sample size of 347 youths in East Belesa schools from May 23 to June 12, 2022. Stratified simple random sampling was employed. Data were entered using EpiData and analyzed using Stata version 14. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results A total of 346 students participated in the study with a response rate of 99.8%.the magnitude of youth friendly reproductive health service utilization was 28.9% (24.3, 33.9). Being married (AOR = 0.27, 95%CI: 0.14, 0.52), mothers attended higher education (AOR = 1.40, 95%CI: 1.87, 4.95), availability (AOR = 2.58. 95%CI: 1.29, 5.16) and students who had never discussed about reproductive issues with their families (AOR = 0.18, 95%CI: 0.07, 0.49) were significantly associated with youth friendly service utilization. Therefore, behavior change communication interventions targeted at advancing mothers’ knowledge, encouraging open discussion between parents and children, and enhancing the availability of youth friendly services are important to enhance youth friendly service utilization.

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Section: Discussioncontrasting

confidence: 73%

Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022

Tsegaw

Kassie

Alemnew

2023

BMC Health Serv Res

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“…The pooled effect of seven studies [25,35,41,42,43,44,45] showed that the male gender increased two times the odds of youth-friendly SRH services utilization compared to females (AOR ¼ 2.03; 95% CI: 1.64-2.53). The pooled effect of six studies [40,41,45,46,47,48] showed the association of age groups 20-24 years were increased 2.28 times the odds of youth-friendly SRH services utilization compared to younger age (15-19 years) (AOR ¼ 2.28; 95% CI:1.68-3.10) (Figure 5). The pooled effect of three studies [36,38,49] showed the association of age groups 15-19 years were increased 2.12 times the odds of youth-friendly SRH services compared to younger age 10-15 years (AOR ¼ 2.12; 95% CI:1.46-3.07).…”

Section: Determinant Factors With Youth-friendly Srh Service Utilizationmentioning

confidence: 99%

“…The pooled effect of five studies [34,35,37,41,47] showed that youth-friendly SRH services close to home were increased three times the odds of reproductive health service utilization in Ethiopia (AOR ¼ 3.00; 95% CI:2.19-4.12). The heterogeneity test revealed low variability, I 2 ¼ 22.7 %, indicating low heterogeneity; thus, the random effect model was used in the analysis.…”

Section: Determinant Factors With Youth-friendly Srh Service Utilizationmentioning

confidence: 99%

Youth-friendly sexual and reproductive health services utilization and its determinants in Ethiopia: A systematic review and meta-analysis

Belay

Arage

Degu

et al. 2021

Heliyon

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Background: In most developing countries, meeting young people's sexual and reproductive health (SRH) needs remains a problem. Despite policy initiatives and strategic measures aimed at increasing youth utilization of sexual and reproductive health services in Ethiopia, its utilization remains very low. Therefore, this study aimed to assess Ethiopia's youth-friendly sexual and reproductive health services' utilisation and determinants. Methods: Scopus, Medline, Google Scholar, and CINAHL databases were searched for articles published until March 2021. The pooled prevalence and effect size of youth-friendly sexual and reproductive health service use and associated factors were estimated using a weighted DerSimonian-laird random effect model. The I 2 statistics were used to determine the degree of heterogeneity. The funnel plot and Egger's regression test were used to examine publication bias. Subgroup analyses were performed to reduce underlying heterogeneity.Results: One thousand one hundred and ninety-one articles were generated from various databases, and a final 26 articles were included in the review, including 16246 participants. Ethiopia's pooled prevalence of youth-friendly sexual and reproductive health service utilization was 42.73 % (95% CI: 35.38-50.09). The findings of this study showed that grade level 11-12, grade level 9-10, close to home sexual and reproductive health services, male sex, and discussion of sexual and reproductive health service with family, friends, and groups, ever experience sexual activity were associated with utilization of youth-friendly sexual and reproductive health services. Maternal educational status secondary school and above, age 15-19 years, age 20-24 years, having ever experienced reproductive problems, living with a partner, living alone, knowing about sexual and reproductive health, having a convenient working hour for youth-friendly service, and participation in a school clubs were also associated with the utilization of youth-friendly sexual and reproductive health services. Conclusion: We found several determinant factors for adolescent and youth utilization of sexual and reproductive health services. The review highlights the importance of improving service usage through youth education and promotion and the scaling up and institutionalizing of youth-friendly services through extensive capacity building.

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“…The Ethiopian government has launched adolescent reproductive health policy during this phase. Youth-friendly services are expanded in governmental health facilities and non-governmental organizations, such as family guidance association of Ethiopia across the country [34,35]. About a fourth of the overall change in HIV testing by sexually active female youths was due to the difference in characteristics.…”

Section: Discussionmentioning

confidence: 99%

Trends of HIV testing among sexually active young females in Ethiopia: a multivariable decomposition analysis of 2005-2016 EDHS

Arefaynie¹,

Yalew²,

Kefale³

et al. 2023

HIV & AIDS Review

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Introduction: Even though HIV testing and care is highly targeted in different strategies in Ethiopia, most sexually active young females do not know their HIV status. Moreover, prior trend analysis has not been conducted among sexually active young females in Ethiopia. Therefore, this study aimed to assess the trend and determinants of HIV testing change among sexually active young females in Ethiopia. Material and methods:The current study utilized three consecutive Ethiopia Demographic and Health Survey (EDHS) datasets. A total of 1,201.9, 3,094, and 2,864.7 sexually active female youths were included in 2005, 2011, and 2016 EDHS surveys, respectively. Data were analyzed using Stata version 14.0. Logit-based decomposition analysis was performed to identify contributing factors for HIV testing change, and statistical significance was determined with p-value. Results:The trend of HIV testing increased from 7% in 2005 to 52.5% in 2016 EDHS. The analysis revealed that 19% of the overall change in HIV testing was due to the change in female youths composition. Changes in the composition of young females according to region, age, economic status, age of sexual initiation, and comprehensive HIV/ AIDS knowledge were the major sources of the change. Greater than 80% of the increase in HIV testing was due to differences in coefficient. The change in behaviors of married youths and early starting of sex life were the contributing factors to change of HIV testing over the last decade.Conclusions: Change of HIV testing among sexually active female youths increased in the last 10 years in Ethiopia. However, in order to achieve the HIV-related targets in the country, programmatic interventions targeting uneducated women is needed.

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Youth Friendly Reproductive Health Service Utilization and Associated Factors Among School Youths in Ambo Town, Oromia Regional State, Ethiopia, 2018

Cited by 4 publications

References 5 publications

Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022

Youth friendly reproductive health service utilization and its associated factors among secondary school students, East Belesa district, northwest, Ethiopia, 2022

Youth-friendly sexual and reproductive health services utilization and its determinants in Ethiopia: A systematic review and meta-analysis

Trends of HIV testing among sexually active young females in Ethiopia: a multivariable decomposition analysis of 2005-2016 EDHS

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