Youth friendly sexual and reproductive health service utilization among high and preparatory school students in Debre Tabor town, Northwest Ethiopia: A cross sectional study

Abstract

Background Youth continue to fall victim to sexual and reproductive health problems. Despite, reproductive health needs of youth had been supported by different organizations, utilization of those services is low. All efforts have not been felt across the Ethiopian learning institutions as is evidenced by persistent reproductive health problems. Therefore, this study aimed to assess the magnitude of youth friendly sexual and reproductive health service utilization and associated factors among high and preparatory school youths in Debre Tabor town, Northwest Ethiopia. Methods An institution based cross-sectional study was conducted from March 1 to 28, 2016. The data were collected using a pre-tested and structured self-administered questionnaire. Multistage cluster sampling method was used to select the study participants. The data were entered into Epi-data version 4.2.0.0 and analyzed using SPSS version 20. Binary logistics regression was used for analysis. Odds ratio along with 95%CI was estimated to measure the strength of the association. Level of statistical significance was declared at p value �0.05.

Sexual and reproductive health services utilization and associated factors among adolescents attending secondary schools

“…For example, a study in southern Ethiopia reported an SRH services utilization of 33.8% among high school adolescents in youth friendly service implemented areas [ 22 ]. Similarly, a study in Debre Tabor town among high-school- and preparatory-students reported an SRH service utilization of 28.8% [ 23 ]. The SRH services utilization in the study setting, however, was high compared to adolescents in the general population (8.6%) [ 24 ] and those who reside in areas where youth friendly services are not implemented (9.9%) [ 22 ].…”

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

“…Sexual and reproductive health services utilization assessed based on utilization of at least one of SRH services provided to adolescents and youths, which includes counseling, information, and health education, family planning services, HIV counseling and testing, pregnancy test, diagnosis and treatment of sexually transmitted illnesses, abortion and post-abortion care, antenatal, delivery, and postnatal care services [25].…”

“…The pooled effect of two studies [39,40] revealed that no living with a partner is 1.7 times more likely to utilize youth-friendly SRH services than those living with family (AOR ¼ 1.70; 95% CI:1.14-2.52). 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 nine studies in Ethiopia found that [25,32,33,35,36,37,39,44,49] discussing SRH issues with family was increased almost three times the odds of the utilization of youth-friendly SRH services (AOR ¼ 2.99; 95% CI:1.89-4.72) The heterogeneity test revealed high variability, I 2 ¼ 85.5%, indicating high heterogeneity, so the random effect model was assumed in the analysis. Sensitivity analysis revealed that there was no change in the overall ORs (Figure 7).…”

“…The pooled effect of seven studies found that [25,32,33,37,51,52,54] having ever engaged in sexual activity was four times more likely to utilize youth-friendly SRH services in Ethiopia (AOR ¼ 3.79; 95% CI:2.11-6.80). The heterogeneity test revealed high variability, I 2 ¼ 81.1 %, indicating high heterogeneity, so the random effect model was assumed in the analysis.…”