ASSESSMENT OF FACTORS AFFECTING CONTRACEPTION UTILIZATION AMONG PREPARATORY SCHOOL STUDENTS IN GONDAR TOWN, AMHARA REGION, ETHIOPIA
Keywords:Reproductive health, Adolescent, Youth, Contraception, Gondar town
Objective: The study was aimed to assess factors affecting contraception utilization among preparatory school students in Gondar town, Amhara region, Ethiopia.
Methods: An institutional-based cross-sectional study design was employed. A multistage sampling procedure was employed in the study area. The data were entered, clean and analysis using statistical package for social science (SPSS) version 16 software. Descriptive, bivariate, and multivariate analyses were employed. Multivariate analysis with 95% confidence interval (CI) was computed to identify factors associated with contraception service utilization at p<0.05.
Results: The response rate of this study was 97%. The result showed that 90.4% of study participants knew about contraception services utilization. However, the practice of contraception was only 24% (95% confidence interval (CI): (20.8%-27.4%). Based on the finding of multivariate analysis among explanatory variables, age, media exposure, marital status, and ever had girl or boyfriends were significantly associated with contraception services utilization.
Conclusion: Interventions are needed to improve adolescent sexual and reproductive health such as promote parent adolescent communication, strengthening of youth centers, working with community and religious leaders, and increase the accessibility of services which are important to encourage adolescent contraception service utilization.
World Health Organization. Adolescent Health. Geneva: World Health Organization; 2010.
UNICEF. Progress for Children: A Report Card for Adolescents. New York: UNICEF; 2012.
United Nations Population Fund. State of World Population, Adolescents, Youth and the Transformation of the Future. United Nations Population Fund; 2014.
World Health Organization. Adolescent Friendly Health Services in South East Asia Region: Report of Regional Consultation, 9-14 February 2004, Bali, Indonesia. Geneva: World Health Organization; 2008.
Nicholson J. Risky Sexual Behavior among Adolescents and Young Adults. Carolina: University of North Carolina Chapel Hill; 2012.
Ringheim K, Gribble J. Improving the Reproductive Health of Sub-Saharan African Youths: A Route to Achieve the Millennium Development Goals. Washington, USA: Population Reference Bureau; Ref Type: Report; 2010.
United Nations Population Fund. How Universal is Access to Reproductive Health. New York: United Nations Population Fund; 2010.
Guttmacher Institute. Adolescent Women’s Need for and Use of Sexual and Reproductive Health Services in Developing Countries. Guttmacher Institute; 2015.
Addis Ababa Youth and Sport Office: Standard for Service Provided in Youth Centers, Addis Ababa, Ethiopia; 2009.
FMOH. National Adolescent and Youth Health Strategy (2016-2020). FMOH; 2016.
Singh S, Sedgh G, Hussain R. Unintended pregnancy: Worldwide levels, trends, and outcomes. Stud Fam Plan 2010;41:241-50.
World Health Organization. The Sexual and Reproductive Health of Younger Population, Background Paper for Survey. Geneva, Sewzeralnd: World Health Organization; 2011.
Darroch J, Singh S. Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012 an analysis of national surveys. Lancet 2013;381:1756-62.
Prakash K: Adolescent’s Knowledge and Perception of Sexual and Reproductive Health And Services a Study From Nepal, Published Thesis; 2016.
CSA. Ethiopia Demographic and Health Survey, Addis Ababa Ethiopia. CSA; 2011.
Ayehu A, Kassaw T, Hailu G. Level of young people sexual and reproductive health service utilization and its associated factors among young people in Awabel District, Northwest Ethiopia. PLoS One 2016;11:e0151613.
Amanuel A. Reproductive Health Knowledge and Services Utilization among Rural Adolescents in Machakel Woreda, East Gojam Zone, Northwest Ethiopia, Unpublished Thesis; 2012.
Helamo D, Kusheta S, Bancha B, Habtu Y, Yohannes S. Utilization and factors affecting adolescents and youth friendly reproductive health services among secondary school students in Hadiya Zone, Southern Nations, Nationalities and Peoples Region, Ethiopia. Int J Public Health Safe 2017;2:141.
Abebe M, Awoke W. Utilization of youth reproductive health services and associated factors among high school students in Bahir Dar, Amhara Regional State, Ethiopia. Open J Epidemiol 2014;4:69-75.
Lelissie Y. Assessment of Knowledge and Utilization of Youth Friendly Health Service among Adolescents (15-19) in Addis Ababa Master Thesis; 2016.
Birhan G, Abule T, Nigus B, Addis A, Yonas Y, Ayene W. Assessment of reproductive health service utilization and associated factors among adolescents (15–19 years old) in Goba Town, Southeast Ethiopia. Am J Health Res 2015;3:203-12.
Tigist T. Assessment of Reproductive Health Right Knowledge and Practice among Preparatory School Female Students of Asella Town, Oromia Regional State, Ethiopia; 2015.
Lejibo TT, Assegid S, Beshir M, & Tilahun Beyene Handiso, Reproductive Health Service Utilization and associated factors among female adolescents in Kachabirra District, South Ethiopia: A community based cross sectional study. Am J Biomed Life Sci 2017;5:103-12.
Tegegn A, Gelaw Y. Adolescent reproductive health services in Jimma city; accessibility and utilization. Ethiop J Health Sci 2009;19:102.
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