Understanding adolescent and youth sexual and reproductive health-seeking behaviors in Ethiopia: Implications for youth friendly service programming

Jain, Aparna; Ismail, Hussein; Tobey, Elizabeth; Erulkar, Annabel

doi:10.31899/rh7.1054

Cited by 18 publications

(27 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study 33.3 % of adolescents utilized voluntary counseling and testing service. This is lower than the ndings of studies conducted in different corners of Ethiopia, Hadiya Zone, 68.9% 7, Woreta town ,50.6% (10), Nekemte town 59.2% (21) and Gondar town 72.2% (22). This difference might be, unlike our study setting HIV/AIDS counseling and testing was routinely available in the mentioned study areas.…”

Section: Discussioncontrasting

confidence: 68%

Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of South Ari district, South Omo zone, Southern Ethiopia: a comparative cross-sectional study.

Haile

Shegaze

Feleke

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In recent years, much effort was made to improve access to sexual and reproductive health services (SRH) to adolescents and youths in Ethiopia particularly through establishment of youth friendly service (YFS) corners as part of the existing health care facilities. The existing evidences focused on the utilization of SRH services at YFS alone. There is a dearth of evidence which compares the SRH service use between the YFS implemented and non-implemented areas so that evidences can be drawn to suggest on the successes of the expansion of youth friendly corners. Methods: A school-based comparative cross-sectional study with multistage cluster sampling method was employed. Self-administered questionnaire was used to collect data and the collected data were entered in to Epi data version 4.4.1 software and then exported to SPSS version 20 for analysis. χ2 test was used to see significant difference in magnitude of SRH service utilization between YFS implemented and non-implanted areas. The association between the SRH services utilization and the independent variables was examined using binary logistic regression. Finally, variables having p-value less than or equal to 0.05 in the multivariable logistic regression model were considered as statistically significant.Results: There was a significant difference in the rate of SRH service utilization between YFS implemented (33.8%) and YFS non- implemented (9.9%) areas (χ2=37.49, p<0.001). Higher educational status of mothers (AOR=2.588, 95 % CI: 1.220, 5.491), having open discussion with family (AOR=3.175, 95%CI: 1.624, 6.206), good knowledge (AOR= 4.511, 95% CI: 2.458, 8.278) and having positive attitude (AOR= 5.084, 95% CI: 2.764, 9.352) were positively associated with SRH services utilization.Conclusion: Compared with high schools from YFS implemented areas, the magnitude of utilization of SRH services was significantly lower among students from high schools where health facilities had not yet implemented YFS. There is a need for more efforts to scale up SRH services in YFS non implemented areas among stakeholders at different hierarchies. Such interventions should target on improving open discussion at family level, knowledge and attitude on SRH issues and women education at large.

show abstract

Section: Discussioncontrasting

confidence: 68%

Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of South Ari district, South Omo zone, Southern Ethiopia: a comparative cross-sectional study.

Haile

Shegaze

Feleke

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Households comprised the second stage and approximately 37 households with eligible respondents were randomly selected per EA, and one respondent per household was selected using a Kish grid [23]. A more detailed description of the sampling strategy is available in the study report [24]. The total number of males interviewed was 1244.…”

Section: Methodsmentioning

confidence: 99%

Condom use at last sex by young men in Ethiopia: the effect of descriptive and injunctive norms

Jain

Tobey

Ismail³

et al. 2018

Reprod Health

Self Cite

View full text Add to dashboard Cite

BackgroundCondoms are an important prevention method in the transmission of HIV and sexually transmitted infections as well as unintended pregnancy. Individual-level factors associated with condom use include family support and connection, strong relationships with teachers and other students, discussions about sexuality with friends and peers, higher perceived economic status, and higher levels of education. Little, however, is known about the influence of social norms on condom use among young men in Ethiopia. This study examines the effect of descriptive and injunctive norms on condoms use at last sex using the theory of normative social behavior.MethodsA cross-sectional survey was implemented with 15-24 year old male youth in five Ethiopian regions in 2016. The analytic sample was limited to sexually active single young men (n = 260). Descriptive statistics, bivariate and multivariate logistic regressions were conducted. An interaction term was included in the multivariate model to assess whether injunctive norms moderate the relationship between descriptive norms and condom use.ResultsThe descriptive norm of knowing a friend who had ever used condoms significantly increased respondents’ likelihood of using condoms at last sex. The injunctive norm of being worried about what people would think if they learned that the respondent needed condoms significantly decreased their likelihood to use condoms. The injunctive norm did not moderate the relationship between descriptive norms and condom use. Young men who lived closer to a youth friendly service (YFS) site were significantly more likely to have used condoms at last sex compared to those who lived further away from a YFS site.ConclusionsSocial norms play an important role in decision-making to use condoms among single young men in Ethiopia. The interplay between injunctive and descriptive norms is less straightforward and likely varies by individual. Interventions need to focus on shifting community-level norms to be more accepting of sexually active, single young men’s use of condoms and need to be a part of a larger effort to delay sexual debut, decrease sexual violence, and increase gender equity in relationships.

show abstract

“…YFRHS programs were implemented in Ethiopia since 2006, primarily by NGOs (Pathfinder was pioneer). Currently, it is owned by the government and implemented in an age driven approach in the existing public health facilities [13]. For the effective implementation of the program, standards on YFS, delivery guideline, and minimum service delivery package were developed [14,15].…”

Section: Introductionmentioning

confidence: 99%

“…According to these studies, YFSRH services given at health institutions are less utilized by potential users. Socio-cultural norms, in general, have been identified as factors for poor service utilization [13,[21][22][23][24][25][26]. So far, little is known about the extent of quality of YFSRH service in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Quality of youth friendly sexual and reproductive health Services in West Gojjam Zone, north West Ethiopia: with special reference to the application of the Donabedian model

Munea

Alene

Debelew

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background: Although there has been momentum in implementing sexual and reproductive health services in Ethiopia, young people remain underserved despite their demonstrated needs. Quality care improves utilization of health service and increases the likelihood of obtaining ongoing care. However, little is known about the quality of youth-friendly sexual and reproductive health service in Ethiopia. Therefore, this study sought to investigate the quality of youth-friendly sexual and reproductive health service in West Gojjam Zone, North West Ethiopia. Methods: Health facility-based cross-sectional study was conducted in West Gojjam zone in 2018 to assess the quality of the service using the Donabedian model. The assessment was done through the triangulation of multiple methods: simulated client study; structured interviews with service providers; observations; and key informant interview with providers and expertise. Fifty-four visits were made to 18 randomly selected health facilities by three simulated clients trained to present three different scenarios (i.e., adolescent with sexually transmitted infection, pregnancy test request and a lady with dry cough). Data were entered and analyzed using SPSS version 21. Facility visit score of ≥ 75% in all quality component categorized as "good quality" otherwise classified as performing below the standard. Thematic analysis was done to analyze qualitative data. Results: In this study, none of the health facilities achieved ≥ 75% in the three components of quality measurement. From 18 health facilities, 6(33.3%) provided low quality in all domains. Process component, which measures client-provider interaction and privacy/confidentiality, was the most compromised one. However, a promising result was reported in the input quality that measured the availability of trained providers, drugs, and supplies. The presence of community-based health insurance and age driven comprehensive youth-friendly service delivery approach were identified as challenges to deliver quality services.Conclusions: The quality of the service ranges from low to medium, with adolescent related elements performing poorly. Minor renovations of health facilities, training on client handling, and contextual modifying the age driven youth-friendly service approach may improve the quality of the services.

show abstract

Understanding adolescent and youth sexual and reproductive health-seeking behaviors in Ethiopia: Implications for youth friendly service programming

Cited by 18 publications

References 9 publications

Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of South Ari district, South Omo zone, Southern Ethiopia: a comparative cross-sectional study.

Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of South Ari district, South Omo zone, Southern Ethiopia: a comparative cross-sectional study.

Condom use at last sex by young men in Ethiopia: the effect of descriptive and injunctive norms

Quality of youth friendly sexual and reproductive health Services in West Gojjam Zone, north West Ethiopia: with special reference to the application of the Donabedian model

Contact Info

Product

Resources

About