Hulegicho, Anewar (2014) Assessment of the Availability and Utilization of Reproductive Health Service in Youth Centers, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: - Young People are, highly vulnerable for reproductive health problems. The situation is aggravated by low level of awareness, poor availability of service and health service seeking behavior of youths. Reproductive health services for young people in Addis Ababa are emerging in varying extent such as in youth centers. Youth Centers are a social and recreational center intended primarily for use by young people. Objective: - To assess the availability and utilization of reproductive health services in youth centers in Addis Ababa, Ethiopia. Method: - A descriptive cross- sectional study conducted between January 2013 and June 2013 and in ten youth centers of Addis Ababa, representing all sub cities by selecting one youth center from each using lottery method. The study subject includes 423 young people ages 15-29 selected using systematic sampling and ten service providers. Interview using structured and semi structured questioner and checklist were the main research tools used. Data entered using EPi Info and analyzed using SPSS statistical packages. Odd Ratio and 95% CI applied to measure the associations of variables. Result: - of the targeted 423 respondent 407 response obtained for structured questioner, 232 (57%) were male and 175(43%) female. age group 15 to 19 account highest 159 (39.12%). Staff pattern of the study youth center indicate that there is 10(100%) nurse and 5(50%) laboratory technicians. the type of service available were voluntary counseling and testing, family planning, reproductive health counseling, condom distribution and peer education. Nine clinics have VCT service, four clinics family planning, three clinics peer education, and all provide reproductive counseling and condom distribution. Concerning utilization 172(42.6%) respondent ever visited youth center reproductive health clinics. The major reason of ever visit was VCT and condom. Main factors that affect utilization were lack of knowledge 145(35.62%), lack of confidence 106(26.04%) and fear of being seen by friends or family 57(14%). Regarding preference 119(29.5%) respondent wish the clinics to open in weekend and 150(36.9%) service provider to be young and the same sex. Conclusion and recommendation: - The RH services available in youth center are very limited as compared with other African countries youth center and there is poor utilization of RH services. Although respondent are sexual active, only 5-10% of those visit the youth center come to the RH service clinics. The major factor that affects utilization was the gap ininformation so Information, education and communication to increase awareness about reproductive health should cared out and working hour have to include weekend.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 28 Nov 2018 11:05 |
| Last Modified: | 28 Nov 2018 11:05 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7876 |
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