Sexual and Reproductive Health Service Utilization among Adolescents in a Girls Secondary School in Enugu Metropolis, Enugu State, Nigeria
Adolescent Sexual and Reproductive Health Services Utilisation and Associated Factors
DOI:
https://doi.org/10.60787/tnhj.v24i3.866Keywords:
Adolescents, Sexual and Reproductive Health, Services, UtilizationAbstract
Background: Sexual and reproductive health (SRH) services for adolescents is critical for facilitating their physiological,
cognitive, emotional, and social transition into adulthood. This study assessed SRH utilization and associated factors
among adolescents in Queens School, Enugu state, Nigeria.
Method: A cross-sectional descriptive survey among 324 female students at Queens School, Enugu, selected through simple random sampling technique from a population of 2,120 adolescents. Data collected using a researcher-developed questionnaire with a reliability coefficient of 0.762 was analysed using descriptive, inferential and logistic regression analysis.
Result: Only 11 (3.4%) of the adolescents had ever gone to a health facility for SRH needs, mainly private hospitals (45.5%). In the last six months, only 3 (0.9%) visited a health facility. The major reasons for health facility visit were to test for pregnancy (45.5%) and counselling (45.5%). Assumption of not having any SRH issue (82.3%, n=267) was the main reason for non-utilisation. Age (p =0.14), class of study (p =0.32) and pocket money source (p =.044) were associated with utilisation of SRH service. Age (p =0.14) and being sexually active (p =0.001) significantly predicted utilization of SRH services. The odds of utilizing services increase 2 times for every 1-year age increase [OR =2.0; 95% C.I.=1.15-3.48]; and increase about 14 times for an adolescent that have once engaged in sex [OR =14.29; 95% C.I.=2.98-68.54].
Conclusion: Utilization of sexual and reproductive health services is very low among the respondents. Targeted interventions and strategies for improving SRHS utilization are required among adolescents to optimize their SRH.
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References
Agbenu I, Kyei J, Naab F. Female adolescent sexual reproductive health service utilisation concerns: A qualitative enquiry in the Tema metropolis of Ghana. PLoS One. 2024; 19(2). doi: 10.1371/journal.pone.0292103
Ndayishimiye P, Uwase R, Kubwimana I, Niyonzima J, Dzekem R, Nyandwi J, Kadima J. Availability, accessibility, and quality of adolescent sexual and reproductive health services in urban health facilities of Rwanda: A survey among social and healthcare providers. BMC Health Services Research. 2020; 20(1). doi: 10.1186/s12913-020-05556-0
UNAIDS. Young people and HIV. 2021;20 [Cited 2024 June, 10]. Available from https://www.unaids.org/sites/default/files/media_asset/young-people-and-hiv_en.pdf
World Health Organization. Adolescent Sexual and Reproductive Health. 2024 [cited 2024 June, 10] Available from https://www.who.int/southeastasia/activities/adolescent-sexual-reproductive-health
Tlaye KG, Belete MA, Demelew TM, Getu MA, Astawesegn FH. Reproductive health services utilisation and its associated factors among adolescents in DebreBerhan town, Central Ethiopia: a community-based cross-sectional study. Reprod Health. 2018;15(217):1-11. doi:10.1186/s12978-018-0659-4
World Health Organization. Adolescent pregnancy. 2020. [cited 2023 August 16] Available from https://www.int/news- room/fact-sheets/detail/adolescent-pregnancy
Mesfin, Y. Disparities in sexual and reproductive health service utilisation and associated factors among adolescents with and without disability in Southern Ethiopia. The Scientific World Journal. 2021; 2021(2). doi: 10.1155/2021/5573687
United Nations Popukation Funds. Joint United Nations Programme on HIV/AIDS. Ending the AIDS epidemic for adolescents, with adolescents. 2016. [cited 2023 August 18]. Available from https://www.unfpa.org/publications/ending-aids-epidemic-adolescents-adolescents
Owoeye OG, Nwaogwugwu CJ. Assessment of sexual behaviour and utilisation of sexual and reproductive health services among secondary school students in Ekiadolor, Edo state. Journal of MedicalWomen’s Association of Nigeria. 2021; 6(2). doi: 10.4103/jmwa.jmwa_20_21
Sidamo NB, Kerbo AA, Gidebo KD, Wado YD. Socio-ecological analysis of barriers to access and utilisation of adolescent sexual and reproductive health services in Sub-Saharan Africa: A qualitative systematic review. Open Access Journal of Contraception. 2023(14):103-118. doi: 10.2147/OAJC.S411924
Odo AN, Samuel ES, Nwagu EN, Nnamani PO, Atama CS. Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach. BMC Health Services Research. 2018; 18(1):92. doi: 10.1186/s12913-017-2779-x
Chandra-Mouli V, Neal S, Moller AB. Adolescent sexual and reproductive health for all in sub-Saharan Africa: a spotlight on inequalities. Reproductive Health. 2021;18(Suppl 1):118. doi: 10.1186/s12978-021-01145-4.
Banerjee A, Paul B, Das R, Bandypadhyay L, Bhattacharyya M. Utilisation of adolescent reproductive and sexual health services in a rural area of west Bengal: A mixed- method study. Malaysian Family Physician. 2023; 18(26). doi: 10.51866/oa.224
Opeyemi, B., Unadike, V. O. C. and Joshua, O. O. Health Risk Behaviours among In-School Adolescents in Enugu East Local Government Area, Enugu State, Nigeria. Nigerian Journal of Health Promotion. 2023, 14(1). Available from https://journals.aphriapub.com/index.php/NJHP/article/view/1655
Abdurahman C, Oljira L, Hailu S, Mengesha MM. Sexual and reproductive health services utilisation and associated factors among adolescents attending secondary schools. Reproductive Health. 2022; 19(161):1-10. doi: 10.1186/s12978-022-01468-w
Ismali HT, Amole TG, Tsiga-Ahmed FI, Jalo RI, Adamu AL, Sani MU, et al. Factors associated with utilisation of sexual and reproductive health services among married adolescent girls in Kano Northern Nigeria. International Journal of Maternal and Child Health and AIDS. 2024; 13. doi: 10.25259/IJMA_13_2023
Utaka EN, Sekoni AO, Badru FA. Knowledge and utilisation of sexual and reproductive health services among young males in a slum area in Nigeria: A cross-sectional study. Heliyon. 2023; 9(6):1-10. doi: 10.1016/j.heliyon. 2023.e16289
Envuladu EA, Massar K, Wit J. Adolescents’ sexual and reproductive healthcare-seeking behaviour and service utilisation in Plateau state, Nigeria. Healthcare (Basel). 2022; 10(2):301. doi: 10.3390/healthcare10020301
Nmadu AG, Mohamed S, Usman NO. Adolescents’ utilisation of reproductive health services in Kaduna, Nigeria: The role of stigma. Vulnerable Children and Youth Studies. 2020; 15(3):246-256. doi: 10.1080/17450128.2020.1800156
Hailemariam S, Gutema L, Agegnehu W, Derese M. Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia. Journal of Primary Care & Community Health. 2021;12. doi: 10.1177/21501327211018936
Salam RA, Faqqah A, Sajjad N, Lassi ZS, Das JK, Kaufman M, Bhutta ZA. Improving Adolescent Sexual and Reproductive Health: A Systematic Review of Potential Interventions. J Adolesc Health. 2016;59(4S):S11-S28. doi: 10.1016/j.jadohealth.2016.05.022
World Health Organization. Adolescent Pregnancy. 2024 [Cited 2024 June 10] Available from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
Kotoh AM, Sena Amekudzie B, Opoku-Mensah K, Baku EA, Glozah FN. Pregnant adolescents' lived experiences and coping strategies in peri-urban district in Southern Ghana. BMC Public Health. 2022 May 5;22(1):901. doi: 10.1186/s12889-022-13318-2
Mutea L, Ontiri S, Kadiri F, Michielesen K, Gichangi P. Access to information and use of adolescent sexual reproductive health services: Qualitative exploration of barriers and facilitators in Kisumu and Kakamega, Kenya. PLoS One. 2020; 15(11). doi: 10.1371/journal.pone.0241985
Embleton L, Braitstein P, Di Ruggiero E, Oduor C, Wado YD. Sexual and reproductive health service utilisation among adolescent girls in Kenya: A cross-sectional analysis. PLOS Glob Public Health. 2023; 3(2). doi: 10.1371/journal.pgph.0001508
Binu W, Marama T, Gerbaba M, Sinaga, M. Sexual and reproductive health services utilisation and associated factors among secondary school students in Nekemte town, Ethiopia. Reproductive health. 2018; 15(64):1-10. doi: 10.1186/s12978-018-0501-z
Mason-Jones A.J.,Freeman M., Lorenc T., Rawal T, Bassi S, & Arora M. Can Peer-based Interventions Improve Adolescent Sexual and Reproductive Health Outcomes? An Overview of Reviews. Journal of Adolescent Health. 2023; 73(6) 975-982. doi: 10.1016/j.jadohealth.2023.05.035.
Tilahun T, Bekuma T.T, Getachew M, Seme A. Assessment of access and utilization of adolescent and youth sexual and reproductive health services in Western Ethiopia. Reproductive Health. 2021;18(85):1-9. doi: 10.1186/s12978-021-01136-5
Gebreyesus H, Teweldemedhin M, Mamo A. determinants of reproductive health services utilization among rural female adolescents in Asgede-Tsimbla district Nortehrn Ethiopia: a community based cross-sectional study. Reprodctive Health. 2019;16(4):1-10. doi: 10.1186/s12978-019-0664-2
Zepro N.B, Ali N.T, Tarr N, Medhanyie A.A, Paris D.H, Probst-Hensch N, Merten S. Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia. BMC Health Services Research. 2023; 23(677):1-13. doi: 10.1186/s12913-023-09616-z
Murungi T, Benyumiza D, Apio J, Nekesa C, Nalubuuka A, Misuk I, Kumakech E. factors associated with utilization of sexual and reproductive health services among the youth in Lira city west, northern Uganda: a cross-sectional study. Biomed Research International. 2023; 2023(1). doi: 10.1155/2023/9649792
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