Awareness, Utilization and Barriers of Sexual Reproductive Health Service among Adolescent Age 15-19 YRS Old in Arsi Zone Oromia Region Ethiopia

Abstract

Background: In Ethiopia most of sexual reproductive health services are
design for adults and they have no favorable condition for youth to utilize the
service. Study conducted in Ethiopia indicated that only32% of youth
utilized reproductive health service.
Objective: To assess awareness, utilization and barriers of sexual and
reproductive health service among adolescent age 15-19 old years in selected
district of Arsi zone, Ethiopia.
Methods: community-based cross sectional study supported with qualitative
study design conducted among 734 youth reside in Arsi Zone, Oromia
region, Ethiopia. Systematic random sampling technique was used to select
the study participants, while purposive sampling used to select focus group.
Data entry and analysis were carried out by EPI-info version 3.5.4, and SPSS
version 21. Multivariate logistic regression analysis was performed to test
significant level and association of variables with 95% confidence interval
and p-value <0.05 was taken as statically significant.
Result: Out of 734 participants, 331 (43.7%) of adolescent had awareness
about youth sexual and reproductive health service. The overall utilization of sexual reproductive service of adolescents were 30.1%. Adolescent had
Pocket money AOR=1.73, 95% CI: 1.14- 2.80, adolescent accessed or near
by the service AOR=2.53, 95% CI: 1.35- 4.45 were significantly associated
with utilization of the services.
Conclusion: This study had found that majority of adolescents were not
utilizing the reproductive health service of adolescent. Among the factors
that affect utilization of sexual and reproductive health service of adolescents
were, Adolescent have pocket money and adolescents easily access sexual
and reproductive health prone to more utilize the service than their counter
parts. To improve utilization, awareness and accessibility of services the
responsible bodies like, government, ministry of health, the regional
government, the local leaders and parents should be actively involved in the
program.