Sexual and Reproductive Health among High School Adolescents in West Shoa zone, Oromia Region in Ethiopia

Daba B. Furry, Yohana Mashalla, Gloria T. Tshweneagae

Abstract

Adolescent‘s sexual and reproductive health is a challenge in many low and middle-income countries. We assessed the knowledge and attitude towards sexual and reproductive health among adolescents in West Shoa zone, Oromia region, Ethiopia. The study was cross-sectional using simple multi-stage random sampling and a structured questionnaire was used to collect data among adolescents aged 15 – 19 years. Frequency distribution of dependent and independent variables were computed and Odds ratios were calculated to determine association between variables. Most participants were from poor and illiterate families. Slightly over half of them had heard about sexual and reproductive health and the knowledge of emergency contraceptive was limited. About 80% of the girls who had become pregnant ended the pregnancy with an abortion and discussion between parents and adolescents on sexuality issues were poor. Effort to empower adolescents and communities with correct sexual and reproductive health is required; academic curricula should be reviewed and health facilities should be engaged to provide sexuality education. (Afr J Reprod Health 2019; 23[1]: 65-72).

Full Text:

PDF

References

UNFPA. Adolescent and youth demographics: A brief overview. http://www.unfpa.org/resources/adolescent-and-youth-demographicsa-brief-overview.

Chandra-Mouli V, McCarraher DR, Phillips SJ, Williamson NE and Hainsworth G. Contraception for adolescents in low- and middle-income countries: needs, barriers, and access. Reprod Health 2014; 11(1):1 – 8.

Bearinger LH, Sieving RE, Ferguson J and Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, , and potential. Lancet 2007; 369(9568):1220–31.

Blanc AK, Tsui AO, Croft TN and Trevitt JL. Patterns and trends in adolescents' contraceptive use and discontinuation in developing countries and comparisons with adult women. Int Perspect Sex Reprod Health 2009; 35(2):63–71.

Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J and Mathers CD. Global patterns of mortality in young people: A systematic analysis of population health data. Lancet 2009; 374: 881e92.

Sawyer SM, Afifi RA, Bearinger LH, Blakemore

SJ, Dick B, Ezeh AC and Patton GC. Adolescence: A foundation for future health. Lancet 2012; 379:1630e40.

Patton GC, Coffey C, Cappa C, Currie D, Riley L, Gore F, Degenhardt L, Richardson D, Astone N, Sangowawa AO, Mokdad A and Ferguson J. Health of the world‘s adolescents: A synthesis of internationally comparable data. Lancet 2012; 379:1665e75.

Blanc AK, Winfrey W and Ross J. New findings for maternal mortality age patterns: Aggregated results for 38 countries. PLoS One 2013; 8:e59864.

Nove A, Matthews Z, Neal S and Camacho AV. Maternal mortality in adolescents compared with women of other ages: Evidence from 144 countries. Lancet Glob Health 2014; 2:e155e64.

Shah IH and Ahman E. Unsafe abortion differentials in 2008 by age and developing country region: High burden among young women. Reprod Health Matters 2012; 20:169e73.

World Health Organisation. Global and regional estimates of violence against women: Prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: World Health Organisation, 2013.

Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L and Watts CH. Prevalence of intimate partner violence: Findings from the WHO multi-country study on women‘s health and domestic violence. Lancet.

; 368:1260e9.

World Health Organisation. Preventing intimate partner and sexual violence against women: Taking action and generating evidence. Geneva: World Health Organisation, 2010.

Mengistu TS and Melku AT. Sexual and Reproductive Health Problems and Service Needs of University Students in South East Ethiopia: Exploratory Qualitative Study. J Publ Health 2013; 1(4): 184 – 188. DOI: 10.11648/j.sjph.20130104.13.

USAID/Ethiopia: Assessment of Youth Reproductive Health Programs in Ethiopia, 2004. Ethiopia: USAID/Ethiopia, April 2004.

Ministry of Youth, Sports & Culture of Ethiopia (MYSC): Youth policy, 2005. http://www.mysc.gov.et/youth.html.

Federal Ministry of Health of Ethiopia: Standard on youth friendly reproductive health services: service delivery guidelines and Minimum service delivery package on YFRH services. Adds Ababa: FMOH 2005; 9–26.

FMOH of Ethiopia: Assessment of reproductive health needs and youth friendliness of public health facilities in selected urban areas of the Oromia, Adolescent sexual and reproductive health Amhara, Southern people, and Tigray Regional States. Ethiopia: FMOH, AA; 2006;10.

Guilamo-Ramos V, Bouris A, Jaccard J, Gonzales B, McCoy W and Aranda D. A parent-based intervention to reduce sexual risk behaviour in early adolescence: Building alliances between physicians, social workers and parents. J Adolesc Health 2011; 48: 159 – 163.

Tesso DW, Fantahun MA and Enquselassie F. Parent-young people communication about sexual and reproductive health in Wollega zone, West Ethiopia: Implications for interventions. Reproductive Health

; 9:13.http://www.reproductive-health-journal.com/content/9/1/13.

Taffa N, Haimanot R, Desalegn S, Tesfaye A and Mohammed K. Do parents and young people communicate on sexual matters? The situation of family life education (FLE) in rural town of Ethiopia. Ethiop J. Health Dev 1999; 13(2):107– 113.

Atienzo EE, Walker DM, Campero L, Lamadrid-Figueroa H and Gutie´rrez JP. Parent- adolescent communication about sex in Morelos, Mexico: does it impact sexual behaviours? The Eur J of Contracep and Repro Health Care 2009; 14(2):111–119. http://informahealthcare.com/doi/pdf/10.1080/1362 5180802691848.

Huebner AJ and Howell LW. Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication and parenting styles. J Adolesc Health 2003; 33: 71 – 78.

Singh S and Darroch JA. Adding it up: Costs and benefits of contraceptive services. Estimates for 2012.New York: Guttmacher Institute and UNFPA 2012; http://www.guttmacher.org/pubs/AIU-2012-estimates.pdf.

World Health Organisation. Adolescent pregnancy. Fact

Sheet No. 364, September 2014. http://www.who.int/mediacentre/factsheets/fs364/en

Grimes DA, Benson J, Singh S, Romeo M, Ganatra B, Okonofua FE, Shah IH.. Unsafe abortion: the preventable pandemic. Lancet 2006; 368(9550): 1908 – 1919.

Gatta AA and Thupayagae-Tshweneagae G. Knowledge of and attitudes towards Voluntary HIV counselling and testing services among adolescent high school students in Addis Ababa, Ethiopia. MPH thesis (Health studies), UNISA, Pretoria RSA, 20012.

Feleke SA, Koye DN, Demssie AF and Mengesha ZB. Reproductive health services utilisation and associated factors among adolescents (15 – 19 years old) in Gondar town, North West Ethiopia. BMC Health Services Research 2013; 13: 294. http://www.biomedcentral.com/1472-6963/13/294-.

Fentahun N and Mam A. Risky sexual behaviours and associated factors among male and female students in Jimma Zone preparatory schools, south West Ethiopia. Ethiop J Health Sci 2014; 24(1):59 - 68.

Refbacks

  • There are currently no refbacks.