Utilization of Sexual and Reproductive Health Services and Associated Factors Among Secondary School Adolescent Students in Haramaya District, Eastern Ethiopia

Abstract

Sexual and reproductive health (SRH) is referring to physical and emotional wellbeing and includes the ability free from unwanted pregnancy, unsafe abortion, sexual transmitted infections including HIV/AIDS and all form of sexual violence and coercion. SRH is main services packages which prevent and reduce adolescent reproductive health problems. Ethiopian government were launched several strategies to promote adolescents and youth reproductive health whereas limited data on SRH services utilization among adolescent were reported in the country. Objective: To assess utilization of sexual and reproductive health care services and associated factors among secondary school adolescent students in Haramaya District Eastern Ethiopia from March 1 to 15, 2020. Methods - School based cross-sectional study design was conducted among 15-19 years selected adolescent students. Multistage sampling technique was used to select a total of 692 respondents. Structured, pretested and self-administered questionnaire was used to collect data. Collected data was coded cleaned and entered to Epi Data version 3.1 and exported to STATA version 16 for analysis. Bivariable and multivariable binary logistic regression were used to identify factors associated with utilization of SRH at P value < 0.05 level of statistical significance. Result – Out of 642 respondents 151(23.5%) (95% CI: 20-26.8) of adolescent utilized SRH services in. Adolescent who were exposed to SRH information (AOR= 2.11, 95% CI: 1.22-3.6), aware of SRH service providing facility (AOR=1.83 95% CI: 1.12-3.0), aware of SRH service components (AOR=2.76 95%, CI: 1.53-4.97) and being far from SRH clinics (AOR=2.28 95%, CI: 1.13-4.62) were significantly associate with utilization of SRH services. Conclusion – The overall result of the study shows 23.5% of secondary school adolescent had utilized SRH services. Exposing for SRH information, aware of SRH service components and service providing facility and being far from SRH clinics were predicting factors for service utilization. Providing information about SRH components and a place services is providing can improve adolescent service utilization.