Preferences and Motivations for Choice of Sexual and Reproductive Health Service Providers among In-School Adolescents in Osun State, Nigeria

BMC Public Health, 2023

Background This study explored the factors associated with the utilization of Youth-Friendly Sexual Reproductive Health (YFSRH) services among school-going Nigerian adolescents. Methods This cross-sectional study employed a mixed method involving school-going students attending five public secondary schools in Kogi State, Nigeria. Descriptive statistics were used to determine the patterns of utilisation of YFSRH services, whereas inferential statistics were performed to determine factors associated with utilization of YFSRH services. Qualitative data were analysed by thematic analyses of records using an inductive analysis. Results One in two secondary school-going students had used the YFSRH services. Most of the participants had poor awareness of YFSRH services and limited access to YFSRH services. While gender positively predicted the utilisation of YFSRH services among secondary school-going students (aOR = 5.7; 95% CI: 2.4-8.95, p = 0.001), we found that age (aOR = 0.94; 95% CI: 0.67-0.99, p = < 0.001), and religious beliefs (aOR = 0.84; 95% CI: 0.77-0.93, p = 0.001) showed a negative relationship with the utilization of YFSRH services. Conclusions Our findings highlight the influence of gender, age, and religion on utilizing YFSRH services. This study recommends the inclusion of sexuality education into secondary school-going student's curricula, in order to create awareness about the benefit of utilization of sexual and reproductive health services, and this is to encourage young people to utilize the YFSRH services.

2020

Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among adolescents and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the adolescents. This study sought to determine factors that predict adolescents’ utilization of SRHS in Enugu State, Nigeria.MethodsThe study adopted mixed method research employing cross-sectional research design. The population of the study comprised adolescents (12-22 years). Multi-stage sampling procedure was used to select 1,447 adolescents used for the study. Questionnaire, in-depth interview and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, location and living status (p = &lt; .05...

BMC health services research, 2018

Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital roles in the promotion of adolescents&#39; sexual and reproductive health generally. The main purpose of the study was to determine the availability and accessibility (geographical and financial) of sexual and reproductive health services (SRHS) among adolescents in Enugu State, Nigeria. A mixed methods approach was adopted for the study. 192 health facilities were reached to check availability of SRH services. Randomly sampled 1447 adolescents (12-22 years) completed the questionnaire correctly. Twenty-seven interviews and 18 group discussions were conducted. Instruments for data collection consisted of a checklist, a questionnaire, a focus group discussion guide and an in-depth interview guide. All instruments were pre-tested. Quantitative data were analyzed using descriptive...

Adolescent health needs, behaviors and expectations are unique and routine health care services are not well geared to provide these services. This study explored the perceived reproductive health problems amongst in-school adolescents in Ile-Ife, Nigeria, determined their health seeking behaviors, assessed their knowledge of available reproductive health services and identified existing barriers to its access. In a descriptive cross-sectional study, 392 respondents were recruited by multi-stage sampling and utilized a semi-structured questionnaire for data collection. Most respondents lived with both parents. The mass media, especially the television and radio were found to be their main sources of health information. About two in five of respondents (39.5%) were currently in relationships. One in four (25.5%) were sexually experienced whereas only one in ten (10.7%) had ever tested for HIV. A statistically significant association was found between the respondents' age group and sexual experience (p = 0.02). The most commonly perceived adolescent health problems included menstrual problems, unwanted pregnancy, HIV/AIDs and lack of sexuality education. Most schools attended by respondents had no health facility and the few with clinics had inadequate/unfriendly staff and inadequate drugs. Respondents' most preferred places of seeking healthcare were government hospitals (37.8%) and private hospitals (28.1%). The study showed that the adolescents had little or no access to youth-friendly services even with their preference for government hospitals as their place of choice for seeking healthcare. We recommend that school health services be revamped by government with the aim of improving access to youth-friendly services geared towards their identified health problems.

Health

This paper examines the perception of adolescents on the attitudes of providers on their access and use of reproductive health services (ARHS) in Delta State, Nigeria, with a view of assessing the impact of providers' attitude on the use of adolescents' reproductive health services in Delta State. The study adopted a survey design to collect primary data using questionnaires and focus group discussions (FGDs) from adolescents in a sample of schools. A sample size of 1500 respondents was taken from 12 schools in six Local Government Areas in three Senatorial Districts in Delta State, Nigeria. The locations of the schools were such that six each were in rural and urban communities respectively. The result from the study was that unfriendly attitudes of providers which keep adolescents waiting, inadequate duration of consultations, judgmental attitudes of some providers, lack of satisfactory services provision and lack of confidentiality will put off adolescents from accessing and using adolescents' reproductive health services irrespective of their sex, age, class, religion, residence, ethnic group, parents' education or income levels. The paper concludes that medical personnel take all these issues very seriously when dealing with adolescents to enhance access and use adolescents' reproductive health services in Delta State and indeed Nigeria.

2019

Background Adolescents' sexual and reproductive health have an important influence on a country's long-term national growth. There is high level of burden due to poor adolescent sexual and reproductive health (ASRH) in Nigeria, especially Ebonyi state. Evidence shows that in Sub-Saharan Africa region, most adolescents experience poor access to information and other services relating to their sexual and reproductive health. Many cultures in Africa see matters around sex and sexuality as social taboos. This study aimed to access variations in utilization of health facilities for sexual and reproductive health information and services among adolescents in Ebonyi State, Nigeria. This will inform the design of interventions to improve ASRH.Methods A total of 1057 in-school and out-of-school adolescents aged 13 to18 years were selected using cluster sampling of households from the 6 selected LGAs in this cross sectional survey. Structured questionnaires were used to collect data. Descriptive statistics was performed alongside stratification analysis. Tabulation, bivariate and multivariate logistic regression analysis were undertaken. A household wealth index was calculated using the total household consumption calculated divided by the number of people in the households (per capital household consumption). The per capita household consumption was used to categorize households into socioeconomic quintiles. The variable was used to differentiate where key variables into socioeconomic quintile equity analysis.Results Majority of respondents had never visited any type of health facility to receive either SRH information (90.2%) or services (97.1%). Utilization rate of health facilities for SRH information was 9.8% while for other SRH services was 2.8%. Patent medicine vendor (PMV) was the most visited type of facility for SRH information and other services. Schooling is a strong predictor of health facilities' utilization for SRH information (P<0.01) and other services (P<0.01).Conclusion Utilization of health facilities for information and services among adolescents in Ebonyi State is very low and favourable towards informal service providers such as PMVs. Establishment and strengthening of the existing youth friendly centres, school clinics and occasional outreach programs

Adolescent health needs, behaviors and expectations are unique and routine health care services are not well geared to provide these services. This study explored the perceived reproductive health problems amongst in-school adolescents in Ile-Ife, Nigeria, determined their health seeking behaviors, assessed their knowledge of available reproductive health services and identified existing barriers to its access. In a descriptive cross-sectional study, 392 respondents were recruited by multi-stage sampling and utilized a semi-structured questionnaire for data collection. Most respondents lived with both parents. The mass media, especially the television and radio were found to be their main sources of health information. About two in five of respondents (39.5%) were currently in relationships. One in four (25.5%) were sexually experienced whereas only one in ten (10.7%) had ever tested for HIV. A statistically significant association was found between the respondents' age group and sexual experience (p = 0.02). The most commonly perceived adolescent health problems included menstrual problems, unwanted pregnancy, HIV/AIDs and lack of sexuality education. Most schools attended by respondents had no health facility and the few with clinics had inadequate/unfriendly staff and inadequate drugs. Respondents' most preferred places of seeking healthcare were government hospitals (37.8%) and private hospitals (28.1%). The study showed that the adolescents had little or no access to youth-friendly services even with their preference for government hospitals as their place of choice for seeking healthcare. We recommend that school health services be revamped by government with the aim of improving access to youth-friendly services geared towards their identified health problems.

Healthcare, 2022

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

Background:Health-seeking behaviour of a population depends to a great extent on the availability, accessibility and affordability of services of healthcare providers/facilities in nearby localities. Adolescents are usually uncomfortable discussing private health issues such as sexuality and contraceptives. This study was aimed at assessing the adequacy of service provision among adolescents in southern Nigerian environment. Methods: This was a comparative study among adolescent secondary school girls in rural and urban areas. A multi-stage sampling technique was used to select the study sample and was administered with questionnaire. Adolescent health services delivery centre serving the respective population was surveyed, using checklists and mystery client approach to determine the adequacy of provision of adolescent services. Results: Among the rural respondents, 12.5% have had an unpleasant experience at a health centre while 13.3% of urban respondents have had a similar experience, the reasons being: improper attention, lack of privacy and being yelled at. Observed difference was not statistically significant (X 2 = 0.000, p= 0.987). Conclusion:There was no statistically significant observed rural-urban difference in terms of unpleasant experiences at a health centre; implying a similar experience albeit among a few respondents. The main problems here were the issues of confidentiality and office atmosphere.

2020

Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, ed...