Original Article

Reproductive health service utilization and associated factors among adolescents at public school in Adama town east Shewa Ethiopia, 2018


Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia.
Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance.
Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service.
Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important.

1. United Nations population Fund (UNFPA). Adolescent sexual reproductive health, 2016. Retrieved from: https://www.unfpa.org/sexual-reproductive-health
2. WHO 2017 Annual Report; significant Achievements by Category of Work p 24-27 retrieved from: https://www.afro.who.int/publications/2017-annual-report
3. UNFPA Universal Access to Reproductive Health: Progress and Challenges, 2017: Retrieved from: https://www.unfpa.org/sites/default/files/pub- pdf/UNFPA_Reproductive_Paper_20160120_online.pdf
4. Ministry of Health (2007-2015) National Reproductive Health Strategy: Federal Democratic Republic of Ethiopia, Ministry of Health, Addis Ababa, Ethiopia. Retrieved from: https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/ethiopia/ayrh_strategy.pdf
5. World Health Organization (WHO) Ethiopian Public Health Institute Addis Ababa, Ethiopia, 2017; Retrieved from: http://www.who.int/chp/steps/Ethiopia_2015_STEPS_Report.pdf
6. Central Statistical Agency (CSA) [Ethiopia] and ICF. 2016. Ethiopia Demographic and Health Survey Retrieved from: https://dhsprogram.com/pubs/pdf/FR328/FR328.pdf
7. Birhan Z, Tushune K, Jebena MG. Sexual and reproductive health services use, perceptions, and barriers among young people in southwest Oromia, Ethiopia. Ethiopian journal of health sciences. 2018;28 (1):37-48. doi:http://dx.doi.org/10.4314/ejhs.v28i1.6.
8. Federal Democratic Republic of Ethiopia Ministry of Health, National Adolescent and The federal democratic republic of Ethiopia ministry of health. Health sector transformation plan (2015) 2015/16 - 2019/20 (2008-2012 EFY), 2011. ;Retrieved from: https://www.globalfinancingfacility.org/sites/gff_new/files/Ethiopia-health-system-transformation-plan.pdf
9. Denno DM, Hoopes AJ, Chandra-Mouli V. Effective strategies to provide adolescent sexual and reproductive health services and to increase demand and community support. Journal of adolescent health. 2015 Jan 1;56(1):S22-41.
10. Ansha MG, Bosho CJ, Jaleta FT. Reproductive Health Services Utilization and Associated Factors among Adolescents in Anchar District, East Ethiopia. J Fam Reprod Health 2017; 11(2): 110-8. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742664/pdf/JFRH-11-110.pdf
11. Zaw PP, Liabsuetrakul T, Htay TT, McNeil E. Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar. BMC health services research. 2012 Dec 1;12(1):458.
12. Motuma A, Syre T, Egata G, Kenay A. Utilization of youth friendly services and associated factors among youth in Harar town, east Ethiopia: a mixed method study. BMC health services research. 2016 Dec 1;16(1):272.
13. Lesedi C, Hoque ME, Ngcobo BN. Youth’s perception towards sexual and reproductive health services at Family Welfare Association centres in Botswana. Journal of Social Sciences. 2011 Aug 1;28(2):137-43.
14. Negash W, Dessalegn M, Yitayew B, Demsie M, Wagnew M, Nyagero J. Reproductive health service utilization and associated factors: the case of north Shewa zone youth, Amhara region, Ethiopia. The Pan African Medical Journal. 2016;25(Suppl 2):3. doi:10.11604/pamj.supp.2016.25.2.9712.
15. Amanuel AA, Seme AS. Reproductive Health Knowledge and Services Utilization among Rural Adolescents in Machakal district, Northwest Ethiopia. Asian Journal of Pharmacy, Nursing and Medical Sciences. 2013 May 25;1(1). Retrieved from https://ajouronline.com/index.php/AJPNMS/article/view/193
16. Madeni F, Horiuchi S, Iida M. Evaluation of a reproductive health awareness program for adolescence in urban Tanzania-A quasi-experimental pre-test post-test research. Reproductive health. 2011 Dec;8(1):21.
17. Abebe M, Awoke W. Utilization of youth reproductive health services and associated factors among high school students in Bahir Dar, Amhara regional state, Ethiopia. Open Journal of Epidemiology. 2014 Mar 27;4(2):69-75.
18. Busi S, Chea N. Barriers of Discussion Concerning Sexual and Reproductive Health Issues Among Adolescents and Parents, Hawassa, SNNPR, Ethiopiac. Biomedical Journal of Scientific & Technical Research. 2017;1(7):1947-53.
19. Helamo D, Kusheta S, Bancha B, Habtu Y, Yohannes S. Utilization and factors affecting adolescents and youth friendly reproductive health services among secondary school students in Hadiya zone, Southern Nations, Nationalities and Peoples Region, Ethiopia. Int J Pub Health Safe. 2017;2(141):2.
20. Ayehu A, Kassaw T, Hailu G. Level of young people sexual and reproductive health service utilization and its associated factors among young people in Awabel District, Northwest Ethiopia. PLoS One. 2016 Mar 18;11(3):e0151613.
21. Hall KS, Moreau C, Trussell J. The link between substance use and reproductive health service utilization among young US women. Substance abuse. 2013 Jul 1;34(3):283-91.
22. Tilahun T, Coene G, Luchters S, Kassahun W, Leye E, Temmerman M, Degomme O. Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia. PloS one. 2013 Apr 23;8(4):e61335. doi:10.1371/journal.pone.0061335
23. John Cleland. Illustrative questionnaire for interview-survey with young people’s Part II. Available at: https://www.who.int/reproductivehealth/topics/ adolescence/questionnaire.pdf. [Accessed Jan 2018].
24. Bilal SM, Spigt M, Dinant GJ, Blanco R. Utilization of Sexual and Reproductive Health Services in Ethiopia–Does it affect sexual activity among high school students?. Sexual & Reproductive Healthcare. 2015 Mar 1;6(1):14-8.
25. Feleke SA, Koye DN, Demssie AF, Mengesha ZB. Reproductive health service utilization and associated factors among adolescents (15–19 years old) in Gondar town, Northwest Ethiopia. BMC health services research. 2013 Dec 1;13(1):294.
26. Darroch JE, Singh S, Weissman E. Adding it up: the costs and benefits of investing in sexual and reproductive health 2014—estimation methodology. Appendix B: estimating sexual and reproductive health program and systems costs. New York: Guttmacher Institute. 2016. Available at :
27. Abajobir AA, Seme A. Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: a community-based cross-sectional study. BMC health services research. 2014 Dec;14(1):138.
28. Woog V, Susheela S, Alyssa B, Jesse P. Adolescent Womens Need for and Use of Sexual and Reproductive Health Services in Developing Countries. New York: Guttmacher Institute; 2015 Aug.
29. Gebreselassie B, Takele A, Bililign N, Adera A, Ayene Y, Woreta A, Kidane M. Assessment of Reproductive Health Service Utilization and Associated Factors Among Adolescents (15–19 Years Old) in Goba Town. Southeast Ethiopia. 2015 Jun 15;3(4):203-12. doi: 10.11648/j.ajhr.20150304.12 .
30. Health Unit, Association of Church-Based Development Program (ACDEP): A Baseline Survey on Adolescent Sexual and Reproductive Health in the Operational areas of Ten ACDEP-Member Primary Health Care Programmes in Northern and Upper East Regions: Northern Region Ghana, 2008.
IssueVol 7 No 4 (2020): Autumn QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v7i4.4037
reproductive health; reproductive health service; adolescents; schools

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Gurara A, Gizaw A, Ayalew A, Adem A. Reproductive health service utilization and associated factors among adolescents at public school in Adama town east Shewa Ethiopia, 2018. NPT. 7(4):275-285.