Author:
Ilori Oluwatosin Ruth,Olarewaju Sunday Olakunle,Awodutire Phillip Oluwatobi,Ilori Oluwatosin Stephen,Bamidele James Olusegun
Abstract
ABSTRACTIntroduction: Reproductive health information and services are fundamental to health, well-being and opportunities for women and young people, yet throughout the world, women and youths do not have access to quality reproductive health care thereby exposing them to unplanned pregnancy, teen birth, induced abortion as well as increased exposure to sexually transmitted diseases, HIV inclusive. This study is meant to explore the expectation of adolescents of an adolescent reproductive health services as well as to assess the experiences of those who had visited an ARHS at the centers.Methodology: It was a descriptive cross-sectional prospective study, analytic in design using a multistage sampling technique where 452 secondary school pupils in both rural and urban communities were interviewed using a pretested validated questionnaire. Data was analyzed using SPSS version 21. Chi square was used to test for association between both rural and urban adolescents in issues relating to their expectation and experiences, with p value of <0.05.Results: More of the respondents in the urban communities (73,32.4%) have the expectation that Adolescent Reproductive Health Services (ARHS) should be provided in an existing health service with special attention to adolescents while a larger percentage of those who preferred a special adolescent health institution were from the rural communities (122, 54.2%) which was statistically significant with a p value of 0.001. More of respondents from the rural communities also expect that contraception services should be provided in an ARHS center while life skill services are expected by more of the respondents from the urban communities (122, 55.6%). More of the rural community respondents (57,25.3%) expect that fee at the ARHS centers should be provided at a subsidized rate while more of the urban dwellers have the expectation that services provided should be free of charge. For respondents who had been to an ARHS center, more of the urban respondents were attended to by a Medical doctor and a large percentage (34, 94.4%) of those who had visited ARHS center before professed to be satisfied with the services rendered there.Conclusion: Expectations from adolescents from ARHS are very high. However, most of them prefer a free of charge service as well as a service area nearer to residential area. Confidentiality and having a young health professional at the service centers cannot be overemphasized in the provision of quality ARHS.Keywords: expectation, experiences, rural, urban, adolescents, reproductive health
Subject
Public Health, Environmental and Occupational Health
Reference23 articles.
1. Doherty J. Involving the private sector in sexual and reproductive health services: the need for caution. 2005; Available from: Accessed on 20/06/2017 at www.wits.ac.za/whp/rightsandreforms/docs/RRpolicyPublic.pdf
2. Ilori OR, Awodutire PO, Ilori OS Awareness and Utilization Of Adolescent Reproductive Health Services Among In-School Adolescents In Urban And Rural Communities In Oyo State. Nigerian Medical Journal 2020; 61:67-72
3. Ajakaiye O and Mwabu G. The demand for reproductive health services: an application of control function approach. In: Conference paper at African Econometrics Society [Internet]. 2007. Available from: Accessed on 10/07/2017 at www.africametrics.org
4. Ditole K, St Lawrence Selollwe, Magowe MM. Parent and Youth communication Pattern on HIV and AIDS,STIs and Sexual Matters: Opportuinities and Challenges. J Child Adolesc Behav. 2015;3(3):203.
5. Erulkar, AS, Onoka, CJ & Phiri A. What is Youth- Friendly? Adolescents’ Preferences for Reproductive Health Services in Kenya and Zimbabwe. Afr J Reprod Health. 2005;9(3):51–8.