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Abstract
BackgroundUtilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal.MethodsData have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS.ResultsThe study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young Janajati women, women having 1–2, and 3 or more living children, women participating household decision-making, and the ones having exposure to media were more likely to use modern contraceptives, whereas the women who want more children were less likely to use them. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and SBAs. However, the young women willing to have more children and having access to media have higher odds of receiving at least four ANC visits; and the women attending four and more ANC visits have higher odds of using SBAs.ConclusionsIn order to improve the use of reproductive health services among young women, efforts should be made to enrich the young women of lower educational level, lower economic status, higher birth order, and lower exposure to media. Further research is required to detect the causes that affect the use of reproductive health services.
Highlights
Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems
This study assesses the factors influencing the use of reproductive health services by young women in Nepal using the data from the 2016 Nepal Demographic and Health Survey
The finding of this study has revealed that number of living children, fertility preference, women’s participation in household decision-making and exposure to media are the important determiners of modern contraceptive use among young women in Nepal
Summary
Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. In Nepal, about one-fifth of the total population comprises young people aged 15–24 years [1]. These young people are one of the important sub-groups of population from the concern of reproductive health. The increasing use of reproductive health services helps reduce maternal mortality and improve the health of children and women. The young women in the richest wealth quintile had 9.16 times higher odds of receiving SBA compared to young women in the poorest wealth quintile. Higher order births had lower odds of SBA. The young women making at least four ANC visits had 2.59 times higher odds of receiving SBA compared to those making less than four ANC visits
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