Abstract
<i>Background:</i> Adolescent girls are at the highest risk of maternal mortality compared to women in their twenties. Reproductive health service utilization among adolescent females is lower when compared with other age groups in Ethiopia. <i>Objectives:</i> The study was aimed to assess the reproductive health service utilization and associated factors among female adolescents of kachabirra district. <i>Methods:</i> Community based cross sectional study was conducted in Kachebirra district. A total of 844 female adolescents participated from 8 randomly selected kebeles (the smallest administrative unit). A pretested structured interview was used. Bivariate and multivariate logistic regression analysis was carried out to assess the association. Statistical significance was declared by 95% confidence interval of odds ratio. <i>Results </i> 812 female adolescents with response rate of 96.2% participated in the study. In this study, 383 (47.2%, 95% CI: 43.7-50.6%) of the female adolescents utilized the reproductive health services. Female adolescent reproductive health service utilization was significantly associated with; living with both parents (AOR=9.63, 95% CI: 1.237-74.983), age 15-19 years (AOR=3.295, 95% CI: 1.411-7.696), excellent attitudes of health providers (AOR=3.816, 95% CI: 1.561-9.324) and adequate consultation time (AOR=2.450, 95% CI: 1.178-5.094). <i>Conclusions:</i> There is low level of female adolescent reproductive health service utilization. Age, living arrangement, attitude of reproductive health service providers and consultation time in the nearby health facilities were significantly associated with female adolescent reproductive health service utilization.
Highlights
Adolescence is defined as the period between 10 and 19 years of age
In order to identify factors associated with ever utilization of female adolescent reproductive health service, bivariate analysis was carried out (Table 1)
Age of participants was found to be statistically significantly associated with female adolescent reproductive health service utilization
Summary
During adolescence young people starts to define and clarify their sexual values and frequently, start to experiment with sexual behaviors These typical characteristics of youths put them at increased risk of sexually transmitted infections (STIs), including human immune-deficiency virus (HIV), and unwanted pregnancies. Reproductive health service utilization among adolescent females is lower when compared with other age groups in Ethiopia. Objectives: The study was aimed to assess the reproductive health service utilization and associated factors among female adolescents of kachabirra district. 383 (47.2%, 95% CI: 43.7-50.6%) of the female adolescents utilized the reproductive health services. Female adolescent reproductive health service utilization was significantly associated with; living with both parents (AOR=9.63, 95% CI: 1.237-74.983), age 15-19 years (AOR=3.295, 95% CI: 1.411-7.696), excellent attitudes of health providers (AOR=3.816, 95% CI: 1.561-9.324) and adequate consultation time (AOR=2.450, 95% CI: 1.1785.094). Age, living arrangement, attitude of reproductive health service providers and consultation time in the nearby health facilities were significantly associated with female adolescent reproductive health service utilization
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