Utilization of adolescent friendly health services and its associated factors in Dang district of Nepal
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20203365Keywords:
Adolescence, Adolescent friendly health services, Sexual and reproductive health needsAbstract
Background: Adolescence is a period of transition from childhood to adulthood. It is very crucial for adolescents to use the adolescent friendly health services in order to meet sexual and reproductive health needs. This study aimed to assess the factors associated with utilization of adolescent friendly health services in Dang district of Nepal.
Methods: A community based analytical cross-sectional study was conducted in Dang district of Nepal. Five adolescent friendly health facilities were randomly selected and proportionate sampling was done to fulfill the required sample size. The adolescents were selected conveniently from the areas. Verbal informed consent was taken from the participants and their parents in case of age below 16 years. Approval was taken from Institutional Review Committee of Chitwan Medical College. Bivariate analysis was performed to detect the factors associated with utilization of adolescent friendly health services.
Results: Nearly half (48.7%) of the adolescents had utilized adolescent friendly health services. Different socio-demographic factors like age of the participants, current educational status, mother’s education, ethnicity was significantly associated with utilization of adolescent friendly health services. Other factors like awareness about were services, convenient opening days and hour of health facilities and shyness to utilize the services were significantly associated with the utilization of the services.
Conclusions: The utilization of the adolescent friendly services was found to be low among the adolescents of Dang district. In order to increase awareness among the adolescent regarding utilization of the services, there is need of coordination between schools, health institutions, communities etc. to conduct various awareness related program.
References
Adolescent Development. Available at: https://my.clevelandclinic.org/health/articles/7060-adolescent- development. Accessed on 4 May 2020.
Adolescent health. Available at: https:// www.who.int/ southeastasia/ health-topics/ adolescent-health. Accessed on 4 May 2020.
Adolescents statistics - UNICEF DATA. Available at: https://data.unicef.org/topic/adolescents/
overview/. Accessed on 4 May 2020.
MoPE. National Population Report 2017. Minist Poulation Environ. 2017:1-274.
Khatiwada N, Silwal PR, Bhadra R, Tamang TM. Sexual and reproductive health of adolescents and youth in Nepal: trends and determinants: further analysis of the 2011 Nepal Demographic and Health Survey. Kathmandu, Nepal. 2013;(76):14.
Mouli CV, Svanemyr J, Amin A. Twenty years after international conference on population and development: Where are we with adolescent sexual and reproductive health and rights? J Adolesc Heal. 2015;56(1):1-6.
Karki YB. ICPD, reproductive health and population programmes in Nepal a reflection. Nepal Popul Dev J. 1997;6:113-121.
World Health Organization (WHO). Adolescent Friendly Health Services. 2011;46.
ASRH - Family Health Division. Available at: http://www.fhd.gov.np/index.php/en/2014-03-21-09-41-44/asrh. Accessed on 5 May 2020.
Adolescent and sexual reproductive health programme. Available at: https:// www.mohp. gov.np/ eng/ program/ reproductive -maternal-health/ adolescent- sexual- reproductive- health. Accessed on 5 May 2020.
Kaye DK, Mirembe F, Bantebya G. Influence of family size, household food security status, and child care practices on the nutritional status of under-five. Afr J Reprod Health. 2010;14(4):117-26.
Pandey PL, Seale H, Razee H. Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal. PLoS One. 2019;14(8):1-19.
Dang District, Nepal - Wikipedia. Available at: https://en.wikipedia.org/wiki/Dang_District,_Nepal. Accessed on 8 May 2020.
Kathmandu N. National population and housing census 2011 social characteristics tables. Government of Nepal National Planning Commission Secretariat Central Bureau of Statistics. 2014.
DOHS. Annual Report 2073/74(2016/17). Available at http://dohs.gov.np/wp-content/uploads/2018/04/Annual_Report_2073-74.pdf. 2017;4:1-351.
Population proportion - sample size - select statistical consultants. Available at: https://select-statistics.co.uk/calculators/sample-size-calculator-population-proportion/. Accessed on 9 May 2020.
Government of Nepal Ministry of Health and Population. National adolescent sexual and reproductive health program: program implementation guide.
Upadhyay P. Sexual and reproductive health services: utilization pattern of adolescents in Nepal. Nehu J. 2016;14(2):55-67.
Habatu Y, Helamo D. 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 Public Health Safety. 2017;2(4):1-7.
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 Serv Res. 2014;5:1-11.
Karki C. Study of young people attending an adolescent friendly centre. Kathmandu Univ Med J. 2004;4(8):324-30.
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 Serv Res. 2013;13(1):294.
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 Serv Res. 2014;14(1):138.
Binu W, Marama T, Gerbaba M, Sinaga M. Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia. Reprod Health. 2018;15(1):501.
Bam K, Haseen F, BC RK. Perceived sexual and reproductive health needs and service utilization among higher secondary school students in Urban Nepal. Am J Public Heal Res. 2015;3(2):36-45.
Tsega MT. Sexual and reproductive health services utilization and associated factors among preparatory school students in Mecha District, Northwest Ethiopia: cross sectional study. J Gynecol Womens Heal. 2018;11(5):1-8.
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 Serv Res. 2016;16(1):1513-4.
World Health Organization. Making health services adolescent friendly. Dev Natl Qual Stand Adolesc friendly Heal Serv. 2012:56.
Abuosi AA, Anaba EA. Barriers on access to and use of adolescent health services in Ghana. J Heal Res. 2019;33(3):197-207.
Pandey PL, Seale H, Razee H. Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal. PLoS One. 2019;14(8):855-9.
Maharjan B, Rishal P, Svanemyr J. Factors influencing the use of reproductive health care services among married adolescent girls in Dang District, Nepal: a qualitative study. BMC Pregnancy Childbirth. 2019;19(1):1-9.