Expectations and experiences of urban and rural in-school adolescents of adolescent reproductive health services in Oyo state

Experiences of adolescent reproductive health services

Authors

  • Dr Oluwatosin Ruth Ilori Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology Ogbomoso https://orcid.org/0000-0002-3791-1022
  • Dr Sunday Olakunle Olarewaju Department of Community Medicine, Osun State University, Osogbo, Osun State, Nigeria
  • Dr Phillip Oluwatobi Awodutire Department of Mathematical Science, University of Africa, Toru Orua, Nigeria https://orcid.org/0000-0001-8750-3548
  • Dr Oluwatosin Stephen Ilori Department of Surgery, College of Health Sciences, Ladoke Akintola University of Technology Ogbomoso https://orcid.org/0000-0002-4327-6184
  • Prof James Olusegun Bamidele Department of Community Medicine, Ekiti State University, Ado Ekiti

DOI:

https://doi.org/10.4081/jphia.2023.2211

Keywords:

: expectation, experiences, rural, urban, adolescents, reproductive health

Abstract


ABSTRACT
Introduction: 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.
Methodology: It was a descriptive cross-sectional prospective study, analytic in design using a multistage sampling technique when 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%) expected 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 expected contraception services to 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%)expected 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. More of the urban respondents were attended to by a doctor when ARHS services was assessed 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 is 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

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Author Biographies

Dr Oluwatosin Ruth Ilori, Department of Community Medicine, College of Health Sciences, Ladoke Akintola University of Technology Ogbomoso

Consultant Public Health Physician

Dr Sunday Olakunle Olarewaju, Department of Community Medicine, Osun State University, Osogbo, Osun State, Nigeria

Consultant Public Health Physician

Dr Oluwatosin Stephen Ilori, Department of Surgery, College of Health Sciences, Ladoke Akintola University of Technology Ogbomoso

Consultant Plastic and Reconstructive Surgery

References

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
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
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

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Published

01-12-2023

How to Cite

Ilori, O., Olarewaju, S., Awodutire, P., Ilori, O. S., & Bamidele, J. (2023). Expectations and experiences of urban and rural in-school adolescents of adolescent reproductive health services in Oyo state: Experiences of adolescent reproductive health services. Journal of Public Health in Africa, 14(11). https://doi.org/10.4081/jphia.2023.2211

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Section

Original Articles