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

  • Oluwatosin Ruth Ilori LAUTECH Teaching Hospital, Ogbomoso, Nigeria
  • Sunday Olakunle Olarewaju Department of Community Medicine, Osun State University, Osogbo, Osun State, Nigeria
  • Phillip Oluwatobi Awodutire University of Africa, Toru Orua, Yenagua, Nigeria
  • Oluwatosin Stephen Ilori Department of Surgery, LAUTECH Teaching Hospital, Ogbomoso, Nigeria
  • James Olusegun Bamidele Department of Community Medicine, Ekiti State University, Ado-Ekiti, Nigeria

DOI:

https://doi.org/10.4081/jphia.2023.2235

Keywords:

Experiences, expectations, rural, urban, Adolescents, adolescent 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. 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

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Author Biographies

Oluwatosin Ruth Ilori, LAUTECH Teaching Hospital, Ogbomoso, Nigeria

Consultant Public Health Physician

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

Consultant Public Health Physician

Oluwatosin Stephen Ilori, Department of Surgery, LAUTECH Teaching Hospital, Ogbomoso, Nigeria

Consultant Plastic Surgeon

James Olusegun Bamidele, Department of Community Medicine, Ekiti State University, Ado-Ekiti, Nigeria

Consultant Public Health Physician

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 DOI: https://doi.org/10.4103/nmj.NMJ_38_19

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

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.

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. DOI: https://doi.org/10.2307/3583411

Jenifa H, Elissa C, Kennedy S. “Be kind to young people so they feel at home”: a qualitative study of adolescents’ and service providers’ perceptions of youth-friendly sexual and reproductive health services in Vanuatu. BMC Health Serv Res. 2013;13:15–7 DOI: https://doi.org/10.1186/1472-6963-13-455

Iniabasi NI, Anthonia A. Adolescents an Utilization of Family Planning Services in Rural Community of Nigeria. Humanit Soc Sci. 2013;3(1):1–10.

UNAIDS. Joint United Nations Programme on HIV/AIDS. UNAIDS World AIDS Day report. 2011.

Forhan, S. E., Gottlieb, S. L., Sternberg, M. R., Xu, F., Datta, S. D., McQuillan, G. M. et al. Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States. Pediatrics. 2009;124(6):1505–12. DOI: https://doi.org/10.1542/peds.2009-0674

Federal Ministry of Health (FMoH) [Nigeria]. National HIV/Syphilis Seroprevalence Sentinel Survey, Process and Findings National AIDS/STDs Control Programme (NASCP). 2008.

Iyaniwura CA, Daniel OJ, Adelowo OO. Attitude of Youths to Sexual Abstinence as a strategy for HIV prevention. Niger Med Pract. 2007;52(2):33–37. DOI: https://doi.org/10.4314/nmp.v52i2.28888

Jewkes R, Wood K. Blood blockages and scolding nurses: barriers to adolescent contraceptive use in South Africa. Reprod Health Matters. 2006;14(27):109–18. DOI: https://doi.org/10.1016/S0968-8080(06)27231-8

Magnani RJ, Mmari KN. Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? Evidence from Lusaka, Zambia. J Adolesc Health. 2006;33(4):259–70. DOI: https://doi.org/10.1016/S1054-139X(03)00062-4

Kelsey J, Whitte A, Evans A, Thompson WD. Methods in observational epidemiology. 2nd ed. Oxford University Press; 1996. pp332.

World Health Organization. Making health services adolescent friendly: developing national quality standards for adolescent friendly health services. Department of Maternal, Newborn, Child and Adolescent Health. World Health Organisation,. 2012;

Ann B, Alister M, Susheela S. Adolescents’ views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. Afr J Reprod Health. 2007;11(3):99–100 DOI: https://doi.org/10.2307/25549734

Blanck AK, Mensch BS, Grant MJ. The changing context of sexual initiation in sub-Saharan Africa. Popul Dev Rev. 2006;32:699–727. DOI: https://doi.org/10.1111/j.1728-4457.2006.00147.x

Worku A, Abebe M. Utilization of Youth Reproductive Health Services and Associated Factors among High School Students in Bahir Dar, Amhara Regional State, Ethiopia. 2014;4(2):69–75. DOI: https://doi.org/10.4236/ojepi.2014.42012

Dev Raj AP, Pramod RR, Edwin van T, Padam S. Barriers to Sexual Health Services for Young People in Nepal. J Health Popul Nutr. 2010;28(6):619–27. DOI: https://doi.org/10.3329/jhpn.v28i6.6611

Ruth W, Deborah T, April SC, Andrea PK, Ian M, and Jorge LP. Adolescent confidentiality: Understanding and practices of health care providers. Paediatr Child Health. 2014;19(2):11–4. DOI: https://doi.org/10.1093/pch/19.2.e011

Diane MS, Susan ER, Giselle C and Lucia F, O’Sullivan P. Challenges of Providing Confidential Care to Adolescents in Urban Primary Care: Clinician Perspectives. Ann Fam Med. 2011;9(1):37–43. DOI: https://doi.org/10.1370/afm.1186

Element K.G, Robert KM. Health risk behaviour of rural secondary school student in Zimbabwe. Health Educ Behav. 2005;28(5):608–23. DOI: https://doi.org/10.1177/109019810102800507

Agampodi SB, Agampodi TC, Piyaseeli UK. Adolescents perception of reproductive health care services in Sri Lanka. BMC Heal Serv Res. 2008;8:98. DOI: https://doi.org/10.1186/1472-6963-8-98

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Published

16-01-2024

How to Cite

Ilori, O. R., Olarewaju, S. O., Awodutire, P. O., Ilori, O. S., & Bamidele, J. O. (2024). 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(12). https://doi.org/10.4081/jphia.2023.2235

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