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. 2023 Jun 6;23(1):1091.
doi: 10.1186/s12889-023-15926-y.

Determinants of the utilization of youth-friendly sexual and reproductive health services in public secondary schools of Kogi State, Nigeria: an explorative study

Agatha Alami Adione  1   2 , Nnaemeka Chukwudum Abamara  3   4 , Bives Mutume Nzanzu Vivalya  5   6
Affiliations

Determinants of the utilization of youth-friendly sexual and reproductive health services in public secondary schools of Kogi State, Nigeria: an explorative study

Agatha Alami Adione et al. BMC Public Health. .

Abstract

Background: This study explored the factors associated with the utilization of Youth-Friendly Sexual Reproductive Health (YFSRH) services among school-going Nigerian adolescents.

Methods: This cross-sectional study employed a mixed method involving school-going students attending five public secondary schools in Kogi State, Nigeria. Descriptive statistics were used to determine the patterns of utilisation of YFSRH services, whereas inferential statistics were performed to determine factors associated with utilization of YFSRH services. Qualitative data were analysed by thematic analyses of records using an inductive analysis.

Results: One in two secondary school-going students had used the YFSRH services. Most of the participants had poor awareness of YFSRH services and limited access to YFSRH services. While gender positively predicted the utilisation of YFSRH services among secondary school-going students (aOR = 5.7; 95% CI: 2.4-8.95, p = 0.001), we found that age (aOR = 0.94; 95% CI: 0.67-0.99, p = < 0.001), and religious beliefs (aOR = 0.84; 95% CI: 0.77-0.93, p = 0.001) showed a negative relationship with the utilization of YFSRH services.

Conclusions: Our findings highlight the influence of gender, age, and religion on utilizing YFSRH services. This study recommends the inclusion of sexuality education into secondary school-going student's curricula, in order to create awareness about the benefit of utilization of sexual and reproductive health services, and this is to encourage young people to utilize the YFSRH services.

Keywords: Public secondary schools; Sexual and Reproductive Health Services; Utilization; Youth; Youth-Friendly.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. Wellings K, Collumbien M, Slaymaker E, Singh S, Hodges Z, Patel D, Bajos N. Sexual behaviour in context: a global perspective. The Lancet 2006 Nov 11; 368(9548):1706–28. - PubMed
    1. Hale DR, Viner RM. The correlates and course of multiple health risk behaviour in adolescence. BMC public health 2016 Dec; 16(1):1–2. - PMC - PubMed
    1. Vanwesenbeeck I, Westeneng J, De Boer T, Reinders J, Van Zorge R. Lessons learned from a decade implementing Comprehensive Sexuality Education in resource poor settings: the World starts with me. Sex Educ 2016 Sep 2; 16(5):471–86.
    1. Wakjira DB, Habedi D. Barriers to access and utilisation of sexual and reproductive health services among adolescents in Ethiopia: a sequential mixed-methods study. BMJ open 2022 Nov 1; 12(11):e063294. - PMC - PubMed
    1. Nabugoomu J, Seruwagi GK, Hanning R. What can be done to reduce the prevalence of teen pregnancy in rural eastern Uganda? Multi-stakeholder perceptions. Reproductive Health. 2020 Dec;17(1):1–2. - PMC - PubMed

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