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Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study

OBJECTIVE: To assess barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia, in 2021. DESIGN: A grounded theory approach to the qualitative study was conducted between December 2020 and April 2021 in Gedeo zone, South Ethiopia. SETTING: The study was conducted...

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Autores principales: Wondimagegne, Yohanness Addisu, Debelew, Gurmesa Tura, Koricha, Zewdie Birhanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069515/
https://www.ncbi.nlm.nih.gov/pubmed/36997244
http://dx.doi.org/10.1136/bmjopen-2021-060582
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author Wondimagegne, Yohanness Addisu
Debelew, Gurmesa Tura
Koricha, Zewdie Birhanu
author_facet Wondimagegne, Yohanness Addisu
Debelew, Gurmesa Tura
Koricha, Zewdie Birhanu
author_sort Wondimagegne, Yohanness Addisu
collection PubMed
description OBJECTIVE: To assess barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia, in 2021. DESIGN: A grounded theory approach to the qualitative study was conducted between December 2020 and April 2021 in Gedeo zone, South Ethiopia. SETTING: The study was conducted in two urban and four rural schools, in Gedeo zone; Gedeo zone is one of the 14 zones in the Southern Nations, Nationalities, and Peoples' Region of Ethiopia. PARTICIPANTS: The study involved 24 in-depth interviews with secondary school adolescents and 28 key informants. The interviews were conducted with students, school counsellors, Kebele youth association coordinators, zonal child, adolescent, and youth officers, health workers, and non-governmental organisation workers. RESULTS: The findings were organised into four major themes that influence contraceptive use; these include; (1) Individual-related barriers such as knowledge, fear and psychosocial development. (2) Community-related barriers encompass fear of rumours, family pressure, social and cultural norms, economic vulnerability, and religious beliefs. (3) Health service-related barriers include the lack of adolescent-responsive health services, health workers' behaviour, and fear of health workers. Furthermore, (4) The school and service integration barrier was identified. CONCLUSIONS: Adolescents' contraceptive use was affected by various barriers ranging from individual to multisectorial levels. Adolescents note various barriers to using contraception and that, without contraception, sexual activity can lead to an increased risk for unintended pregnancy and its associated health risks.
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spelling pubmed-100695152023-04-04 Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study Wondimagegne, Yohanness Addisu Debelew, Gurmesa Tura Koricha, Zewdie Birhanu BMJ Open Public Health OBJECTIVE: To assess barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia, in 2021. DESIGN: A grounded theory approach to the qualitative study was conducted between December 2020 and April 2021 in Gedeo zone, South Ethiopia. SETTING: The study was conducted in two urban and four rural schools, in Gedeo zone; Gedeo zone is one of the 14 zones in the Southern Nations, Nationalities, and Peoples' Region of Ethiopia. PARTICIPANTS: The study involved 24 in-depth interviews with secondary school adolescents and 28 key informants. The interviews were conducted with students, school counsellors, Kebele youth association coordinators, zonal child, adolescent, and youth officers, health workers, and non-governmental organisation workers. RESULTS: The findings were organised into four major themes that influence contraceptive use; these include; (1) Individual-related barriers such as knowledge, fear and psychosocial development. (2) Community-related barriers encompass fear of rumours, family pressure, social and cultural norms, economic vulnerability, and religious beliefs. (3) Health service-related barriers include the lack of adolescent-responsive health services, health workers' behaviour, and fear of health workers. Furthermore, (4) The school and service integration barrier was identified. CONCLUSIONS: Adolescents' contraceptive use was affected by various barriers ranging from individual to multisectorial levels. Adolescents note various barriers to using contraception and that, without contraception, sexual activity can lead to an increased risk for unintended pregnancy and its associated health risks. BMJ Publishing Group 2023-03-30 /pmc/articles/PMC10069515/ /pubmed/36997244 http://dx.doi.org/10.1136/bmjopen-2021-060582 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Wondimagegne, Yohanness Addisu
Debelew, Gurmesa Tura
Koricha, Zewdie Birhanu
Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title_full Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title_fullStr Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title_full_unstemmed Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title_short Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study
title_sort barriers to contraceptive use among secondary school adolescents in gedeo zone, south ethiopia: a formative qualitative study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069515/
https://www.ncbi.nlm.nih.gov/pubmed/36997244
http://dx.doi.org/10.1136/bmjopen-2021-060582
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