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Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study

OBJECTIVE: Little is known about the extent to which Health Extension Programme (HEP) has played its role to increase service uptake among young girls. This study aims to estimate the status of young girls’ sexual and reproductive health (SRH) services utilisation in rural Ethiopia and to examine th...

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Autores principales: Jisso, Meskerem, Feyasa, Merga Belina, Medhin, Girmay, Dadi, Tegene Legese, Simachew, Yilkal, Denberu, Bisrat, Jebena, Mulusew Gerbaba, Alemayehun, Yibeltal Kiflie, Teklu, Alula M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494555/
https://www.ncbi.nlm.nih.gov/pubmed/36130743
http://dx.doi.org/10.1136/bmjopen-2021-056639
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author Jisso, Meskerem
Feyasa, Merga Belina
Medhin, Girmay
Dadi, Tegene Legese
Simachew, Yilkal
Denberu, Bisrat
Jebena, Mulusew Gerbaba
Alemayehun, Yibeltal Kiflie
Teklu, Alula M
author_facet Jisso, Meskerem
Feyasa, Merga Belina
Medhin, Girmay
Dadi, Tegene Legese
Simachew, Yilkal
Denberu, Bisrat
Jebena, Mulusew Gerbaba
Alemayehun, Yibeltal Kiflie
Teklu, Alula M
author_sort Jisso, Meskerem
collection PubMed
description OBJECTIVE: Little is known about the extent to which Health Extension Programme (HEP) has played its role to increase service uptake among young girls. This study aims to estimate the status of young girls’ sexual and reproductive health (SRH) services utilisation in rural Ethiopia and to examine the role of health extension workers (HEWs) in this regard. DESIGN: A cross-sectional study. SETTING: A community-based study among all nine regions of Ethiopia. PARTICIPANTS: Nine hundred and two young girls aged 15–24 years were included in this study. METHOD: We used data from the national HEP assessment, collected from March to May 2019. Multilevel binary logistic regression was used to investigate the association between exposure to HEP and SRH services utilisation of young girls and we reported an adjusted OR with a corresponding 95% CI as measure of the degree of associations. RESULT: Only 19.18% (95% CI 16.74% to 21.89%) of young girls used SRH services with significant regional variability (intraclass correlation coefficien=17.16%; 95% CI 6.30% to 39.99%). Exposure to HEP (adjusted OR, aOR 3.13, 95% CI 2.03 to 4.85), knowing about the availability of HEP services (aOR 3.06, 95% CI 1.75 to 5.33) and having good trust in HEWs (aOR 1.82, 95% CI 1.07 to 3.10) and other sociodemographic factors were significantly associated with increased SRH services utilisation. OUTCOME: SRH service utilisation. CONCLUSION: Although the overall SRH service utilization of young girls in rural Ethiopia was very low, HEWs have a great contribution to improving service utilization of young girls through strong health education provided during home visits, school visits and at health posts. More investment along this line has the potential to improve service uptake among young girls. Encouraging HEWs to build trust among this segment of the population and creating awareness of SRH-related services is crucial to improv service uptake.
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spelling pubmed-94945552022-09-23 Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study Jisso, Meskerem Feyasa, Merga Belina Medhin, Girmay Dadi, Tegene Legese Simachew, Yilkal Denberu, Bisrat Jebena, Mulusew Gerbaba Alemayehun, Yibeltal Kiflie Teklu, Alula M BMJ Open Sexual Health OBJECTIVE: Little is known about the extent to which Health Extension Programme (HEP) has played its role to increase service uptake among young girls. This study aims to estimate the status of young girls’ sexual and reproductive health (SRH) services utilisation in rural Ethiopia and to examine the role of health extension workers (HEWs) in this regard. DESIGN: A cross-sectional study. SETTING: A community-based study among all nine regions of Ethiopia. PARTICIPANTS: Nine hundred and two young girls aged 15–24 years were included in this study. METHOD: We used data from the national HEP assessment, collected from March to May 2019. Multilevel binary logistic regression was used to investigate the association between exposure to HEP and SRH services utilisation of young girls and we reported an adjusted OR with a corresponding 95% CI as measure of the degree of associations. RESULT: Only 19.18% (95% CI 16.74% to 21.89%) of young girls used SRH services with significant regional variability (intraclass correlation coefficien=17.16%; 95% CI 6.30% to 39.99%). Exposure to HEP (adjusted OR, aOR 3.13, 95% CI 2.03 to 4.85), knowing about the availability of HEP services (aOR 3.06, 95% CI 1.75 to 5.33) and having good trust in HEWs (aOR 1.82, 95% CI 1.07 to 3.10) and other sociodemographic factors were significantly associated with increased SRH services utilisation. OUTCOME: SRH service utilisation. CONCLUSION: Although the overall SRH service utilization of young girls in rural Ethiopia was very low, HEWs have a great contribution to improving service utilization of young girls through strong health education provided during home visits, school visits and at health posts. More investment along this line has the potential to improve service uptake among young girls. Encouraging HEWs to build trust among this segment of the population and creating awareness of SRH-related services is crucial to improv service uptake. BMJ Publishing Group 2022-09-21 /pmc/articles/PMC9494555/ /pubmed/36130743 http://dx.doi.org/10.1136/bmjopen-2021-056639 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Sexual Health
Jisso, Meskerem
Feyasa, Merga Belina
Medhin, Girmay
Dadi, Tegene Legese
Simachew, Yilkal
Denberu, Bisrat
Jebena, Mulusew Gerbaba
Alemayehun, Yibeltal Kiflie
Teklu, Alula M
Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title_full Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title_fullStr Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title_full_unstemmed Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title_short Sexual and reproductive health service utilization of young girls in rural Ethiopia: What are the roles of health extension workers? Community-based cross-sectional study
title_sort sexual and reproductive health service utilization of young girls in rural ethiopia: what are the roles of health extension workers? community-based cross-sectional study
topic Sexual Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9494555/
https://www.ncbi.nlm.nih.gov/pubmed/36130743
http://dx.doi.org/10.1136/bmjopen-2021-056639
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