Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis.
We examined the association between adolescents' sexual and reproductive health (SRH) service utilization in the past 12 months and structural, health facility, community, interpersonal, and individual level factors in Kenya. This cross-sectional analysis used baseline data collected in Homa Ba...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0001508 |
| _version_ | 1797695637746089984 |
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| author | Lonnie Embleton Paula Braitstein Erica Di Ruggiero Clement Oduor Yohannes Dibaba Wado |
| author_facet | Lonnie Embleton Paula Braitstein Erica Di Ruggiero Clement Oduor Yohannes Dibaba Wado |
| author_sort | Lonnie Embleton |
| collection | DOAJ |
| description | We examined the association between adolescents' sexual and reproductive health (SRH) service utilization in the past 12 months and structural, health facility, community, interpersonal, and individual level factors in Kenya. This cross-sectional analysis used baseline data collected in Homa Bay and Narok counties as part of the In Their Hands intervention evaluation from September to October 2018. In total, 1840 adolescent girls aged 15 to 19 years were recruited to complete a baseline survey. We used unadjusted and adjusted logistic regression to model factors associated with SRH utilization across the social-ecological framework levels. Overall, 36% of participants reported visiting a health facility for SRH services in the past 12 months. At the structural level being out-of-school (AOR: 2.12 95% CI: 1.60-2.82) and not needing to get permission to go (AOR: 1.37 95%CI: 1.04-1.82) were associated with SRH service utilization. At the interpersonal level, participants who reported being able to ask adults for help when they needed it were more likely to report using SRH services in the past 12 months (AOR: 1.98, 95% CI: 1.09-3.78). At the individual level, having knowledge about where to obtain family planning (AOR = 2.48 95% CI: 1.74-3.57) and receiving information on SRH services in the past year (AOR: 1.44 95% CI:1.15-1.80) were associated with SRH service utilization. Our findings demonstrate the need for interventions, policies, and practices to be implemented across structural, health facility, community, interpersonal, and individual levels to comprehensively support adolescent girls to access and use SRH services. |
| first_indexed | 2024-03-12T03:14:14Z |
| format | Article |
| id | doaj.art-833bb5fc095043d2af975a26386e241d |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T03:14:14Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-833bb5fc095043d2af975a26386e241d2023-09-03T14:12:38ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0132e000150810.1371/journal.pgph.0001508Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis.Lonnie EmbletonPaula BraitsteinErica Di RuggieroClement OduorYohannes Dibaba WadoWe examined the association between adolescents' sexual and reproductive health (SRH) service utilization in the past 12 months and structural, health facility, community, interpersonal, and individual level factors in Kenya. This cross-sectional analysis used baseline data collected in Homa Bay and Narok counties as part of the In Their Hands intervention evaluation from September to October 2018. In total, 1840 adolescent girls aged 15 to 19 years were recruited to complete a baseline survey. We used unadjusted and adjusted logistic regression to model factors associated with SRH utilization across the social-ecological framework levels. Overall, 36% of participants reported visiting a health facility for SRH services in the past 12 months. At the structural level being out-of-school (AOR: 2.12 95% CI: 1.60-2.82) and not needing to get permission to go (AOR: 1.37 95%CI: 1.04-1.82) were associated with SRH service utilization. At the interpersonal level, participants who reported being able to ask adults for help when they needed it were more likely to report using SRH services in the past 12 months (AOR: 1.98, 95% CI: 1.09-3.78). At the individual level, having knowledge about where to obtain family planning (AOR = 2.48 95% CI: 1.74-3.57) and receiving information on SRH services in the past year (AOR: 1.44 95% CI:1.15-1.80) were associated with SRH service utilization. Our findings demonstrate the need for interventions, policies, and practices to be implemented across structural, health facility, community, interpersonal, and individual levels to comprehensively support adolescent girls to access and use SRH services.https://doi.org/10.1371/journal.pgph.0001508 |
| spellingShingle | Lonnie Embleton Paula Braitstein Erica Di Ruggiero Clement Oduor Yohannes Dibaba Wado Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. PLOS Global Public Health |
| title | Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. |
| title_full | Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. |
| title_fullStr | Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. |
| title_full_unstemmed | Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. |
| title_short | Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. |
| title_sort | sexual and reproductive health service utilization among adolescent girls in kenya a cross sectional analysis |
| url | https://doi.org/10.1371/journal.pgph.0001508 |
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