Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach
Abstract Background Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital roles in the promotion of adolescents’ sexual and reproductive health g...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-02-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-017-2779-x |
| _version_ | 1818256546363080704 |
|---|---|
| author | Amelia Ngozi ODO Efiong Sunday SAMUEL Evelyn N. NWAGU Petra Obioma NNAMANI Chiemezie S. ATAMA |
| author_facet | Amelia Ngozi ODO Efiong Sunday SAMUEL Evelyn N. NWAGU Petra Obioma NNAMANI Chiemezie S. ATAMA |
| author_sort | Amelia Ngozi ODO |
| collection | DOAJ |
| description | Abstract Background Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital roles in the promotion of adolescents’ sexual and reproductive health generally. The main purpose of the study was to determine the availability and accessibility (geographical and financial) of sexual and reproductive health services (SRHS) among adolescents in Enugu State, Nigeria. Methods A mixed methods approach was adopted for the study. 192 health facilities were reached to check availability of SRH services. Randomly sampled 1447 adolescents (12–22 years) completed the questionnaire correctly. Twenty-seven interviews and 18 group discussions were conducted. Instruments for data collection consisted of a checklist, a questionnaire, a focus group discussion guide and an in-depth interview guide. All instruments were pre-tested. Quantitative data were analyzed using descriptive statistics and Chi-square tests. NVivo 11 Pro software was used to code and thematically analyze the qualitative data. Results A total of 1447 adolescents (between 12 and 22 years) completed the questionnaire correctly. Among these adolescents, males constituted 42.9% while females were 57.1%. The majority (86.7%) of the adolescents reported availability of safe motherhood services, and 67.5% reported availability of services for prevention and management of STIs and HIV and AIDS. The majority reported that these services were geographically accessible but few were financially accessible to adolescents. However, qualitative data revealed that available services were not specifically provided for adolescents but for general use. Age (p = ≤ .05), education (p = ≤ .05) and income (p = ≤ .05) were found to be significantly associated with access to SRHS. Conclusion SRHS were generally physically available but not financially accessible to adolescents. Adolescents’ clinics were not available and this could affect the access of SRHS by adolescents. Education and income were significantly associated with access to SRHS. |
| first_indexed | 2024-12-12T17:29:28Z |
| format | Article |
| id | doaj.art-8b004be68775459f9996ca1b7570ea58 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-12T17:29:28Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-8b004be68775459f9996ca1b7570ea582022-12-22T00:17:26ZengBMCBMC Health Services Research1472-69632018-02-0118111210.1186/s12913-017-2779-xSexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approachAmelia Ngozi ODO0Efiong Sunday SAMUEL1Evelyn N. NWAGU2Petra Obioma NNAMANI3Chiemezie S. ATAMA4Department of Human Kinetics and Health Education, University of NigeriaDepartment of Human Kinetics and Health Education, University of NigeriaDepartment of Human Kinetics and Health Education, University of NigeriaDepartment of Pharmaceutics, University of NigeriaDepartment of Sociology/Anthropology, University of NigeriaAbstract Background Availability and accessibility of sexual and reproductive health services for adolescents are very crucial for prevention and control of sexual and reproductive health problems. These services also play vital roles in the promotion of adolescents’ sexual and reproductive health generally. The main purpose of the study was to determine the availability and accessibility (geographical and financial) of sexual and reproductive health services (SRHS) among adolescents in Enugu State, Nigeria. Methods A mixed methods approach was adopted for the study. 192 health facilities were reached to check availability of SRH services. Randomly sampled 1447 adolescents (12–22 years) completed the questionnaire correctly. Twenty-seven interviews and 18 group discussions were conducted. Instruments for data collection consisted of a checklist, a questionnaire, a focus group discussion guide and an in-depth interview guide. All instruments were pre-tested. Quantitative data were analyzed using descriptive statistics and Chi-square tests. NVivo 11 Pro software was used to code and thematically analyze the qualitative data. Results A total of 1447 adolescents (between 12 and 22 years) completed the questionnaire correctly. Among these adolescents, males constituted 42.9% while females were 57.1%. The majority (86.7%) of the adolescents reported availability of safe motherhood services, and 67.5% reported availability of services for prevention and management of STIs and HIV and AIDS. The majority reported that these services were geographically accessible but few were financially accessible to adolescents. However, qualitative data revealed that available services were not specifically provided for adolescents but for general use. Age (p = ≤ .05), education (p = ≤ .05) and income (p = ≤ .05) were found to be significantly associated with access to SRHS. Conclusion SRHS were generally physically available but not financially accessible to adolescents. Adolescents’ clinics were not available and this could affect the access of SRHS by adolescents. Education and income were significantly associated with access to SRHS.http://link.springer.com/article/10.1186/s12913-017-2779-xAvailabilityAccessibilitySexual and reproductive health servicesAdolescentsMixed method |
| spellingShingle | Amelia Ngozi ODO Efiong Sunday SAMUEL Evelyn N. NWAGU Petra Obioma NNAMANI Chiemezie S. ATAMA Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach BMC Health Services Research Availability Accessibility Sexual and reproductive health services Adolescents Mixed method |
| title | Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach |
| title_full | Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach |
| title_fullStr | Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach |
| title_full_unstemmed | Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach |
| title_short | Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach |
| title_sort | sexual and reproductive health services srhs for adolescents in enugu state nigeria a mixed methods approach |
| topic | Availability Accessibility Sexual and reproductive health services Adolescents Mixed method |
| url | http://link.springer.com/article/10.1186/s12913-017-2779-x |
| work_keys_str_mv | AT ameliangoziodo sexualandreproductivehealthservicessrhsforadolescentsinenugustatenigeriaamixedmethodsapproach AT efiongsundaysamuel sexualandreproductivehealthservicessrhsforadolescentsinenugustatenigeriaamixedmethodsapproach AT evelynnnwagu sexualandreproductivehealthservicessrhsforadolescentsinenugustatenigeriaamixedmethodsapproach AT petraobiomannamani sexualandreproductivehealthservicessrhsforadolescentsinenugustatenigeriaamixedmethodsapproach AT chiemeziesatama sexualandreproductivehealthservicessrhsforadolescentsinenugustatenigeriaamixedmethodsapproach |