Factors Associated With Utilization Of Adolescent-Friendly Health Services In Sunsari District Of Nepal

Utilization Of Adolescent-Friendly Health Services
Usha Panta 1 Nepal
1 a:1:{s:5:"en_US";s:160:"Silverline Hospital, Lekhnath Marg, Balaju, Kathmandu-44600, Nepal; Pashupati Multiple Campus, Tribhuvan University, Mitrapark, Chabahil, Kathmandu-44602, Nepal";}
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Published 2022-12-26
Vol. 4 No. 2 (2022) PAGES 12-37
DOI 10.36566/ijhsrd/Vol4.Iss2/129
Views / Downloads 1258 994

Objectives: Adolescent friendly health services are the tailored health services for adolescents in a friendly environment where adolescents can easily and comfortably access and enjoy sexual and reproductive health services. Utilization of such services helps to address sexual and reproductive health problems faced by adolescents and the status of adolescent sexual and reproductive health (SRH) in Nepal is alarming. However, limited studies have been conducted on utilization of Adolescent Friendly Health Services and its associated factors among school adolescents. Thus, this study was carried out to assess the factors associated with utilization of adolescent friendly health services in Sunsari district of Nepal.

Methods: This study was a descriptive, cross-sectional study carried out among 502 secondary school adolescents of grade 9 and 10 studying either in public or private schools of Inaruwa Municipality Sunsari District, Nepal. Single stage cluster sampling was followed in this study. Data was collected through administration of pre-tested semi-structured questionnaire during the period of January to March, 2022.

Results : Regarding socio-demographic characteristics, majority of the participants were female (56.2%) compared to male (43.8%). Mean age of the participants was 15 years with standard deviation of 1.359 years and most (92.8%) of them followed Hinduism. More than half of the participants (54.0%) belonged to Madhesi ethnicity and most (61.0%) of them were from nuclear family. Likewise, majority (90.6%) of the adolescents were unmarried whereas 5.6 % were in relationship. More than three-fourth of the participants (79.5%) were staying with their parents. Most participants (53.2%) reported having very close relationship with their family. Similarly, majority (70.9%) of the adolescents had not seen the logo of adolescent friendly health services but three fourth (75.5%) of them had heard about adolescent friendly health services. Only 38.5% of participants were known about the availability of adolescent friendly health institution in their locality and more than three fourth (79.9%) of participants said that the time required to reach health facility was less than 30 minutes. Less than one fourth (24.1%) of the participants had felt needs for sexual and reproductive health services. The utilization of adolescent friendly health services among adolescents was low i.e., 14.5% (CI: 0.115-0.176) and more than half (54.8%) of them had used counselling services. Regards of preference, 44.4% of the participants stated that they preferred private health facilities and most of them (79.3%) preferred the health facility nearby their residence.

Conclusion: Based on the findings of the study, different intervention programs could be conducted to increase the awareness about adolescent friendly health services among adolescents which may increase its utilization.

Factors Associated With Utilization Of Adolescent-Friendly Health Services In Sunsari District Of Nepal: Utilization Of Adolescent-Friendly Health Services. (2022). INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 4(2), 12-37. https://doi.org/10.36566/ijhsrd/Vol4.Iss2/129
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  1. World Health Organization. (2020). A situational analysis of programmatic management of TB preventive treatment in the WHO South-East Asia Region.
  2. David, N., Ezechi, O., Wapmuk, A., Gbajabiamila, T., Ohihoin, A., Herbertson, E. and Odeyemi, K. (2018). Child sexual abuse and disclosure in South Western Nigeria: a community-based study. African Health Sciences, 18(2), 199-208.
  3. Malhotra, A. (2019). Charting a pathway to multisectoral investments in adolescent health in low-and middle-income countries. Journal of Adolescent Health, 65(1), S1-S2.
  4. World Health Organization. (2018). Strategic guidance on accelerating actions for adolescent health in South-East Asia Region (2018–2022).
  5. Path, R. and Kathmandu, N. (2014). Population monograph of Nepal.
  6. Bhandari, N. R. (2019). Early marriage in Nepal: Prospects for schoolgirls. Journal of International Women's Studies, 20(3), 88-97.
  7. Hasan, M., Sutradhar, I., Akter, T., Das Gupta, R., Joshi, H., Haider, M. R. and Sarker, M. (2018). Prevalence and determinants of hypertension among adult population in Nepal: Data from Nepal Demographic and Health Survey 2016. PloS one, 13(5), e0198028.
  8. Pandey, P. L., Seale, H. and Razee, H. (2019). Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal. PloS one, 14(8), e0220855.
  9. Sweeny, K., Friedman, H. S., Sheehan, P., Fridman, M. and Shi, H. (2019). A health system–based investment case for adolescent health. Journal of Adolescent Health, 65(1), S8-S15.
  10. Pandey, P. L., Seale, H. and Razee, H. (2019). Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal. PloS one, 14(8), e0220855..
  11. Shaw, D. (2009). Access to sexual and reproductive health for young people: bridging the disconnect between rights and reality. International Journal of Gynecology & Obstetrics, 106(2), 132-136.
  12. Kennedy, E. C., Bulu, S., Harris, J., Humphreys, D., Malverus, J. and Gray, N. J. (2013). “Be kind to young people so they feel at home”: a qualitative study of adolescents’ and service providers’ perceptions of youth-friendly sexual and reproductive health services in Vanuatu. BMC health services research, 13(1), 1-12.
  13. Morris, J. L., & Rushwan, H. (2015). Adolescent sexual and reproductive health: The global challenges. International Journal of Gynecology & Obstetrics, 131, S40-S42.
  14. World Health Organization. (2008). Accelerating implementation of adolescent friendly health service in the South-East Asia Region (No. SEA-AHD-15). WHO Regional Office for South-East Asia.
  15. Gautam, P., Soomro, M. H., Sapkota, S., Gautam, K. R., & Kasaju, A. (2018). Barriers to utilization of sexual health services among young people in district dang nepal: A qualitative study. Journal of Medicine, 19(2), 79-83.
  16. Van Teijlingen, E., Simkhada, P. and Acharya, D. R. (2012). Sexual and reproductive health status and health service utilisation of adolescents in four districts in Nepal. Availabe from: http://eprints.bournemouth.ac.uk/20421/1/
  17. Akinyi, O. P. (2009). Determinants of utilization of youth friendly reproductive health services among school and college youth in Thika West District. Kiambu county, Kenya.
  18. Shrestha, S. (2017). Challenges and Barriers to Adolescent Friendly Sexual and Reproductive Health Services for Girls in Kaski, Nepal (Master's thesis, Oslo and Akershus University College of Applied Sciences). Available from: https://oda-hioa.archive.knowledgearc.net/handle/10642/6317
  19. Khanal, G. N., Khatri, S., Pryor, S. and Yahner, M. (2021). Adolescent and Youth Family Planning and Reproductive Health.
  20. Mazur, A., Brindis, C. D. and Decker, M. J. (2018). Assessing youth-friendly sexual and reproductive health services: a systematic review. BMC health services research, 18(1): 216.
  21. Binu, W., Marama, T., Gerbaba, M. and Sinaga, M. (2018). Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia. Reproductive health, 15(1), 1-10.
  22. Helamo, D., Kusheta, S., Bancha, B., Habtu, Y. and Yohannes, S. (2017). Utilization and factors affecting adolescents and youth friendly reproductive health services among secondary school students in Hadiya zone, Southern Nations, Nationalities and Peoples Region, Ethiopia. Int J Pub Health Safe, 2(141), 2.
  23. Violita, F. and Hadi, E. N. (2019). Determinants of adolescent reproductive health service utilization by senior high school students in Makassar, Indonesia. BMC Public Health, 19(1), 1-7.
  24. Mehra, S., Sogarwal, R. and Chandra, M. (2013). Integrating adolescent-friendly health services into the public health system: an experience from rural India. WHO South-East Asia journal of public health, 2(3-4), 165-173.
  25. Karki, C. (2004). Study of young people attending an adolescent friendly centre. Kathmandu University Medical Journal (KUMJ), 2(4), 324-330.
  26. Bam, K., Haseen, F., Bc, R. K., Newman, M. S., Chaudhary, A. H., Thapa, R., & Bhuyia, I. (2015). Perceived sexual and reproductive health needs and service utilization among higher secondary school students in urban Nepal. American Journal of Public Health Research, 3(2), 36-45.
  27. Tamang, L., Raynes-Greenow, C., McGeechan, K. and Black, K. I. (2017). Knowledge, experience, and utilisation of sexual and reproductive health services amongst Nepalese youth living in the Kathmandu Valley. Sexual & Reproductive Healthcare, 11, 25-30.
  28. Upadhyay, P. (2018). Sexual and reproductive health services: utilization pattern of adolescents in Nepal. Available from: http://dspace.nehu.ac.in/bitstream/123456789/14600/1/NEHU-Journal-July-Dec-2016
  29. Regmi, P. R., Van Teijlingen, E., Simkhada, P. and Acharya, D. R. (2010). Barriers to sexual health services for young people in Nepal. Journal of health, population, and nutrition, 28(6), 619.
  30. Singh, A. S. and Masuku, M. B. (2014). Sampling techniques & determination of sample size in applied statistics research: An overview. International Journal of economics, commerce and management, 2(11), 1-22.
  31. Akinyi, O. P. (2009). Determinants of utilization of youth friendly reproductive health services among school and college youth in Thika West District. Kiambu county, Kenya.
  32. Mattebo, M., Elfstrand, R., Karlsson, U. and Erlandsson, K. (2015). Knowledge and perceptions regarding sexual and reproductive health among high school students in Kathmandu, Nepal. Journal of Asian Midwives, 2(2), 21-35.

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Utilization Adolescent-friendly Health services Sunsari District Nepal

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