Determinants of the utilization of youth-friendly sexual and reproductive health services in public secondary schools of Kogi State, Nigeria: an explorative study.

Journal: BMC public health

Volume: 23

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Department of Public Health, School of Allied Health Sciences, Kampala International University, Western Campus, Ishaka, Uganda. Department of Mental Health and Psychiatry, Faculty of Clinical Medicine and Dentistry, Kampala International University, Western Campus, Ishaka, Uganda. Department of Mental Health and Psychiatry, Faculty of Clinical Medicine and Dentistry, Kampala International University, Western Campus, Ishaka, Uganda. nzanzumutume@kiu.ac.ug.

Abstract summary 

This study explored the factors associated with the utilization of Youth-Friendly Sexual Reproductive Health (YFSRH) services among school-going Nigerian adolescents.This cross-sectional study employed a mixed method involving school-going students attending five public secondary schools in Kogi State, Nigeria. Descriptive statistics were used to determine the patterns of utilisation of YFSRH services, whereas inferential statistics were performed to determine factors associated with utilization of YFSRH services. Qualitative data were analysed by thematic analyses of records using an inductive analysis.One in two secondary school-going students had used the YFSRH services. Most of the participants had poor awareness of YFSRH services and limited access to YFSRH services. While gender positively predicted the utilisation of YFSRH services among secondary school-going students (aOR = 5.7; 95% CI: 2.4-8.95, p = 0.001), we found that age (aOR = 0.94; 95% CI: 0.67-0.99, p = < 0.001), and religious beliefs (aOR = 0.84; 95% CI: 0.77-0.93, p = 0.001) showed a negative relationship with the utilization of YFSRH services.Our findings highlight the influence of gender, age, and religion on utilizing YFSRH services. This study recommends the inclusion of sexuality education into secondary school-going student's curricula, in order to create awareness about the benefit of utilization of sexual and reproductive health services, and this is to encourage young people to utilize the YFSRH services.

Authors & Co-authors:  Adione Agatha Alami AA Abamara Nnaemeka Chukwudum NC Vivalya Bives Mutume Nzanzu BMN

Study Outcome 

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Statistics
Citations :  Wellings K, Collumbien M, Slaymaker E, Singh S, Hodges Z, Patel D, Bajos N. Sexual behaviour in context: a global perspective. The Lancet 2006 Nov 11; 368(9548):1706–28.
Authors :  3
Identifiers
Doi : 1091
SSN : 1471-2458
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Public secondary schools;Sexual and Reproductive Health Services;Utilization;Youth;Youth-Friendly
Study Design
Study Approach
Qualitative
Country of Study
Niger
Publication Country
England