Nigerian Journal of Clinical Practice

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 24  |  Issue : 11  |  Page : 1582--1589

Variations in utilization of health facilities for information and services on sexual and reproductive health among adolescents in South-East, Nigeria


IC Agu1, CO Mbachu2, U Ezenwaka3, C Okeke2, I Eze4, I Arize3, N Ezumah4, O Onwujekwe3 
1 Health Policy Research Group; Institute of Public Health, University of Nigeria Nsukka, Nsukka, Nigeria
2 Health Policy Research Group; Institute of Public Health; Department of Community Medicine, University of Nigeria Nsukka, Nsukka, Nigeria
3 Health Policy Research Group; Health Administration and Management, Nsukka, Nigeria
4 Health Policy Research Group, Nsukka, Nigeria

Correspondence Address:
Dr. C Okeke
Health Policy Research Group, University of Nigeria Nsukka; Department of Community Medicine, University of Nigeria Nsukka; Institute of Public Health, University of Nigeria Nsukka. P.O. Box, 451, Ogui Road, Enugu
Nigeria

Background: Adolescents' sexual and reproductive health has an important influence on a country's long-term national growth. There is a high level of burden due to poor adolescent sexual and reproductive health (ASRH) in Nigeria, especially the Ebonyi State. Evidence shows that in the Sub-Saharan African region, most adolescents experience poor access to information and other services relating to their sexual and reproductive health. Many cultures in Africa see matters around sex and sexuality as social taboos. Aims: This study aimed to access variations in the utilization of health facilities for sexual and reproductive health information and services among adolescents in the Ebonyi State, Nigeria. This will inform the design of interventions to improve ASRH. Patients and Methods: A total of 1,057 in-school and out-of-school adolescents aged 13–18 years were selected using cluster sampling of households from the six selected local government areas (LGAs) in this cross-sectional survey. Structured questionnaires were used to collect data. Descriptive statistics were performed alongside stratification analysis. Tabulation, bivariate and multivariate logistic regression analyses were undertaken. A household wealth index was calculated using the total household consumption calculated divided by the number of people in the household (per capita household consumption). The per capita household consumption was used to categorize the households into socioeconomic quintiles. The variable was used to differentiate key variables into socioeconomic quintile equity analysis. Results: A majority of the respondents had never visited any type of health facility to receive either sexual and reproductive health (SRH) information (90.2%) or services (97.1%). The utilization rate of health facilities for SRH information was 9.8% while for other SRH services was 2.8%. The patent medicine vendor (PMV) was the most visited type of facility for SRH information and other services. Schooling was a strong predictor of health facilities' utilization for SRH information (P < 0.01) and other services (P < 0.01). Conclusion: Utilization of health facilities for information and services among adolescents in the Ebonyi State is very low and favorable toward informal service providers such as PMVs. The establishment and strengthening of the existing youth-friendly centers, school clinics, and occasional outreach programs designed specifically to target adolescents would perhaps improve adolescents' access to adequate information and health facility utilization for sexual, reproductive, and health services.


How to cite this article:
Agu I C, Mbachu C O, Ezenwaka U, Okeke C, Eze I, Arize I, Ezumah N, Onwujekwe O. Variations in utilization of health facilities for information and services on sexual and reproductive health among adolescents in South-East, Nigeria.Niger J Clin Pract 2021;24:1582-1589


How to cite this URL:
Agu I C, Mbachu C O, Ezenwaka U, Okeke C, Eze I, Arize I, Ezumah N, Onwujekwe O. Variations in utilization of health facilities for information and services on sexual and reproductive health among adolescents in South-East, Nigeria. Niger J Clin Pract [serial online] 2021 [cited 2021 Dec 8 ];24:1582-1589
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2021;volume=24;issue=11;spage=1582;epage=1589;aulast=Agu;type=0