ArticleBMJ open2022
Barriers to access and utilisation of sexual and reproductive health services among adolescents in Ethiopia: a sequential mixed-methods study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 29 citations in OpenAlex.
- Barriers to accessing contraceptive services for adolescents in Sub-Saharan Africa: a scoping review.Global health action · 2026Article
- Awareness, service use and barriers to sexual and reproductive health among adolescents in the Arsi Zone, Oromia, Ethiopia.African journal of primary health care & family medicine · 2026Article
- Modelling associated factors of maternal age at first birth in Ethiopia: Gamma regression approach.PloS one · 2026Article
- Knowledge, attitudes, and factors associated with the utilization of youth-friendly sexual and reproductive health services among teenagers and young adults in Kigali City, Rwanda.BMC public health · 2025Article
- Risk factors of sexual and reproductive health problems, service utilization, and its challenges among street youths in East Gojjam zone, North West Ethiopia: exploratory qualitative study.BMC public health · 2025Article
- Exploring the drivers of adolescent sexual and reproductive healthcare-seeking behavior in northwestern Botswana: a cross-sectional analysis.BMC public health · 2025Article
- Healthcare workers' attitudes and factors affecting provision of sexual and reproductive health services to adolescents in refugee settlements, Western Uganda.Frontiers in reproductive health · 2025Article
- Challenges to Accessing and Utilizing Adolescent Sexual and Reproductive Health and Rights Services in Rwanda.Journal of multidisciplinary healthcare · 2025Article
- Sexual and reproductive health service use of unmarried adolescents in Morogoro, Tanzania: insights from a cross-sectional household survey.Frontiers in reproductive health · 2025Article
- Fertility awareness, perceived factors and approaches to improve contraceptive uptake among sexually active adolescent girls in Phalombe, Malawi: a mixed-methods study.Reproductive health · 2024Article
- Six in ten female youths in low-income East African countries had problems in accessing health care: a multilevel analysis of recent demographic and health surveys from 2016-2021.BMC health services research · 2024Article
- Assessment of Structural and Process Factors in Delivering Quality Adolescent Sexual and Reproductive Health Services in Ghana.Global journal on quality and safety in healthcare · 2024Article
- Multilevel survival analysis of the age at first birth among women in Ethiopia.Frontiers in reproductive health · 2024Article
- A policy brief: improving access and utilization of adolescent sexual and reproductive health services in Southern Ethiopia.Frontiers in public health · 2024Article
- Exploring Barriers to Accessing Adolescents Sexual and Reproductive Health Services in South Ethiopia Regional State: A Phenomenological Study Using Levesque's Framework.Adolescent health, medicine and therapeutics · 2024Article
- Parent-adolescent communication on sexual and reproductive health issues and associated factors among secondary public-school students in Gondar town, northwest Ethiopia: an institution based cross-sectional study.Frontiers in public health · 2024Article
- Sexual and reproductive health service utilization and associated factors among high school students in Ethiopia: systematic review and meta-analysis.Frontiers in reproductive health · 2024Review
- Determinants of the utilization of youth-friendly sexual and reproductive health services in public secondary schools of Kogi State, Nigeria: an explorative study.BMC public health · 2023Article
- Sexual and reproductive health and rights in humanitarian settings: a matter of life and death.Reproductive health · 2023Article
- Barriers to Utilization of Sexual and Reproductive Health Services among Young People in Nigeria: A Qualitative Exploration Using the Socioecological Model.Global qualitative nursing researchArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate and explore the barriers of access and utilisation of sexual and reproductive health (SRH) services among adolescents.
designAn explanatory sequential mixed-methods design was implemented with two phases. The questionnaire was created and used by five trained research assistants for the quantitative component of the study (phase I). In phase II, the qualitative component of the study included focus group discussions (FGDs) with adolescents.
settingThis study was conducted in rural areas of five secondary schools in Arsi zone, Ethiopia.
participantsIn both phases, 15-19 years adolescents participated in the study. For the quantitative phase, a total of 800 randomly selected adolescents responded to the questionnaire, while 24 adolescents participated during FGDs until data saturation was reached. PRIMARY AND SECONDARY OUTCOME MEASURES: For outcome variables, the respondents were asked if they used any SRH services in the past 12 months. It was recorded as 0=no and 1=yes.
resultsOverall, SRH service utilisation was 208 (26.1%) among adolescents. Being aged 17-19 years (adjusted OR, AOR 3.44, 95% CI 2.15 to 5.51). Grades 11 and 12 (AOR 2.70, 95% CI 1.22 to 2.32). Lack of income (AOR 0.0.43, 95% CI 0.31 to 0.61). Ever had sexual contact (AOR 3.04 CI 95% CI 2.15 to 4.29) and being knowledgeable on SRH service (AOR 1.47, 95% CI 1.05 to 2.05) were factors associated with outcome variable. The barriers hindering access and use of SRH services were found at the facility level, provider level, community level and personal level.
conclusionThe research found a low level of SRH services access and utilisation among adolescents due to several factors. Interventions to design-specific policies and educational programmes are needed to promote healthy practices.
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