Utilization of Reproductive Health Services among Adolescents at Maternal and Child Health Hospital, Kumasi, Ghana
Asian Research Journal of Gynaecology and Obstetrics,
Aim: To explore and describe the factors that influence utilization of reproductive health services among adolescents seeking for services at the Child and Maternal Health Hospital (MCHH) in Kumasi, Ghana.
Sample: Adolescents between ages 15 to 19 years receiving health services at MCHH.
Study Design: Qualitative exploratory design was used to explore and describe the factors influencing utilization of reproductive health services among 10 selected adolescents through interviewing method.
Place and Duration: District hospital in Kumasi metropolis, Ghana over a period of one week.
Methodology: Interview guide was used to collect responses. Content analysis was used to analyze their responses.
Results: The study found that, most adolescents knew about reproductive health and their sources of information were their mothers and health care staffs. However, most of them have specific information needs such as, information on sex, preventive services such as family planning and how to avoid pregnancy. Majority of them were aware that, reproductive health services were provided in health facilities but did not know about specific services provided. Most of them will access services only when they are involved in risky sexual act, when they want to check for pregnancy or treat STIs and not for preventive services such as family planning and health education.
Conclusion: The above findings show that utilization of reproductive health services among the youth is low. Low levels of awareness on existing reproductive health services among the youth and staff attitude towards adolescents contributed to poor utilization of reproductive health services. Hence, factors that were found to influence utilization of reproductive health services among adolescents were; source of information on reproductive health and awareness on the type of reproductive services provided at the facility. This has serious implications on adolescents' reproductive health.
- reproductive health services
How to Cite
International Conference on Population and Development. Report of the International Conference on Population and Development. Cario; 1994.
World Health Organization. Adolescent pregnancy: adolescence is a time of opportunity during which a range of actions can be taken to set the stage for healthy adulthood: [fact sheet]. Geneva; 2014.
World Health Organization. Global standards for quality health care services for adolescents. Geneva; 2015.
UNICEF. The state of the World’s Children 2011. New York: United Nations children’s fund; 2011.
Onokerhoraye AG, Dudu JE. Perception of adolescents on the attitudes of providers on their access and use of reproductive health services in Delta State, Nigeria. Health. 2016;9(1):88-105.
World Health Organization. Early marriages, adolescent and young pregnancies. Report by the secretariat; 2012.
Shah IH, Åhman E. Unsafe abortion differentials in 2008 by age and developing country region: high burden among young women. Reproductive Health Matters. 2012;20(39):169–173.
Stone N, Ingham R. When and why do young people in the United Kingdom first use sexual health service. Perspective on sexual and Reproductive Health. 2003; 35(3):114 – 120.
Kipke DM. (Ed) Risks and Opportunities. Synthesis of Studies on Adolescence Washington D.C: National Academy Press; 1999.
World Health Organization. Risk and Protective Factors affecting adolescent reproductive health in developing countries; 2014.
Ghana Statistical Service, Ghana Health Services and ICF International. 2014 Ghana Demographic and health survey. Key findings. Rockville, Maryland, USA: GSS, GHS and ICF international.
Abrar N, Ghouri AM. AIDS/HIV Knowledge, Attitude and Beliefs of Adolescents of Pakistan. European Journal of social science. 2015;16:267-7
Shahid A, Pirzada AG, Memon AA. Perception Regarding Reproductive Health among Rural Sindh, Parkistan. South East Journal of Public Health. 2012;2(1):39-45
Godia et al. Young people’s perception of sexual and reproductive health services in Kenya. BMC Health Services Research. 2014;14:172.
Folayan MO, Odetoyinbo M, Brown B, Harrison A. Differences in Sexual behavior and sexual practices of adolescents in Nigeria based on sex and self-reported HIVstatus. Reproductive Health. 2014; 11:83
Kyilleh JM, Tabong PTN, Konlaan BB, Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. Bio Medical Central International Health Human and Rights. 2018;18:6
Wamoyi J, Fenwick A, Urassa M, Zaba B, Stone W. Parent-child Communication about sexual and reproductive health in rural Tanzania: Implications for young people’s sexual health interventions. Reproductive Health. 2010;7(6):154-169.
Warenius LU, Faxelid EA, Chishimba PN, Musandu JO, Ong'any AA, Nissen EB, Nurse-midwives' attitudes towards adolescent sexual and reproductive health needs in Kenya and Zambia. Reproductive Health Matters. 2006;14(27):119-28.
Godia, et al. Youth friendly sexual and reproductive health service provision In Kenya: What is the best model? Nairobi, MOH; 2010.
Biddleco AE, Munthali, et al. Adolescents’ views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda, African Journal of Reproductive Health 2007; 11(3): 99-110.
Erulkar AS, Onoka CJ, Alford, P. What is Youth-Friendly Adolescents Preferences for Reproductive Health Services in Kenya and Zimbabwe, African Journal of Reproductive Health. 2005;9(3).
Ibitoye M, Choi C, Tai H, Lee G, Sommer M. Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries. Plos One. 2017;12(6):e0178884. Available:https://doi.org/10.1371/journal.pone.0178884
Cohen M. Adolescent: 11- 21 years in Green Morris and Palfery Judith (Ed.) Bright futures: Guidelines for health supervision of infants, children and adolescents. (2Ed). National center for Education in Maternal and child health. George Town University; 2002.
Elster AB, Kuznets NJ. Guidelines for Adolescent preventive services: (GAPS) Recommendations and Rational: Baltimore, American medical association, William and Wilkins; 1994.
Mbeba RM, Mkuye MS, Magembe GE, Yotham WL, Mellah AO, Mkuwa SB. Barriers to sexual reproductive health services and rights among Young people in Mtwara district, Tanzania. The Pan African Medical Journal. 2012;13(1):13
MOH: National Guidelines for Provision of Youth-Friendly Services (YFS) in Kenya. Nairobi, Kenya: Ministry of Health; 2007.
Okawa S, Mwanza-Kabaghe S, Mwiya M, et al. Sexual and reproductive health behavior and unmet needs among a sample of adolescents living with HIV in Zambia: a cross-sectional study. Reproductive Health. 2018;15:55.
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