Factors associated with accessibility to teenage friendly sexual and reproductive health services in Lira District, Uganda: a case control study
Tugume Abdulaziz1,&, Lynn Atuyambe1, Doreen Tuhebwe1, Christine Muhumuza1
1Makerere University School of Public Health, Kampala, Uganda
Tugume Abdulaziz, Makerere University School of Public Health, Kampala, Uganda
in Uganda, Lira is one of the districts reported with high rates of teenage pregnancy estimated at 52%. The government and health partners are providing either free or subsidized sexual and reproductive health services (SRHS) including pregnancy preventive services. However, teenage pregnancy in Lira District is still high. This study aimed at determining factors associated with accessibility to adolescent friendly SRHS in Lira District.
a community based unmatched case control study involving 166 cases and 332 controls was conducted between July and August 2016. Girls aged 13-19 years old formed the study population, pregnant girls formed cases and non-pregnant girls formed controls. Study subjects were sampled from Erute North and Lira Municipality. Data was collected using a structured interviewer administered questionnaire, stata v.13 was used for data analysis. Descriptive and multivariate analysis using logistic regression were conducted.
it was found that 2% (5/321) of girls reported to have had sexual intercourse
by age 12. The mean age at first sexual encounter was 15.58 years (SD = 1.23).
Only 63% (316/498) of girls had ever received education on the use of contraceptives.
Amongst teenagers who ever had sexual intercourse, 44.16% (140/317) had sex
with partners older than them, 35.96% (114/317) with friends of same age
groups. Half of the cases (84/166) were not married, and 95% (158/166) had
of school. Teenage girls preferred seeking SRHS from private clinics to government
facilities 19.39% (96/495) 16.16 %( 80/495) respectively. More than half
of the girls, 52% (257/498) had received information about using condoms,
knew at least one pregnancy prevention method. Girls who ever received counselling
about SRHS had higher odds of being cases AOR = 2.57 (1.52-4.30). Surprisingly,
teenage girls that reported to have ever used any pregnancy prevention service
had higher odds of pregnancy AOR = 3.88 (2.52-5.98).
teenage girls’ access to reliable SRHS is still low. Services available may neither be accurate nor friendly to teenage girls hence ineffective. We recommend that healthcare providers in private and government facilities be equipped with adequate skills in order to enable them provide accurate and friendly SRHS to teenagers.
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