Assessment of Sexual Behaviour and Utilization of Sexual and Reproductive Health Services among Secondary School Students in Ekiadolor, Edo State

Main Article Content

Olugbenga Gani Owoeye
Chinyere J. Nwaogwugwu

Abstract

BACKGROUND: Sexual and reproductive health (SRH) is an important aspect of health and a fundamental human right which includes sexuality education, family planning, safe motherhood,post‑abortion care, prevention and management of sexually transmitted infections and HIV/AIDS. The aim of this study was to assess the sexual behaviour and utilisation of SRH services (SRHSs) among in‑school adolescents in Ekiadolor, Edo state.


MATERIALS AND METHODS: This was a cross‑sectional study conducted among in‑school adolescents in Ekiadolor. The respondents were then selected using a multistage sampling technique. An interviewer administered questionnaire was used to obtain data for the study. Data were coded and entered into IBM SPSS version 22.0 for analysis and P < 0.05 was considered significant.


RESULTS: A higher proportion of the respondents were male and 58.2% were of early adolescent age group (10–14 years), with a mean age of 14.29 ± 1.72 years. Only 6 (5%) of the respondents had good knowledge. Forty‑seven (11.7%) respondents were sexually active and 36 (76.6%) of these engaged in safe sexual behaviour. Seven (1.7%) respondents visited hospital for SRHS and the major services utilised were counselling, HIV testing and acquisition of contraceptive pill. Eighteen (38.3%) of those sexually active had utilised condom during sex.


CONCLUSION: There was a poor knowledge of contraception and low level of utilisation of SRHSs mong the secondary school students. However, a higher proportion of the sexually active respondents engaged in safe sexual behaviour.

Downloads

Download data is not yet available.

Article Details

How to Cite
Owoeye, O. G., & Nwaogwugwu, C. J. (2022). Assessment of Sexual Behaviour and Utilization of Sexual and Reproductive Health Services among Secondary School Students in Ekiadolor, Edo State. Journal of The Medical Women’s Association of Nigeria, 6(2), 105-111. https://doi.org/10.60787/jmwan-v6i2-17
Section
Original Article

References

Ajayi AI, Okeke SR. Protective sexual behaviours among young adults in Nigeria: Influence of family support and living with both parents. BMC Public Health 2019;19:983.

Doyle AM, Mavedzenge SN, Plummer ML, Ross DA. The sexual behaviour of adolescents in sub‑Saharan Africa: Patterns and trends from national surveys. Trop Med Int Health 2012;17:796‑807.

Keto T, Tilahun A, Mamo A. Knowledge, attitude and practice towards risky sexual behaviors among secondary and preparatory students of Metu town, south western Ethiopia. BMC Public Health 2020;20:1394.

Negeri EL. Assessment of risky sexual behaviors and risk perception among youths in western Ethiopia: The influences of family and peers: A comparative cross‑sectional study. BMC Public Health 2014;14:301.

Obong’o CO, Zani AP. Evaluation of the provision of sexual and reproductive health services to young people in Wagari and Karemo divisions, Siaya County, Kenya. Am J Soc Sci Humanit 2014;1:3142.

Cortez R, Quinlan‑Davidson M, Saadaat S. Challenges for Adolescent’s Sexual and Reproductive Health within the Context of Universal Health Coverage. Washington: World Bank Group; 2014.

Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: A lancet commission on adolescent health and wellbeing. Lancet 2016;387:2423‑78.

National Population Commission (NPC) and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019.

Althabe F, Moore JL, Gibbons L, Berrueta M, Goudar SS, Chomba E, et al. Adverse maternal and perinatal outcomes in adolescent pregnancies: The global network’s maternal newborn health registry study. Reprod Health 2015;12 Suppl 2:S8.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG 2014;121 Suppl 1:40‑8.

Odo AN, Samuel ES, Nwagu EN, Nnamani PO, Atama CS. Sexual and Reproductive Health Services (SRHS) for adolescents in Enugu state, Nigeria: A mixed methods approach. BMC Health Serv Res 2018;18:92.

Dida N, Darega B, Takele A. Reproductive health services utilization and its associated factors among Madawalabu university students, Southeast Ethiopia: Cross sectional study. BMC Res Notes 2015;8:1-8. Available from: http://www. biomedcentral.com/17560500/8/8. [Last assessed on 2021 Jun 12].

World Health Organization. Fact Sheet; Adolescent Pregnancy. Available from: http://www.who.int/mediacentre/factsheets/fs364/en. [Last assessed on 2021 Jun 12].

Munakampe MN, Zulu JM, Michelo C. Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle‑income countries: A systematic review. BMC Health Serv Res 2018;18:909.

Kumar S, Kumar A. KAP gap about contraceptives among students of class x and xi of different schools of Nalanda District. Int J Health Clin Res 2021;4:243‑6.

IWHC. The Key to Youth Friendly Sexual and Reproductive Health Services. International Women’s Health Coalition. 2015. Available at: https://iwhc.org/2015/01/key-youth-friendly-sexual-reproductive-health-services/. [Last assessed on 2021 Jun 13].

Napit K, Shrestha KB, Magar SA, Paudel R, Thapa B, Dhakal BR, et al. Factors associated with utilization of adolescent‑friendly services in Bhaktapur district, Nepal. J Health Popul Nutr 2020;39:2.

Okosun SE, Fasakin JO. Promoting rural development through sustainable infrastructure development Ekiadolor community, Edo State, Nigeria. Jour 2019;1;476‑86.

National Population Commission (NPC). Nigeria Demographic and Health Survey 2018. Abuja: NPC; 2019. Cochran WG. Note on an approximate formula for the significance levels of z. Ann Math Stat 1940;11:93‑5.

Ilori OR, Awodutire PO, Ilori OS. Awareness and utilization of adolescent reproductive health services among in‑school adolescents in urban and rural communities in Oyo State. Niger Med J 2020;61:67‑72.

Katama SK, Hibstu DT. Knowledge, attitude and practice of contraceptive use among female students of Dilla secondary and preparatory school, Dilla town, South Ethiopia. Healthcare in Low Resource Settings 2016;4:6-9. doi: 10.4081/hls. 2016.5680.

Chimah UC, Lawoyin TO, Ilika AL, Nnebue CC. Contraceptive knowledge and practice among senior secondary schools students in military barracks in Nigeria. Niger J Clin Pract 2016;19:182‑8.

Bogale A, Seme A. Premarital sexual practices and its predictors among in‑school youths of Shendi town, west Gojjam zone, North Western Ethiopia. Reprod Health 2014;11:49.

Shrestha R, Karki P, Copenhaver M. Early sexual debut: A risk factor for STIs/HIV acquisition among a nationally representative sample of adults in Nepal. J Community Health 2016;41:70‑7.

Durowade KA, Babatunde OA, Omokanye LO, Elegbede OE, Ayodele LM, Adewoye KR, et al. Early sexual debut: Prevalence and risk factors among secondary school students in Ido‑ekiti,

Ekiti state, South‑West Nigeria. Afr Health Sci 2017;17:614‑22.

Mohanan P, Swain S, Sanah N, Sharma V, Ghosh D. A study on the prevalence of alcohol consumption, tobacco use and sexual behaviour among adolescents in urban areas of the Udupi district,

Karnataka, India. Sultan Qaboos Univ Med J 2014;14:e104‑12.

Olowookere SA, Olajide FO, Olajide AO, Omisore AG. Factors associated with inconsistent condom use and multiple sexual partners among adolescents in South Western Nigeria. Afr J Med Med Sci 2020;49:447‑58.

Srahbzu M, Tirfeneh E. Risky sexual behavior and associated factors among adolescents aged 15-19 years at governmental high schools in Aksum Town, Tigray, Ethiopia, 2019: An institution- based, cross-sectional study. Biomed Res Int 2020;2020:1-8.

Olaoye T, Agbede C. Prevalence and personal predictors of risky sexual behaviour among in school adolescents in the Ikenne Local

Government Area, Ogun State, Nigeria. Int J Adolesc Med Health 2019. doi: 10.1515/ijamh 2019 0135.

Binu W, Marama T, Gerbaba M, Sinaga M. Sexual and reproductive health services utilization and associated factors among secondary school students in Nekemte town, Ethiopia. Reprod Health 2018;15:64.

Ajayi AI, Ismail KO, Akpan W. Factors associated with consistent condom use: A cross‑sectional survey of two Nigerian universities. BMC Public Health 2019;19:1207.

Paul M, Chalasani S, Light B, Knuttson A, Fatusi A. Contraception for Adolescents and Youth: Being Responsive to their Sexual and Reproductive Health Needs and Rights, in Issue Paper. New York: UNFPA; 2019.

Sánchez‑Páez DA, Ortega JA. Adolescent contraceptive use and its effects on fertility. Demogr Res 2018;38:1359‑88.

Machiyama K, Casterline JB, Mumah JN, Huda FA, Obare F, Odwe G, et al. Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: Protocol for a multi‑site cohort study. Reprod Health 2017;14:23.