Healthcare seeking behaviour and utilization of reproductive health services among out-of-school female adolescents in the Kintampo municipality
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Date
October, 2019
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Abstract
Female adolescents between the ages of 12 and 19 represent an important sub-group of the
population of Ghana. With the resurgence of STIs and unwanted pregnancy among adolescents,
interest in reproductive health problems is gradually gaining attention. Adolescents have
insufficient knowledge on how to protect themselves from pregnancies and STIs. Although
both male and female adolescents have many reproductive health challenges, the female
adolescents have additional burdens that are gender and sex specific. It was therefore the main
aim of the study is to assess the health seeking behavior (HSB) and utilization of reproductive
health services (RHS) among female adolescents who are out-of-school in the Kintampo
Municipality, with specific objectives being to assess the HSB among out-of-school female
adolescents in Kintampo; to assess the influence of culture, values and belief systems on HSB
among out-of-school female adolescents; to determine the health provider related factors
influencing HSB and to assess the factors influencing the use of RHS among out-of-school
female adolescents in Kintampo. The research design used was a cross-sectional survey design.
The main target of the research group were out-of-school female adolescents. Questionnaires
which were administered to obtain information from the respondents for the purpose of the
study. The results showed that approximately72.% of the female adolescents in the
municipality do not know about family planning services and so do not make maximum use of
them. According to them, their religion and age does not permit them to access family planning
services. The ability to ensured confidentiality and privacy were found to facilitate the ability
of adolescents to seek and utilize RHS in the current study from the health facilities. During an
assessment of their reproductive health seeking behavior within the last six to twelve months,
it was identified that those who have not accessed family planning during their pregnancy is
69.9%. The study concluded that, the actions of health practitioners does not encourage female
adolescents to seek reproductive health services. It was therefore recommended that, health
professionals should embark on active sensitization of the youth in order to provide relevant
information, education and communication (IE&C) on reproductive services that are underutilized.
Description
A dissertation submitted to the College of Health Sciences, School of Public Health, Kwame Nkrumah University of Science and Technology in partial fulfilment of the Requirements for the Degree of Master of Public Health.
Keywords
Healthcare, Reproductive health services, Female adolescents, Kintampo