Bilal Selamawit M, Spigt Mark, Dinant Geert Jan, Blanco Roman
Department of Public Health, University of Mekelle, P.O.Box:1871, Mekelle, Ethiopia.
Department of Family Medicine, CAPHRI, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Sex Reprod Healthc. 2015 Mar;6(1):14-8. doi: 10.1016/j.srhc.2014.09.009. Epub 2014 Oct 6.
Universal access to Sexual and Reproductive Health (SRH) services for adolescents was added as a target to the revised Millennium Development Goals framework in 2005. However, the utilization of SRH services among adolescents and their sexual activity is not well explored in Ethiopia, with the result that there is no well-designed and sustainable school based intervention for high school students. We aimed to investigate the utilization of sexual and reproductive health services and sexual activity and, to provide evidence based information and recommendations for possible interventions.
A cross-sectional survey was conducted among 1031 female and male high school students aged 14-19 years in Mekelle town, Tigray Region, North Ethiopia. A total of 1031 students participated. Self-administered questionnaire was used.
Utilization of sexual and reproductive health services and sexual activity were investigated using a self-administered questionnaire.
One out of five students had used the SRH services in the past year. The primary reason for visiting the SRH services was to receive information. The mean age for the first sexual intercourse was 15.7 and one-quarter of the students had multiple sexual partners. Unwanted pregnancies and abortions were reported by female students.
SRH services are known and used by students. However, sexual activity at an early age among high school students and unwanted pregnancies and abortions among female students still call for attention. Therefore, providing accurate SRH information on safe sex and enhancing family-student discussion could be a good approach to reach SRH of adolescents.
2005年，青少年普遍获得性与生殖健康（SRH）服务被列为修订后的千年发展目标框架的一项指标。然而，埃塞俄比亚尚未充分探讨青少年对SRH服务的利用情况及其性行为，结果是没有针对高中生设计完善且可持续的校内干预措施。我们旨在调查性与生殖健康服务的利用情况及性行为，并为可能的干预措施提供基于证据的信息和建议。
在埃塞俄比亚北部提格雷地区默克莱镇，对1031名年龄在14至19岁的男女高中生进行了横断面调查。共有1031名学生参与。采用了自填式问卷。
使用自填式问卷调查性与生殖健康服务的利用情况及性行为。
五分之一的学生在过去一年中使用过SRH服务。前往SRH服务机构的主要原因是获取信息。首次性交的平均年龄为15.7岁，四分之一的学生有多个性伴侣。有女学生报告了意外怀孕和堕胎情况。
学生了解并使用SRH服务。然而高中生的早龄性行为以及女学生的意外怀孕和堕胎情况仍需关注。因此，提供关于安全性行为的准确SRH信息并加强家庭与学生之间的讨论可能是实现青少年SRH的良好途径。
