Department of Social Science, Eremon Senior High Technical School, Ghana Education Service, Upper West Region, Ghana.
Department of Community Development, Faculty of Planning and Land Management, Simon Diedong Dombo University of Business and Integrated Development Studies, Wa, Upper West Region, Ghana; University for Development Studies, Tamale, Ghana.
Sex Reprod Healthc. 2021 Feb;27:100583. doi: 10.1016/j.srhc.2020.100583. Epub 2020 Nov 26.
This study assessed the association between the presence of an adolescent reproductive health corner and adolescents' knowledge and use of reproductive health services (RHS) in Ghana.
A survey was administered in May-June 2018 to 392 adolescents in Junior High Schools within two communities in the Asunafo South District. One community had an adolescent reproductive health corner and the other did not. Chi-square test and binary logistic regression were used to assess the associations between the presence of the corner and adolescents' knowledge and use of RHS.
After controlling for the influence of socio-demographic characteristics, relative to those in the other community, adolescents in the community with the health corner were statistically significantly more likely to know contraceptive counseling (AOR = 8.57, p < 0.01), injectables (AOR = 6.08, p < 0.01), pills (AOR = 2.39, p < 0.01), implants (AOR = 1.86, p < 0.05) but less likely to know withdrawal (AOR = 8.57, p < 0.01), antenatal care (AOR = 0.10, p < 0.01) and postnatal care (AOR = 0.12, p < 0.01). Covariates such as sex, age, religion and sexual relationship status were also associated (p < 0.05) with knowledge of RHS. RHS use was generally low, however, comparatively; there was a significantly higher use of contraceptive counseling (χ2 = 85.963; p = 0.000), STIs screening (χ2 = 41.783, p = 0.000), male condoms (χ2 = 9.956, p = 0.001) and pills (χ2 = 8.665, p = 0.003) in the community with the health corner than in the other community.
The existence of an adolescent reproductive health corner is associated with higher knowledge and use of modern methods of pregnancy and disease prevention services. However, management of such corners should also provide adequate information on pregnancy and post-pregnancy management services.
本研究评估了青少年生殖健康角的存在与加纳青少年生殖健康服务（RHS）知识和使用之间的关联。
2018 年 5 月至 6 月，在阿森诺索南地区的两个社区的初中对 392 名青少年进行了一项调查。一个社区设有青少年生殖健康角，另一个社区则没有。使用卡方检验和二项逻辑回归评估了角落的存在与青少年 RHS 知识和使用之间的关联。
在控制了社会人口特征的影响后，与另一个社区的青少年相比，社区内有健康角的青少年更有可能知道避孕咨询（AOR=8.57，p<0.01）、注射剂（AOR=6.08，p<0.01）、药丸（AOR=2.39，p<0.01）、植入物（AOR=1.86，p<0.05），但不太可能知道撤退（AOR=8.57，p<0.01）、产前护理（AOR=0.10，p<0.01）和产后护理（AOR=0.12，p<0.01）。性别的其他协变量，如年龄、宗教和性关系状况（p<0.05）也与 RHS 知识相关。RHS 的使用总体上较低，但相对而言，避孕咨询（χ2=85.963；p=0.000）、性传播感染筛查（χ2=41.783，p=0.000）、男用避孕套（χ2=9.956，p=0.001）和药丸（χ2=8.665，p=0.003）的使用在有健康角的社区明显更高。
青少年生殖健康角的存在与现代妊娠和疾病预防服务知识和使用的增加有关。然而，此类角落的管理还应提供有关妊娠和产后管理服务的充分信息。
