Browsing by Author "Apio, Juliet"
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Item Factors Associated with Utilization of Sexual and Reproductive Health Services among the Youth in Lira City West, Northern Uganda: A Cross-Sectional Study(BioMed Research International, 2023) Murungi, Tom; Benyumiza, Deo; Apio, Juliet; Nekesa, Catherine; Nalubuuka, Aisha; Misuk, Ivan; Kumakech, EdwardThe youth in Uganda, as in much of sub-Saharan Africa, face numerous sexual and reproductive health (SRH) challenges, from human immunodeficiency virus HIV infection, and unsafe abortions to unwanted pregnancies. This study, therefore, assessed the utilization of sexual and reproductive health services and associated factors among the youth in Lira city west, northern Uganda. Methods. This was a cross-sectional study conducted in January 2023 among 386 young people (15-24 years) in Lira city west division, Lira city. Multistage cluster sampling technique was used to recruit our study participants. Data were collected using an interviewer-administered questionnaire. Data were analyzed using SPSS version 23, descriptive statistics, cross-tabulation, bivariate, and multivariate logistic regression analyses. All variables were set by p values less than 0.05 and reported adjusted odds ratio with its 95% confidence interval. Results. The utilization of SRH services was 42.0% (162/386) among the study participants. Family planning, voluntary HIV counseling and testing (VCT), and general counseling services were the most utilized SRH services in the past 12 months. Young people who were aware of SRH services (AOR: 0.24; 95% CI: 0.08-0.74), were aware of a reproductive health facility (AOR, 4.24; 95% CI: 1.62-11.09), discussed SRH issues with peers/friends (AOR, 3.98; 95% CI: 1.53-10.33), had a sexual partner (AOR, 10.00; 95% CI: 4.05-24.69), had sexual intercourse (AOR, 4.59; 95% CI: 2.18-9.69), and had access to SRH services (AOR, 2.68; 95% CI: 1.12-6.40) were more likely to utilize SRH services compared to their counterparts. Conclusion. This study showed a low utilization of sexual and reproductive health services among youth in Lira city west, northern Uganda. Being aware of SRH services, awareness of reproductive health facilities, discussing SRH issues with peers, having sexual intercourse, having a sexual partner, and access to SRH services were independently associated with the utilization of SRH services. Therefore, there is a need to strengthen sustainable multisector approaches aimed at improving awareness and access to sexual and reproductive health services among the youth.Item Utilization of Sexual and Reproductive Health Services and Associated Factors Among the Youth in Lira City West, Northern Uganda: A Cross Sectional Study(Research Sqaure, 2023) Murungi, Tom; Benyumiza, Deo; Apio, Juliet; Nekesa, Catherine; Misuk, Ivan; Kumakech, EdwardBackground: The youth in Uganda, as in much of sub-Saharan Africa, face numerous sexual and reproductive health (SRH) challenges, from HIV infection, unsafe abortions to unwanted pregnancy. This study therefore assessed the utilization of sexual and reproductive health services and associated factors among the youth in Lira City West, Northern Uganda. Methods: This was a cross sectional study conducted among 403 young people (15–24 years) in Lira City West division, Lira City. Multi stage cluster sampling technique was used. Data was collected using an interviewer administered questionnaire. Data was analyzed using SPSS version 23. Results: Out of 422 youth, 386 participated obtaining a response rate of 91.5%. Less than half, (42.0%)of the youth in Lira City West had utilized SRH services. Family planning, VCT and general counseling services were the most utilized SRH services in the past 12 months. Predictors for the utilization of SRH services were, awareness on SRH (AOR (95% C.I): 0.24(0.08,0.74), being aware of a reproductive health facility (AOR (95% C.I): 4.24(1.62,11.09), discussion of SRH issues with peers/friends (AOR (95% C.I): 3.98(1.53,10.33), having a sexual partner (AOR (95% C.I): 10.00(4.05,24.69), having sexual intercourse (AOR (95% C.I): 4.59(2.18,9.69), access to SRH services (AOR (95% C.I): 2.68(1.12,6.40). Conclusion: Utilization of SRH services among the youth was low. Therefore, there is need to develop and strengthen sustainable multisector approaches aimed at increasing awareness as well as linking the young people to youth sexual and reproductive health services.