Assessment Of Sexual And Reproductive Health Rights Knowledge, Reproductive Heath Service Utilizaions And Associated Factors Among Women Of Reproductive Age In The Ambo District, Oromia, Ethopia, 2021

Abstract

Background: Women of child bearing age group in developing countries suffer ill health due to lack of knowledge and access on reproductive health services issues. In Ethiopia sexual and reproductive health rights have not been recognized to their maximum potential, despite the domestication of the international instruments related to their successful implementation. Objectives: This study was intended to assess sexual and reproductive health rights knowledge, reproductive health service utilizations and their factors associated among women of reproductive age in Ambo District, Oromia, Ethiopia, 2021. Methods: A community based cross-sectional quantitative study supplemented by qualitative method was conducted among 613 reproductive age women from August 20, to October 30, 2021. A systematic random sampling technique was employed to select study participants for quantitative study. Data were collected via face-to-face interviewer- administered structured questionnaire and the collected data were checked for consistency and coded. Epi-Data version 3.1 was used for data entry while SPSS version 25 was used to analyze the data. Descriptive statistics were presented using tables, percentages and graphs. Bivariate Binary Logistic Regression analysis at p-value <0.25 and Multivariate Binary Logistic Regression analysis were carried out to identify associated factors with 95% CI at p-value <0.05.For qualitative study, focus group discussion technique was employed and researcher administered open-ended questions. The findings of the qualitative method were analyzed according to their thematic area. Then the findings were transcribed and triangulated with the quantitative results and presented with original supporting source quotations. Results: A total of 592 subjects participated yielding a response rate of 96.6%.Twenty two percent [95%CI :( 19.0%, 26.0%)] of the respondents had good knowledge about sexual and reproductive health rights. Thirty six percent [95%CI :( 32.4%, 41.0%)] of the participants had adequately utilized reproductive health services. Participants’ with No Formal Educational [AOR: 0.31,95%CI:(0.11,0.90)]and Having Information Sources on Reproductive Health services[AOR: 0.04,95%CI:(0.02,0.12)]were significantly associated with sexual and reproductive health right knowledge while Participants’ Age greater than 39yrs [AOR:0.38,95%CI:(0.18,0.80)] and Participants who were from Rural Residence[AOR=0.31(0.11-0.90)]were significantly associated with reproductive health service utilizations. Finding from the qualitative data also indicated that low knowledge about sexual and reproductive health rights, high prevalence of intimate partner violence’s, religion and cultural norms limit women from reproductive health service utilizations. Conclusions and Recommendations: Knowledge of sexual and reproductive health rights among women of reproductive age in Ambo district is poor. Utilizations of reproductive health services among women of reproductive age in Ambo district also remained inadequate. Therefore, emphasis should be given by all stakeholders to raise knowledge and practice of sexual and reproductive health rights for the rural women of reproductive age