Knowledge And Practice Of Reproductive Health Rights, And Its Associated Factors Among Government High School Students Of Gulale Sub-City, Addis Ababa, Ethiopia, 2024

Abstract

Abstract Sexual and reproductive health rights are right for all regardless of any underline characteristics. In Ethiopia, there is little literatures regarding knowledge and Practice of Reproductive Health rights. Objective: To assess knowledge and practice of reproductive health right, and its associated factor among government high school students of Gulale Sub-city, Addis Ababa, Ethiopia, 2023 Methods: Facility-based cross-sectional study was conducted among 693 students of Gulale Sub-city Secondary School who were selected using simple random sampling technique. Data were collected by self-administered pretested structured questionnaires. The collected data were cleaned and entered into Epi Data version 3.1 and exported to SPSS version 26.0 for analysis. Descriptive analysis was employed to describe the independent and outcome variables. Binary Logistic regression was carried out to identify associated factors of the SRHR. Adjusted Odds Ratio with 95% CI was used to measure strength of association and variables with p < 0.05 were considered as statistically significant. Result: Out of 693 students, 665 participated in the study making a response rate of 95.8%. The study finding revealed that 58.5% (95% CI=54.76, 62.24) and 17.4% (95% CI= (15.93, 18.87) were knowledgeable and practiced sexual and reproductive health right respectively. Having RH club [AOR 95%CI=1.488(1.086, 2.038)] and participating in reproductive health club [AOR 95%CI=1.51(1.054, 2.170)] were positively and significantly associated with knowledge. Being from Urban Residence [AOR95%CI=1.685(1.065, 2.67)] and discussing reproductive health issue Discussion experience [AOR95%CI=2.089(1.31, 3.35)] showed positively and significantly associated with practice whereas having sexual partner currently having sexual partner [AOR95%CI=0.091(0.052, 0.10)] was negatively associated with practice. Conclusion and Recommendation: More than half of the students were knowledgeable about reproductive health right whereas the rate of practice was low. Having reproductive health club and participating in club significantly associated with knowledge. Being from Urban and discussing reproductive health right issues showed significant association while having sexual partner currently showed negative association. To bridge knowledge and practice gap about reproductive health rights, concerned bodies should avail club, encourage participation and improving the culture of discussion plays a crucial role