Community perception and female adolescents likelihood on utilization of reproductive health services using the health belief model in Maraka district, Dawuro zone, Southern Ethiopia

Abstract

Background: According to the World Health Organization, adolescents were defined as persons between 10 -19 years of age and were characterized by significant physiological, psychological, and social changes; these were put them at high risk for Reproductive health problem. Objective of the study: It was assessed community perception and female adolescents likelihood on utilization of reproductive health services in the Mareka district based on health belief model. Methods: A community based cross sectional design with both quantitative &qualitative was conducted in Mareka district, southern Ethiopia from February 20th to April 30th 2014. Sample size was 844 and calculated using single population proportion formula. Interviewer administered structured questionnaire was used to collect data. Four FGDs were conducted for qualitative study. Frequency table and cross tabulation was done. AOR and OR with 95% CI were considered for statistical significance. Bivariate analysis was used to determine presence of crude association. Multivariate logistic regression model was employed to control confounding variable. Result: Majority of the respondents had high score of perceived susceptibility for RHP, perceived severity for RHP, and perceived barrier for utilization. The minimum and maximum scores of the model constructs were (9, 45), (6, 30), (9, 45), and (7, 35) respectively. The likelihood of utilizing reproductive health services by adolescent female was significantly associated with perceived susceptibly of RHP, perceived severity of RHP, and perceived barrier with PV<0.05 and CI of 95%. Conclusion: Almost one third of adolescent females were not utilized RH services which were more stressing despite there were health post in each kebele and four health centers in the woreda to introduce reproductive health problems preventive massage to increase perceived susceptibility and perceived severity on adolescent females. The role of community leaders, parents, religion leader, teachers, media, and IEC materials had significant positive influence on the use of RH services by the adolescent females.