• editor@ijmra.in
  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

Volume 07 Issue 07 July 2024

The Use of Sexual and Reproductive Health Knowledge and Services among Adolescents Students in Secondary Schools and Teacher Training College in Mtwara, Tanzania
Edna Harriet Mtoi
The Mwalimu Nyerere Memorial Academy, Faculty of Leadership and Management Science, Department of Gender Studies, P.O. Box 9193 Dar es Salaam, Tanzania.
DOI : https://doi.org/10.47191/ijmra/v7-i07-03

Google Scholar Download Pdf
ABSTRACT:

The proportion of sexually active adolescents, including secondary school students, has increased worldwide. This group constitutes the majority of youths who are sexually active, which puts them at high risk of unintended pregnancies and sexually transmitted diseases. The continuum of sexual and reproductive health (SRH) and family planning (FP) knowledge acquisition is built throughout adolescence. It begins with the need for basic knowledge of the reproductive system,sexual and social relationships in the early teen years and advances to the mastery of sexual behavior and the potential risk of sexually transmitted infections (STIs) in later adolescence. This study is part of an awareness creation programme, initiated by a Clinical Officers’ Training College (COTC), to find out the knowledge that adolescents in secondary schools in Mtwara, Tanzania, have of SRH. A total of 1566 adolescent students, who were randomly selected, participated in the study. Pre- and post-structured questionnaires were used to collect information about the respondents’ knowledge of SRH . Descriptive analysis was done using the Statistical Package for Social Sciences (SPSS) to put the respondents into various SRH and FP knowledge themes. The findings of this study revealed that the adolescent students are generally aware of SRH services, including certain types of FP. Despite having this awareness, factors, such as lack of resources and user-friendly health centers, cultural and religious beliefs, and lack of right sources of information, hinder some of them from accessing SRH services. The findings of this study are useful to the efforts of the government, stakeholders, and other decision-makers seeking to create awareness of SRH and FP among adolescent students.

KEYWORDS:

Adolescents, sexual and reproductive knowledge and services, Mtwara, Tanzania

REFERENCES
1) Abdurahman, C., Oljira, L., Hailu, S. et al. Sexual and reproductive health services utilization and associated factors among secondary school adolescents. Reprod Health 19, 161 (2022). https://doi.org/10.1186/s12978-022-01468-w

2) Ann M. Starrs, Alex C. Ezeh, Gary Barker, et al., “Accelerate Progress: Sexual and Reproductive Health and Rights for All: Report of the Guttmacher–Lancet Commission,” The Lancet 391, no. 10140 (2018): 2642-2692.

3) Chekol BM, Sheehy G and Siraneh Y (2023) Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia. Front. Reprod. Health 5:1271685. doi: 10.3389/frph.2023.1271685

4) Davis K, and J, Blake (1956). Social structure and fertility: an analytic framework. Economic Development Cultural. Change (EDCC). 1956;112–135.

5) Decker, M.J., Atyam, T.V., Zárate, C.G. et al. Adolescents’ perceived barriers to accessing sexual and reproductive health services in California: a cross-sectional survey. BMC Health Serv Res 21, 1263 (2021). https://doi.org/10.1186/s12913-021-07278-3

6) Dombola, G.M., Manda, W.C. & Chipeta, E. Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study. Reprod Health 18, 209 (2021). https://doi.org/10.1186/s12978-021-01259-9

7) Dunor, H and Urassa, J.K (2017). Access to Reproductive Health Services and Factors Contributing to Teenage Pregnancy in Mtwara. Developing Country Studies: Vol7, No 5, 2017.

8) Fishbein, M. and Ajzen, A. (1980) Understanding Attitudes and Predicting Social Behavior. Preventive-Hall, Inc., Englewood Cliffs.

9) Fubam RM, Tendongfor N, Olayemi O, Odukogbe AA. Sexual and reproductive health knowledge of secondary school adolescents in Fako, Cameroon. Pan Afr Med J. (2022) 41:340.

10) Hamdanieh M, Ftouni L, Al Jardali Ba, Ftouni R, Rawas C, Ghotmi M, et al. Assessment of sexual and reproductive health knowledge and awareness among single unmarried women living in Lebanon: a cross-sectional study. Reprod Health. (2021) 18:24. doi: 10.1186/s12978-021-01079-x

11) Kaale G and Muhanga S (2017). Sexual health knowledge among secondary school students in Morogoro, Tanzania: half full or full empty? International Journal of Health, 5 (2) (2017) 120 – 125

12) Kinaro, J. Kimani, M., Ikamari, L. and Ayiemba, E. (2015) Perceptions and Barriers to Contraceptive Use among Adolescents Aged 15 - 19 Years in Kenya: A Case Study of Nairobi. Health, 7, 85-97. Doi: 10.4236/health.2015.71010

13) Magnusson BM, Crandall A, Evans K. Early sexual debut and risky sex in young adults: the role of low self-control. BMC Public Health. 2019. https:// doi.org/10.1186/s12889-019-7734-9

14) Makola L, Mlangeni L, Mabaso M, Chibi B, Sokhela Z, Silimfe Z, et al. Predictors of contraceptive use among adolescent girls and young women (AGYW) aged 15 to 24 years in South Africa: results from the 2012 national population-based household survey. BMC Women’s Health. 2019; 19:158.

15) Mauldin, W. Parker. “The Determinants of Fertility Decline in Developing Countries: An Overview of the Available Empirical Evidence.” International Family Planning Perspectives, vol. 8, no. 3, 1982, pp. 116–21. JSTOR, https://doi.org/10.2307/2947896. Accessed February 12 2023.

16) Ministry of Health (MoH) [Tanzania Mainland], Ministry of Health (MoH) [Zanzibar], National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF. 2023 Tanzania Demographic and Health Survey and Malaria Indicator Survey 2022 Key Indicators Report. Dodoma, Tanzania, and Rockville, Maryland, USA: MoH, NBS, OCGS, and ICF

17) Ministry of Health Community Development Gender Elderly and Children (MoHCDGEC) (2018). National Adolescent Health and Development Strategy 2018 – 2022. MoHGCDEC. Accessed on February 10, 2023.

18) Mpimbi, S.J.; Mmbaga, M.; El-Khatib, Z.; Boltena, M.T.; Tukay, S.M. Individual and Social Level Factors Influencing Repeated Pregnancy among Unmarried Adolescent Mothers in Katavi Region—Tanzania: A Qualitative Study. Children 2022, 9, 1523. https://doi.org/10.3390/ children9101523

19) Ngilangwa DP, Rajesh S, Kawala M, Mbeba R, Sambili B, Mkuwa S, Noronha R, Meremo AJ, Nyagero J. Accessibility to sexual and reproductive health and rights education among marginalized youth in selected districts of Tanzania. Pan Afr Med J. 2016 November 26;25(Suppl 2):2. doi: 10.11604/pamj.supp.2016.25.2.10922. PMID: 28439327; PMCID: PMC5390065.

20) Nguyen G, Costenbader E, Plourde KF, Kerner B, Igras S. (2019). Scaling up normative change intervention for adolescent and youth sexual and reproductive health: What have we achieved? J Adolesc. Health 2019; 64 (4S) S16 – 30

21) Rita Moses Mbeba, Martin Sem Mkuye, Grace Elias Magembe, William Lubazi Yotham, Alfred obeidy Mellah, Serafina Baptist Mkuwa. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: a qualitative study. Pan Afr Med J. 2012;13(Supp 1):13

22) Sarah C. Keogh, Melissa Stillman, Kofi Awusabo-Asare (2018) “Challenges to Implementing National Comprehensive Sexuality Education Curricula in Low- and Middle-Income Countries: Case Studies of Ghana, Kenya, Peru and Guatemala,” PLoS One 13, no. 7 (2018): e0200513. DOI: 10.1371/journal.pone.0200513.

23) Sully EA, Biddlecom A, Daroch J, Riley T, Ashford L, Lince-Deroche N et al., Adding It Up: Investing in Sexual and Reproductive Health 2019. New York: Guttmacher Institute; 2020.

24) UNICEF. Unicef Data: Monitoring the Situation of Children and Women. Available from: https://data.unicef.org/resources/adolescent-health dashboard-regional-profiles/. Accessed April 24, 2023

25) United Nations Department of Economic and Social Affairs. World Population Prospects, 2019 Revision: Age-specific fertility rates by region, subregion and country, 1950-2100 (births per 1,000 women) Estimates. Online Edition [cited 2021 Dec 10]. Available from: https://population.un.org/wpp/Download/Standard/Fertility.

26) WHO (2022). Adolescent Health. Health Topic. 2022. Available online: https://who.int/health-topics/adolescent-health&tab=tab_1 (accessed on April 10 2022).

27) Women Deliver and The Population Council (2019). Having a Child Before Becoming an Adult: Exploring the Economic Impact in a Multi-Country Analysis. New York: Women Deliver, 2019.
Volume 07 Issue 07 July 2024

There is an Open Access article, distributed under the term of the Creative Commons Attribution – Non Commercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/), which permits remixing, adapting and building upon the work for non-commercial use, provided the original work is properly cited.


Our Services and Policies

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not conform to the format and style of the Journal may be returned to the authors for revision or rejected.

The Journal reserves the right to make any further formal changes and language corrections necessary in a manuscript accepted for publication so that it conforms to the formatting requirements of the Journal.

International Journal of Multidisciplinary Research and Analysis will publish 12 monthly online issues per year,IJMRA publishes articles as soon as the final copy-edited version is approved. IJMRA publishes articles and review papers of all subjects area.

Open access is a mechanism by which research outputs are distributed online, Hybrid open access journals, contain a mixture of open access articles and closed access articles.

International Journal of Multidisciplinary Research and Analysis initiate a call for research paper for Volume 07 Issue 11 (November 2024).

PUBLICATION DATES:
1) Last Date of Submission : 26 November 2024 .
2) Article published within a week.
3) Submit Article : editor@ijmra.in or Online

Why with us

International Journal of Multidisciplinary Research and Analysis is better then other journals because:-
1 : IJMRA only accepts original and high quality research and technical papers.
2 : Paper will publish immediately in current issue after registration.
3 : Authors can download their full papers at any time with digital certificate.

The Editors reserve the right to reject papers without sending them out for review.

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not conform to the format and style of the Journal may be returned to the authors for revision or rejected. The Journal reserves the right to make any further formal changes and language corrections necessary in a manuscript accepted for publication so that it conforms to the formatting requirements of the Journal.

Indexed In
Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar