Factors Influencing Uptake of Sexual Reproductive Health Services Among Female Students at Maseno University Kenya


Authors : Elizabeth Yolanda Aballa; David Masinde; Paul Kosiyo; Dickens Omondi

Volume/Issue : Volume 10 - 2025, Issue 2 - February


Google Scholar : https://tinyurl.com/fz2jtzpu

Scribd : https://tinyurl.com/3ra5878s

DOI : https://doi.org/10.5281/zenodo.14909876


Abstract : Introduction: Uptake of Sexual Reproductive Health Services (SRHS) is a Public Health challenge especially among female youth mainly within aged 20-24years. In the developing world, SRH services area either lacking or of low quality and are sometimes sub-optimally used by the youth, due to either lack of awareness and knowledge or due to cultural sensitivity and misconceptions regarding this issue. Globally, about 50% of all new HIV infections are due to poor uptake of relevant SRHS are among youth with an estimated 33.1 million people aged 15-24 years living with HIV in 2018. Despite the Kenya Government’s commitment of resources to Reproductive Health services and youth friendly policies, the uptake of SRHS remain low nationally.  Objective: Therefore, the current study evaluated factors influencing the uptake of SRHS by the female undergraduate students’ at Maseno University (MU).  Methodology: This cross-sectional study, female students (n=359) aged 20-24 years were recruited using purposive random sampling. Both quantitative and qualitative data was collected using self-administered questionnaire for students’ and interview guide for the key informants. Statistical was done using Statistical Package for Social Sciences (SPSS) version 22. Variations in SHRS services uptake, SRHS being utilized and factors influencing SRHS uptake was subjected to descriptive statistics. Chi-square tests while relationships between dependent and independent variables. Analysis of variance (ANOVA) was used to determine specific socio-cultural factors influencing uptake of SRHS. Statistical significance was set at P ≤0.05.  Results: Knowledge on VCT services was the most available service at 71.4% followed by knowledge on HIV/AIDS (45.7%). 84.7% of SRHS were available, with a range of service being offered for free (87.4%). with regard to institutional factors, sharing as sharing of SRHS free (P=0.033), prohibition of SRHS by religion (P=0.033) companion in seeking SRHS (P=0.039) being statistically significant.  Conclusion: Knowledge, attitude and practice, availability, acceptability, affordability and accessibility of SRHS influence uptake of SRHS. Furthermore, institutional factors influence uptake of SRHS among MU female students. Creation of awareness of the uptake of SRHS is necessary among female students.

Keywords : Acceptability, Affordability, Attitude, Female Students and Sexual and Reproductive Health.

References :

  1. WHO. WHO Factsheet on Rexual Reproductive Health Services. 1975.
  2. PRF. Kenya Adolescent Roductive HealtH and Development  Policy. 2003.
  3. MOH. National Guidelines for Provision of Adolescent and Youth Friendly Services in Kenya, Second Edition 2016.
  4. Tilahun, F.D., Assefa T, Belachew T. Predictors of emergency contraceptive use among regular female students at Adama University, Central Ethiopia. Pan African Medical Journal. 2011;7(6).
  5. Walker A. Saving Nigerians from risky abortions. Available at http://news.bbc.co.uk/1/hi/world/africa/7328830.stm. Retrieved 2009-05-31. 2008.
  6. Godia PM. Sexual Reproductive Health Service Provision to Young People in Kenya; what is the best model? Doctoral thesis, University of Liverpool. (Unpublished). 2012.
  7. KNCHR. Reproductive health challenges facing adolescents and youth in Kenya 2012.
  8. CIK. Sources of information on sexual and reproductive health. 2017.
  9. John R, Mohd Salleh NA, Nik Farid ND. Utilization of Sexual Reproductive Health Services Among Youths in Malaysia: A Cross-Sectional Study Applying Andersen's Behavioral Model of Healthcare Utilization. Cureus. 2024;16(5):e60230.
  10. Awasom-Fru A, Sop Sop MD, Larsson EC, Herzig van Wees S. Doctors' experiences providing sexual and reproductive health care at Catholic Hospitals in the conflict-affected North-West region of Cameroon: a qualitative study. Reprod Health. 2022;19(1):126.
  11. Hall et al CM, and James Trussell. Lower Use of Sexual and Reproductive Health Services Among Women with Frequent Religious Participation,Regardless of Sexual Experience: JOURNAL OF WOMEN’S HEALTH; 2012.
  12. KNBS. Religious Affiliations Kenya National Bureau of Statistics. 2013.
  13. Muhammad et al. FK, Subarna Mazumder, Feng Cheng, and Junfang Xu. Knowledge on, Attitude towards, and Practice of Sexual and Reproductive Health among Older Adolescent Girls in Bangladesh: An Institution-BasedCross-Sectional Study: Int. J. Environ. Res. Public Health; 2020.
  14. FHI 360 I-A, UON. Providing integrated sexual and reproductive health services at reproductive health services at Kikuyu Campus, University of Nairobi: Assessment of a new reproductive health unit2014.
  15. Karonjo MJa. Reproductive health knowledge among college students in Kenya: BMC Public Health; 2018.
  16. Motuma A ST, Egata G, Kenay A. Utilization of youth friendly services and associated factors among youth in Harar town, east Ethiopia: a mixed method study.: BMC Health Serv Res; 2016.
  17. Mulaudzi et al DB, Coetzee J, Sikkema K, Gray G, Dietrich JJ. Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa. Soweto, South Africa: Reprod Health; 2018.
  18. AG N. Access and utilization of reproductive health services among adolescent girls: pp. 1–107; 2017.
  19. Ndayishimiye et al. RU, Isabelle Kubwimana, Jean de la Croix Niyonzima, Roseline Dzekem Dine, Jean Baptiste Nyandwi and Justin Ntokamunda Kadima. Availability, accessibility, and quality of adolescent Sexual and Reproductive Health (SRH) services in urban health facilities of Rwanda: a survey among social and healthcare providers: BMC Health Services Research; 2020.
  20. Ooms et al. GIO, Denis Kibira, Tim Reed, Hendrika A. van den Ham, Aukje K. Mantel-Teeuwisse and Gemma Buckland-Merrett. Access to sexual and reproductive health commodities in East and Southern Africa: a cross-country comparison of availability, affordability and stock-outs in Kenya, Tanzania, Uganda and Zambia2020.
  21. LEAH NM. ACCESS TO SEXUAL AND REPRODUCTIVE HEALTH CARE SERVICES BY ADOLESCENT GIRLS AGED 15-19 YEARS AMONG PASTORAL COMMUNITIES IN NAROK COUNTY, KENYA.2011.
  22. Ninsiima et al. LRN, Isabel Kazanga Chiumia and Rawlance Ndejjo. Factors influencing access to and utilization of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review2021.
  23. Adan IF, Dr. M.N.Githae. Factors Influencing Access to Reproductive Health Information Services among Young Aged 15-24 in Garissa Municipality, Kenya: www.ijcrr.in; 2018.
  24. Towett G, John Ndungu Kungu. Socio-Cultural Determinants Influencing Adolescent Sexual And Reproductive Health In Bomet East Sub-County, Kenya. Bomet: IJIRAS; 2020.

Introduction: Uptake of Sexual Reproductive Health Services (SRHS) is a Public Health challenge especially among female youth mainly within aged 20-24years. In the developing world, SRH services area either lacking or of low quality and are sometimes sub-optimally used by the youth, due to either lack of awareness and knowledge or due to cultural sensitivity and misconceptions regarding this issue. Globally, about 50% of all new HIV infections are due to poor uptake of relevant SRHS are among youth with an estimated 33.1 million people aged 15-24 years living with HIV in 2018. Despite the Kenya Government’s commitment of resources to Reproductive Health services and youth friendly policies, the uptake of SRHS remain low nationally.  Objective: Therefore, the current study evaluated factors influencing the uptake of SRHS by the female undergraduate students’ at Maseno University (MU).  Methodology: This cross-sectional study, female students (n=359) aged 20-24 years were recruited using purposive random sampling. Both quantitative and qualitative data was collected using self-administered questionnaire for students’ and interview guide for the key informants. Statistical was done using Statistical Package for Social Sciences (SPSS) version 22. Variations in SHRS services uptake, SRHS being utilized and factors influencing SRHS uptake was subjected to descriptive statistics. Chi-square tests while relationships between dependent and independent variables. Analysis of variance (ANOVA) was used to determine specific socio-cultural factors influencing uptake of SRHS. Statistical significance was set at P ≤0.05.  Results: Knowledge on VCT services was the most available service at 71.4% followed by knowledge on HIV/AIDS (45.7%). 84.7% of SRHS were available, with a range of service being offered for free (87.4%). with regard to institutional factors, sharing as sharing of SRHS free (P=0.033), prohibition of SRHS by religion (P=0.033) companion in seeking SRHS (P=0.039) being statistically significant.  Conclusion: Knowledge, attitude and practice, availability, acceptability, affordability and accessibility of SRHS influence uptake of SRHS. Furthermore, institutional factors influence uptake of SRHS among MU female students. Creation of awareness of the uptake of SRHS is necessary among female students.

Keywords : Acceptability, Affordability, Attitude, Female Students and Sexual and Reproductive Health.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe