Reproductive Health Services Utilization and Accessibility Associated Factors among Junior and Senior High School Students in Jombang, East Java, Indonesia
Background: Knowledge of junior and senior high school students about reproductive health (RH) in Indonesia still lack. Policy actions and strategic efforts to decrease maternal mortality rate, unmet- needs, promote sexual, RH service as innovation to educate students, and its utilization remains very low and little information was found. There are so many students who did not know how to maintain good reproductive health. Efforts to give lessons RH and sexual education to students today is still considering taboo. This study conducted to assess utilization of RH services and accessibility associated factors among junior and senior high school students in Jombang, East Java, Indonesia.
Methods: This study utilized cross-sectional design, was conducted from January to May, 2018. Purposive random sampling technique was used to select a total of 150 students who attended junior and senior high school. Utilization of RH services and accessibility was measured using one item asking whether they had used either of RH services components during at last one year. The data was entered using Ms.Excel and further analysis was done using SPSS version 21 software. Descriptive statistics, cross tabulations, bivariate, and multivariate logistic regression analysis were used. All variables were set by p-values less than 0.05 and reported by Adjusted Odds Ratio with its 95%CI.
Results: Based on the results of 150 participants, about 33 (22%) participants reported that they utilized RH services. On multivariable logistic regression analysis after adjusting for other variable, discussion with health workers (AOR 3.0, 95%CI [1.7-5.2]), exposure from school teachers (AOR 0.36, 95%CI [0.2-0.6]), and having favorable knowledge and attitude towards RH services (COR 1.46, 95%CI [1.01 to 2.13]) were found.
Conclusions: That means overall utilization of RH services was low among junior and senior high school. Needs interventions in the form of education, discussion with health workers, history of perceived STIs symptoms, and information were the association factors of RH services utilization among junior and senior high school students in Jombang.