Determinants of Abortion among Youth Seeking Reproductive Health Care in Selected Health Facilities, in Addis Ababa, Ethiopia

 

Abstract

Background: Most of the students in higher education institutions are young, aged 19-24, who are often sexually active, and among the most vulnerable and at risk of HIV infection and other sexual and reproductive health problems. Taking this in to account HIV/AIDS and SRH intervention has been taking place in Ambo University. With the expectation that it will help the program manager to improve the intervention, this study was aimed to monitor the intervention of HIV/AIDS and SRH program in the University.

Methods: A qualitative study using in-depth interview and document review were used to collect primary and secondary data, respectively. A total of 13 study participants constituting the university's HIV/AIDS prevention and control office focal person, campus clinic officer, guidance and counseling officer and 10 students from different departments were purposely selected for the in-depth interview. The interviews were audio-taped digitally, transcribed verbatim, and thematically analyzed. Two years' retrospective document was reviewed to investigate the level of HIV/AIDS and SRH intervention in the university. Ethical approval and verbal consent were obtained before data collection.

Results: Findings of the study indicated that structural, behavioral and biomedical interventions were implemented in the university's main campus. Services like condom promotion and provision and HIV counseling and testing were accessible to students. On the other hand, guidance and counseling, youth dialog or conversation, STI prevention, diagnosis and treatment, male circumcision promotion for HIV/STI prevention, and unwanted pregnancy prevention and comprehensive abortion care were unavailable.

Conclusion: Although structural, behavioral and biomedical interventions existed in the campus, each component of the intervention was not implemented in accordance with the full package of the service. Therefore, program staff, managers and partners should give emphasis to the mobilization of resources as well as trainings geared toward improving HIV/AIDS and SRH interventions in Ambo University.


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