Adolescents’ Sexual and Reproductive Health Promoting Strategies: the Aspects of Preparatory Schools in Addis Ababa City Administration.(School Based Qualitative Study)

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Abstract Background: Adolescents and young people don’t hesitate to make any decisions pertaining to their sexual and reproductive health matters without sufficiently examining the consequences and taking precautions to protect themselves. Fewer studies have been conducted in Ethiopia to assess school adolescents’ sexual and reproductive health behaviours despite the fact that, their number is continuously mounting across all corners of the country. The purpose of this study was therefore to improve the sexual and reproductive health needs of preparatory school adolescents in Addis Ababa city administration through provision of vibrant and effective adolescent specific sexual and reproductive health service strategies. Methods: The study employed a qualitative study design to explore in-depth understanding and insights about school adolescents risky sexual behaviors. A series of open ended questionnaires were used to collect data from the participants. A step by step computerassisted qualitative data analysis software (CAQDAS) was used to transcribe collected data. Results: The study has documented that, significant number of preparatory school adolescents in Addis Ababa were lacking adequate knowledge about their sexual and reproductive health issues. They were the most neglected and passive to make informed decision despite quite a lot of them were engaged in risky sexual practices. Their health service seeking behavior was very low; health service providers were not well equipped, the existing health services were mal-distributed and adult centered. Conclusions: Fairly large numbers of preparatory school students in Addis Ababa were suffering from unpleasant consequences resulting from risky and harmful sexual practices. Unprotected sex leading to unintended teenage pregnancy, attempt to terminate pregnancy usually reported to be unsafe, sexually transmitted infection, school drop-out, physical and psychological abuses were reported by the participants left and right. Given the findings of the study, the researcher has developed aadolescents sexual and reproductive health promoting strategies under the corresponding thematic areas after it was validated by a group of qualified and experienced experts and their feedbacks have been incorporated for enrichment.

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