Barriers To Use Contraceptive Among Adolescents In The City Of Addis Ababa

A cross sectional comparative survey was conducted to assess barriers to the use ofrncontraceptive among adolescents and their contraceptives choices and preferences,rnin a randomly selected samples of in and out of school adolescents in Addis Ababarncity administration from November to December 2003.The data was collected usingrnanonymous self administered questionnaire and focus group discussion. A total ofrn1591 (of which 796 out of school and 795 in school) adolescents participated in thernquantitative and four sex segregated focus group participated in the qualitative partrnof the study. Of the 1591 respondents 733 (92.1%) out of school and 778 (97.6%) inrnschool adolescents have heard about contraceptives. Ninety percent of respondentsrnwho heard about contraceptive (from the two adolescent populations) also knewrnwhere to get contraceptive. Sexual activity was 16.6% among in school and 36.4%rnamong out of school adolescents. Of the sexually active adolescents more out ofrnschool 61.4% than in school 57.5% ever used contraceptive but, only 28.6% of outrnof school and 49.3% of in school ever users consistently used contraceptive.rnMajority 677 (88.1%) out of school and 650 (86.4%) in school adolescents wererninterested to know more about contraceptive. A significant proportion adolescentsrn(81% of out of school and 88.1% of in school adolescents) plan to use contraceptivernin the future of which 79.9% of out of school and 76.8 % in school adolescentsrnprefers to use modern contraceptives but they showed varied preferences on thernsources of contraceptive for future use. Great majority (245 out of the 248 everrnusers) faced various barriers to use contraceptive. It was concluded that adolescentsrnface a wide range of - barriers to use contraceptives both at acquisition and usernxiirnlevels. . Majority adolescents preferred to use modern contraceptive but they havernvaried preferences of sources of contraceptive for future use. And we recommendrnsensitizing communities to create supportive environments, and providers to buildrnon youth friendly services at all delivery points.rnKey words are:rnAdolescents’ contraceptive use and barriers to use contraceptive

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