Utilization and Associated factor for Reproductive Health Service among Private College Students in Addis Ababa, Ethiopia, An institutional cross-sectional study. Addis Ababa,Ethiopia,2022.

Abstract Introduction: The college students were vulnerable to persistent reproductive health problems which are related to unprecedented social, economic, and cultural change regardless of health education, family support, and health knowledge factors . About one half of all HIV infections worldwide occur among people aged 25 years and under. And up to 100 million youths become infected with a curable sexually transmitted infections. The trends of modern contraceptives utilization in sexual active age group were very low. For instance the use of modern contraception in lower socio-economic status country including, Ethiopia were only 50%.These low coverage of all type of family planning methods leads unwanted pregnancy and unsafe abortion in the youths. Objective: The main objective of the study is to examine the prevalence and determinants of reproductive health services use among private college student in Addis Ababa, 2022. Method: Institutional based cross-sectional study would be employed from May to June,2022 to assess reproductive health service use and its associated factors by administering a pretested structured questionnaire. A multi stage cluster sampling technique would be used to select a total of 575 college student. The data was collected from nine Private collages by using self-administered questionnaire. The collected data would be checked for its completeness and clarity by the principal investigator daily and entered and analyzed by epi info version 7 and analyzed by SPSS version 25 software package respectively. Logistic regression (Bivariate and multivariable) analysis would be used to examine possible factors associated with reproductive health service use . P value less than 0.2 for Bivariate logistic regression and p value less than 0.05for multivariable logistic regression would be considered as level of significance. Confidentiality will be reserved. Participants’ involvement in the study would be on voluntary basis and they didn’t ask to write neither their name nor their address. Result : About half of (51.03%) of the students utilized at least one of reproductive health services. Students who had discussed with their reproductive health issues with their sexual partner were around 85% less likely to use reproductive health service than those student who were not discussed with their sex partners, and Students who had discussed with their reproductive health issues with their peers were around nine times more likely to use reproductive health service than their counter parts (AOR= 0.148, 95% CI:0.025-0.8972 and AOR= 8.320, 95% CI: 1.807-38.315 ) respectively. Student who were exposed to different type of mass media were around fifteen times more likely to utilize reproductive health service than those who were not exposed to mass media (AOR= 14.732, 95% CI=3.777-50.461).Ever had sexual intercourse were around seven times more likely utilized one of the four reproductive health service than against the counter (AOR 6.566 ,95% CI ;1.534-28.103). Conclusion and recommendation: The use of reproductive health services among student in the study area were low related to other study finding . Discussion with sexual partner and peers, exposure to mass media and ever had sexual intercourse was among the predictors of reproductive health services use. College reproductive health clubs are important steps to improve students reproductive health service utilization.