Original articleDifferential use of adolescent reproductive health programs in Addis Ababa, Ethiopia
Section snippets
Methods
Data for this study are from a population-based survey of adolescents aged 10 to 19 years conducted in Addis Ababa, Ethiopia in early 2004. The survey took place in two slum areas of Addis Ababa, Mercato area (Kebele 13) and Kazanchis (Kebele 10; kebeles are the lowest administrative units in Ethiopia), which are among the city’s poorest areas. These are very densely populated areas with an average of 5.4 members per household.
The survey took place in two stages: an initial household listing
Sample characteristics
In all, 1044 young people aged 10 to 19 years were interviewed (Table 1). The response rate for both boys and girls was 87%, which is consistent with other surveys of adolescents using similar methods of data collection [19]. More girls than boys were interviewed, which may be a reflection of the greater number of female immigrants into the area. (The greater number of girls in the sample is a reflection of the number of girls listed. In all, 1350 girls were listed, compared with 866 boys. The
Discussion
This study examines the utilization, nonuse, and coverage of two popular youth program models—youth centers and peer education—among urban youth. Other studies of program utilization rely on service statistic data that allow managers to understand only who is using the services, but does not allow them to understand who is not being reached. This study uses population-based data, allowing us to profile who is not taking advantage of youth programs offered in their communities. Data were not
Acknowledgments
This study was made possible by financial support from UNICEF Ethiopia and DfID. We are grateful to Ayo Ajayi and Judith Bruce for very helpful comments on this article, to Assefa Hailemariam for assistance in data collection, and to Lucy N’gan’ga for assistance with data processing.
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