Recours aux soins de santé globale et de santé sexuelle et reproductive, chez les étudiants de l’université Houphouët-Boigny, Abidjan, Côte d’Ivoire

Inghels, Maxime, Coffie, P.A. and Larmarange, J. (2017) Recours aux soins de santé globale et de santé sexuelle et reproductive, chez les étudiants de l’université Houphouët-Boigny, Abidjan, Côte d’Ivoire. Revue d'Épidémiologie et de Santé Publique, 65 (5). pp. 369-379. ISSN

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Background. – In Ivory Coast, little is known about health needs and health access barriers among young people. The aim of this study was to
describe health provision, health needs and barriers when seeking medical care, with an emphasis on sexual and reproductive health, and the
acceptability of a medical examination for students attending their first year at the Houphoue¨t-Boigny University, Abidjan, Ivory Coast.
Methods. – We conducted a representative cross-sectional study among second year students who were selected by two-stage equiprobable
random sampling. In-depth interviews were conducted among students and the university health center staff.
Results. – Five hundred and forty three students (322 men and 221 women) answered a questionnaire (participation rate 98.4%). Among
women who ever had sex, 38.4% (95%CI [30.5%–47.0%]) had unmet contraception needs and 31.2% [23.7%–40.0%] had experienced an
unwanted pregnancy. Fear about impaired fertility was the leading reason for non-use of hormonal contraception, the method of choice among most
students. The main health problems among students, by order of frequency were malaria (54.3%), respiratory infection (44.6%), constipation
(28.0%) and psychological problems (25.9%). High cost perception of services offered, despite their gratuity, were the main barriers against access
to the university health center, indicating a lack of communication about this structure and its services. The majority of students favored the
establishment of a medical examination during the first year at the university.
Conclusion. – Establishing a medical examination would improve health center visibility. The following services could be offered: (i) HIV,
chlamydia and gonorrhea screening, (ii) hepatitis B virus screening and vaccination, (iii) provision and information about contraceptive methods,
(iv) presentation of the university health center services. Dedicated spaces where students could have access to information about health-related
topics (e.g. sexuality, nutrition, depression) could complete the university’s healthcare offer.
# 2017 Elsevier Masson SAS. All rights reserved.

Keywords:Young adult, students, Reproductive health, Health services accessibility, Contraception
Subjects:H Engineering > H123 Public Health Engineering
Divisions:College of Social Science > Lincoln International Institute for Rural Health
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ID Code:45122
Deposited On:22 Jul 2021 11:31

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