Adolescent Sexuality and Reproductive Health in two Oil Producing Communities in Imo and Rivers States, Nigeria

Abstract

The Study was conducted in two contiguous oil producing rural local government areas in Imo State and Rivers State of Nigeria, to examine adolescent sexuality and reproductive health situation in the area given its peculiarities. This is a baseline study for an intervention project aimed at identifying strategies for achieving behavioural changes among the youth, and for promotion of health-seeking behaviour for the control of HIV/AIDS and other sexually transmitted infections (STIs). Data were collected through questionnaires administered among 725 students in secondary schools and 249 school drop-outs, comprising 483 females and 491 males. The questionnaire generated ample information on knowledge, attitudes and practices of the youth with respect to sexuality and reproductive health as well as various background characteristics of the respondents. Supplementary qualitative data were collected through focus group discussions. The study found a high level of sexual activity among both in-school and out-of-school adolescents, low levels of knowledge of preventive measures, negotiation skills and STIs, and relatively high levels of premarital pregnancy, abortion and incidence of STIs. The paper proffered suggestions for introducing life-building skills and sexuality education in the secondary schools through peer health education and other school programs, and underscored the need to make schooling more interesting and attractive to the youth.