Back Ground of the Study:
Adolescents are those people who are in a
transitional stage of physical and psychological development that
generally occurs during the period from puberty to legal adulthood. World Health Organization (WHO) defines adolescents as
individuals between 10-19 year age group. The period has seen many changes over the past few decades,
namely, the earlier onset of puberty, later marriage, urbanization,
globalization, and changing sexual attitudes and behaviors It is also known that
one out of every five people throughout the world is an adolescent (Sexual
Health/Reproductive Health (SH/RH), 2005) and There are about 350 million
adolescents comprising about 22% of the population in the countries of the
South-East Asia Region (WHO).This transitional period between childhood
and adulthood, includes the processes of
development and maturation in terms of physical, psychological, biochemical and
social conditions ( see e.g. Bulbul, 2004; Deraman, 2008). Adolescent are not
quite capable of understanding these rapid complex changes and can’t control
the extent they have over health decisions making including that related to
sexual and reproductive behaviors. This makes
them vulnerable to sexual exploitation and high-risk sexual behaviors and
reproductive health problems (WHO and Abajobior
A. & Seme A., 2014).
There are 29.5 million
adolescent in Bangladesh, including 14.4 million girls and 15.1 million boys,
together which is nearly one fifth of the total 144 million people.
Although the health and well-being of this
group is critical to the country’s future, issues surrounding sexual and
reproductive health (SRH) remain a cultural taboo, especially for adolescents
and young unmarried people (sigma ainul et al. 2017). Inadequate access to
health information and services, Adolescents around the world face tremendous
challenges to meeting their sexual and reproductive health (SRH) needs,
contribute to a lack of awareness about
puberty, sexuality, and basic human rights that can have serious implications
on their health and welfare throughout the rest of their lives (Cotrez, Rafeal
et. al. 2014). These underlying
factors lead to high rates of early pregnancy, sexually transmitted infections (STIs),
sexual violence, and early and forced marriage.
Review of Literature:
Amanuel Alema Abajobir and Assefa Seme (2014) in a
community-based cross sectional study found that Adolescent Reproductive health
Knowledge among Ethopian rural Adolescents remained low (67%). Female
adolescents were found to have less Reproductive Health knowledge than the male
adolescents. Using logistic regression model thy also showed that age and
economic status were significantly associated with Adolescent Reproductive
Ademola J Ajuwon , Adeniyi Oleleya et al. (2006)
observed that respondents in junior classes were about 4 times less likely to
have RH Knowledge than those in senior classes and females were about three
times more likely to have RH knowledge than males.
Faez Ahmed, Abul Kalam Lutful kabir et al. (2008) in a
study on university students found that at least one half of the university
students(48%) did not understood much about puberty. Main sources of RH
knowledge were Book(26%) , TV(32%), Magazine(16%) and Friends and Peers (18%).
Abajobir A. and Semme A. 2014. “Reproductive health
knowledge and service utilization among rural adolescent in East Gojjam Zone, Ethopia: a community based
cross-sectional study .BMC Health Service
Adolescent development (2016) WHO.
Bubul, S. H. “Adolescents Ethics” Sted 3(6): 206-210
Deraman, O. 2008. ” Psycho-social Development of Adolescents” .Adolescent Health II, Sympson Series NO: 63, Mart, 19-21.
of the Study:
General objective of the study is to explore how
Adolescent’s reproductive health knowledge in Bangladesh is affected by
bio-social and (demographic/economic) factors.
It can be split into following specific objectives:
o To asses the Adolescent reproductive health knowledge level using an
o To identify the bio-social and (demographic/economic) factors
that affecting Adolescent reproductive health knowledge.
o To asses the Adolescent reproductive health knowledge status by different bio-social and
o To determine to what extant these bio-social and
(demographic/economic) factors effect Adolescents Reproductive Health
This study sought to answer the
o How can we measure the Adolescent reproductive health
o What is the status of Adolescent Reproductive Health Knowledge
o What are the factors affecting Adolescent reproductive health
o How does the bio-social and (demographic/economic) factors
affect Adolescent reproductive health knowledge?