Back Ground of the Study:Adolescents are those people who are in atransitional stage of physical and psychological development thatgenerally occurs during the period from puberty to legal adulthood.
World Health Organization (WHO) defines adolescents asindividuals 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 thatone out of every five people throughout the world is an adolescent (SexualHealth/Reproductive Health (SH/RH), 2005) and There are about 350 millionadolescents comprising about 22% of the population in the countries of theSouth-East Asia Region (WHO).This transitional period between childhoodand adulthood, includes the processes ofrapid growth,development and maturation in terms of physical, psychological, biochemical andsocial conditions ( see e.g. Bulbul, 2004; Deraman, 2008). Adolescent are notquite capable of understanding these rapid complex changes and can’t controlthe extent they have over health decisions making including that related tosexual and reproductive behaviors. This makesthem vulnerable to sexual exploitation and high-risk sexual behaviors andreproductive health problems (WHO and AbajobiorA. & Seme A.
, 2014). There are 29.5 millionadolescent 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 thisgroup is critical to the country’s future, issues surrounding sexual andreproductive health (SRH) remain a cultural taboo, especially for adolescentsand young unmarried people (sigma ainul et al.
2017). Inadequate access tohealth information and services, Adolescents around the world face tremendouschallenges to meeting their sexual and reproductive health (SRH) needs,contribute to a lack of awareness aboutpuberty, sexuality, and basic human rights that can have serious implicationson their health and welfare throughout the rest of their lives (Cotrez, Rafealet. al. 2014). These underlyingfactors 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 acommunity-based cross sectional study found that Adolescent Reproductive healthKnowledge among Ethopian rural Adolescents remained low (67%).
Femaleadolescents were found to have less Reproductive Health knowledge than the maleadolescents. Using logistic regression model thy also showed that age andeconomic status were significantly associated with Adolescent ReproductiveHealth Knowledge. Ademola J Ajuwon , Adeniyi Oleleya et al. (2006)observed that respondents in junior classes were about 4 times less likely tohave RH Knowledge than those in senior classes and females were about threetimes more likely to have RH knowledge than males. Faez Ahmed, Abul Kalam Lutful kabir et al. (2008) in astudy on university students found that at least one half of the universitystudents(48%) did not understood much about puberty.
Main sources of RHknowledge were Book(26%) , TV(32%), Magazine(16%) and Friends and Peers (18%). References:Abajobir A. and Semme A. 2014.
“Reproductive healthknowledge and service utilization among rural adolescent in East Gojjam Zone, Ethopia: a community basedcross-sectional study .BMC Health ServiceResearch 14:138. Adolescent development (2016) WHO.Bubul, S. H. “Adolescents Ethics” Sted 3(6): 206-210Deraman, O.
2008. ” Psycho-social Development of Adolescents” .Adolescent Health II, Sympson Series NO: 63, Mart, 19-21.ConceptualFramework: Objectivesof the Study:General objective of the study is to explore howAdolescent’s reproductive health knowledge in Bangladesh is affected bybio-social and (demographic/economic) factors.It can be split into following specific objectives:o To asses the Adolescent reproductive health knowledge level using anappropriate index.o To identify the bio-social and (demographic/economic) factorsthat affecting Adolescent reproductive health knowledge.o To asses the Adolescent reproductive health knowledge status by different bio-social and(demographic/economic) factors.o To determine to what extant these bio-social and(demographic/economic) factors effect Adolescents Reproductive HealthKnowledge.Reasearch Question:This study sought to answer thefollowing questions:o How can we measure the Adolescent reproductive healthknowledge?o What is the status of Adolescent Reproductive Health Knowledgein Bangladeh?o What are the factors affecting Adolescent reproductive healthknowledge?o How does the bio-social and (demographic/economic) factorsaffect Adolescent reproductive health knowledge?