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Assessment of youth friendly Service quality and associated factors

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The world population is composed of 18% of adolescents (10–19 years) and 26% of young people (10–24 years)(1). Most are healthy, but there is still substantial premature death, illness, and injury among adolescents. Illnesses can hinder their ability to grow and develop to their full potential. Alcohol or tobacco use, lack of physical activity, unprotected sex and/or exposure to violence can jeopardize not only their current health, but also their health as adults, and even the health of their future children(2).

Adolescent disease burdens vary greatly across the world. Nearly two-thirds of these deaths occurred in low-and middle-income countries (LMICs) in the African (45%) and South-East Asia (26%) regions. These regions have 19% and 30% of the world’s adolescent population, respectively. While some causes of adolescent mortality or morbidity have a great impact in most regions (e.g. road injury, lower

respiratory infections, drowning and depressive disorders), the nature and relative impact of these and other adolescent burdens differ greatly within and between regions. For example, the leading causes of adolescent mortality are lower respiratory infections and diarrheal diseases in African, but are interpersonal violence in Americas, and collective violence and legal interventions in Eastern Mediterranean(3).

Young people from sub-Saharan Africa countries are more at risk of sexual and reproductive health problems than those young people from around the world. Youths from this region contribute the highest risk of sexually transmitted infections; for instance, over half of all new HIV infections are among them(1).

Adolescents and young people ages 10 to 24 are the largest group ever to be entering adulthood in Ethiopian history making up 30% of total population(4).This group face different health problems due health services associated, social and cultural barriers. Reproductive health services are limited related with poor confidentiality and affordability of these health services(1).

WHO carries out a range of functions to improve the health of young people, including: production of evidence-based guidelines to support health services and other sectors; making recommendations to governments on adolescent health and the provision of high quality, age-appropriate health services for adolescents; documenting progress in adolescent health and development; and raising awareness of health issues for young people among the general public and other interested stakeholders(2).Youth Friendly Services (YFS) is one of WHO strategy for enhancing health services quality for adolescents which aimed at availing “Services that are accessible, acceptable, and appropriate for adolescents. They are in the right place, at the right price and delivered in the right style to be acceptable to young people(5).

Yet, evidence from both high and low-income countries shows that services for adolescents are highly fragmented, poorly coordinated and uneven in quality(6). The following sub-sections will provide the detail explanation on research problems and significances.

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