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Background: Adolescents is the transition from childhood to adulthood .Which is a time of opportunity, but also one of risk. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time related to many parents not feeling happy to discuss sexual matters in addition to early sexual commencement among adolescents. Objective: This study was intended to assess parent-adolescent communication on sexual and reproductive health matters and associated factors among secondary and preparatory school students in Robe Town, Bale Zone, South East Ethiopia, 2017. Methods: Institution based cross sectional study was conducted among 394 secondary and preparatory school students in Robe town from April 10-25, 2017. Simple random sampling technique was used. Data was obtained through the use of a self administered questionnaire and supplemented by focus group discussion with parents. Data was entered using Epi Data 3.1 and analyzed by SPSS 20. Descriptive statistics and logistic regression analyses were done. Data quality was assured through careful questionnaire design, pretest and training. Results: One hundred eighty six (47%) of the study participants had discussed at least two SRH issues with their parents. Grade eleven students were about nearly five times more likely discussed on sexual and reproductive matters with their parent compared with grade nine students (AOR: 4.88, 95% CI: 1.76, 13.54). Those living with relatives were 3.13 times less likely discussed as compared to those students are living with both parents (AOR: 0.32, 95%CI: (0.12, 0.80) and the odds of discussion on SRH matters is 2 times higher among females compared with their counterpart (AOR=2.02, 95% CI: 1.25, 3.26). Conclusions: Communication on sexual and reproductive health matters between adolescent and parent was low. Majority of student preferred to discuss with their peers than parent. Being ashamed, parents lack of communication skill and parent knowledge on SRH issues were the major reasons mentioned by the students for not discussing about SRH matters with their parents. Therefore; comprehensive family life education needs to be initiated for the students and parents. Sexual information exchange between peers needs to be strengthened. Freely Available Online www.openaccesspub.org JPHI CC-license DOI : 10.14302/issn.2641-4538.jphi-19-2860 Vol-1 Issue 4 Pg. no.– 2 Introduction Adolescents are defined by the United Nations as those between the ages of 10 and 19 [1]. Today there are 1.2 billion adolescents worldwide. Nearly 90 percent of them live in developing countries. An estimated 2.2 million adolescents, around 60 percent of whom are girls, are living with HIV, and many of them do not know they are infected. Every year, 1.4 million adolescents die from road traffic injuries, complications of child birth, suicide, violence, AIDS and other causes. Cause of adolescent death varies by region, and mortality patterns are associated with sex. In Latin America, injuries including homicide are the leading cause of death among adolescent boys; in Africa complications of pregnancy and child birth are the leading cause among adolescent girls aged 15-19 [2]. Adolescents experience intense physical, psychological, emotional and economic changes as they make the transition from childhood to adulthood. Risk-taking is part of adolescence, and it is the duty of society to prevent risk and to mitigate consequences such risk-taking behavior [2]. The communication helps to transmit values, beliefs and expectations about SRH matters to their adolescents [3]. In Ethiopia, a lot of adolescents often lack strong and stable relationships with their parents or other adults which are necessary to openly discuss reproductive health concerns. Therefore, many teenagers do not have access to reliable information regarding their RH needs. In most cultures, parents and family members are an influential source of knowledge, beliefs, attitudes, and values for children and young people. Parents often have the power to guide children’s development in sexual health matters, encouraging them to practice reasonable sexual behavior and develop good personal decision making skills [4]. Communication within the family appears to be particularly important during the adolescent years especially concerning reproductive health issues. Family communication affects adolescent identity formation and role–taking ability [5]. The majority of people become sexually active during adolescence. The use of contraceptives and condoms among young people, however, is low and unprotected sex is the second largest contributor to health risk in terms of the burden of disease in young people. As a consequence, each year, there are at least 100 million cases of sexually transmitted infections among young people, as well as more than 2.5 million unsafe abortions recorded for adolescents [1]. Specifically in Ethiopia, 13 percent of women age 15-19 have begun childbearing with 10 percent having had a live birth and two percent pregnant with their first child. Teenage mothers are more likely to experience adverse pregnancy outcomes and are more constrained in their ability to pursue educational opportunities than young women who delay childbearing. There has not been a study done related to this subject in our area, so it is important to know the prevalence of parent adolescent discussion on sexual and reproductive health issues in our area [6]. Therefore, this study was conducted to assess parent adolescent communication on sexual and reproductive health matters and associated factors.

journal of public health international

Parent-adolescent Communication on Sexual and Reproductive Health Matters and Associated Factors among Secondary and Preparatory School Students in Robe Town, Bale zone, Southeast Ethiopia, 2017