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Open Access Research article

Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study

Andualem Tadesse Boltena1*, Farhad Ali Khan2, Benedict O Asamoah1 and Anette Agardh13

Author affiliations

1 Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Lund, Sweden

2 Swedish Institute for Communicable Disease Control, Stockholm, Sweden

3 Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, University of Melbourne, Melbourne, VIC, Australia

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Citation and License

BMC Public Health 2012, 12:986  doi:10.1186/1471-2458-12-986

Published: 16 November 2012

Abstract

Background

Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling.

Methods

This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services.

Results

Two out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (p-value 0.01) in barriers faced by students originally from rural versus peri-urban/urban areas in seeking medical care (acceptability: 64.8%/74.5%, accessibility: 22.0% /12.6%, availability 13.2%/12.9%, respectively). Students who reported poor self-rated health encountered barriers in seeking both medical care and sexual health counselling that were significantly different from their other counterparts (p-value 0.001 and 0.007 respectively).

Conclusions

Barriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups.

Keywords:
Acceptability; Accessibility; Availability; Unmet medical care need; Sexual health counselling need; Self-rated health; Youth-friendly; Uganda