3 research outputs found

    Unequal access: sexual and reproductive health services among agrarian and pastoralist adolescents in Ethiopia

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    Abstract Introduction Adolescents worldwide face significant sexual and reproductive health (SRH) challenges, including unintended pregnancies, unsafe abortions, and sexually transmitted infections. While many studies have focused on SRH service utilization in urban and well-served communities, evidence from underserved regions remains limited. This study presents findings on SRH service utilization among adolescents in remote rural and pastoralist communities of southern Ethiopia. Method We collected data from 493 adolescents, equally representing agrarian and pastoralist communities, between May and June 2023. Participants provided insights into their knowledge, acceptance, organizational and cultural influences, and SRH service utilization history. The data was entered using EpiData 4.6 and analyzed with SPSS version 25. Descriptive statistics were used to summarize key characteristics, while bivariate and multivariable logistic regression analyses identified determinants of adolescent sexual and reproductive health (ASRH) utilization. Results were reported as adjusted odds ratios (AOR) with 95% confidence intervals (CI) to assess statistical significance. Results Nearly three-quarters of adolescents (369, 74.8%) reported that ASRH services were not accepted in their communities, with rejection rates higher among pastoralist communities. Nonetheless, slightly more than a quarter of adolescents utilized SRH services (27.4%, 95% CI: 26.9–27.8). A significant disparity in utilization was observed between agrarian and pastoralist communities, with 36% (95% CI: 35.5–36.5) utilization among agrarian compared to 18.7% (95% CI: 18.3–19.1) in pastoralist adolescents. Key determinants of ASRH service utilization included education level, as uneducated adolescents were significantly less likely to access services (AOR = 0.187, 95% CI: 0.065–0.536). Positive predictors of ASRH utilization included parental encouragement (AOR = 2.817, 95% CI: 1.120–7.089) and proximity to services (AOR = 3.645, 95% CI: 1.423–9.337). In a separate analysis of agrarian adolescents, those uneducated were 85.5% less likely to use ASRH services compared to their educated peers (AOR = 0.145, 95% CI: 0.045, 0.465). Among pastoralist adolescents, discussing SRH with parents increased the likelihood of ASRH service use by 3.7 times (AOR = 3.729, 95% CI: 1.315, 10.574), and living within 30 min of a health facility increased the likelihood by nearly 6 times (AOR = 5.913, 95% CI: 2.419, 14.451). Conclusion ASRH service utilization is notably low among agrarian and pastoralist communities compared to urban and semi-urban settings, pastoralists being more underserved. Promoting parental involvement, establishing SRH centers in schools and health institutions, and expanding access through mobile services for pastoralist communities are essential. Strengthened efforts by the health sector and stakeholders are critical to addressing gaps and ensuring equitable service availability

    Okul Psikolojik Danışmanları İçin Hesap Verebilirlik Ölçeğinin Geliştirilmesi: Psikometrik Özelliklerinin İncelenmesi

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    The aim of this study is to develop a valid and reliable accountability scale that can be used to determine the level of accountability of school counselors. The study group consists of 494 school counselors, 298 women and 196 men. Exploratory and confirmatory factor analysis was used for the construct validity of the scale. Cronbach's Alpha internal consistency analysis and Spearman Brown two half reliability analyses were used as reliability analysis, when the results of exploratory factor analysis were examined in the study, it was seen that the scale had a structure with four factors (remedial services, developmental services, support services, preventive services) and this structure was confirmed by confirmatory factor analysis. Reliability analysis of the obtained scale also showed that the scale is reliable. The findings were discussed in light of the literature and various suggestions were made. © 2020 The Author(s)

    Extensive air showers event reconstruction using spatial and temporary particle distribution at Horizon-T experiment

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    Content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence. Any further distribution of this work must maintain attribution to the author(s) and the title of the work, journal citation and DOI. A newly completed (Oct. 2016) detector system of Extensive Air Showers (EAS) called Horizon-T (HT) is a part of Tien Shan high-altitude Science Station of Lebedev Physical Institute of the Russian Academy of Sciences, which is located 32 km from Almaty at the altitude of 3340 meters above the sea level. Horizon-T is constructed to study Extensive Air Showers in the energy range above ~1016 eV coming from a wide range of zenith angles (0° - 85°). The system currently has eight working and two under construction charged particle detection points separated by the distance more than a kilometer. The ability to record each detector response with accuracy of 2 ns gives HT ability to study the temporary structure of EAS disk and apply the results to the event reconstruction. The reconstruction is therefore based on chronotron (< 0.5 ns), spatial and temporary distribution of charged particles within the detected EAS event. In this paper, we will show the simulated time distribution of charged particles in the EAS disk vs. distance from the axis and the correspondence to the data. A flow of the reconstruction of standard EAS events and the event display is presented as well as recent HT results
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