Adolescents, Sexual Reproductive Health (SRH) and Equity

2019 ◽  
pp. 255-263
Author(s):  
Mbuso Precious Mabuza
Keyword(s):  
Reproductive Health ◽  
Sexual Reproductive Health

Developing a USSD-based mobile phone app to provide adolescents with sexual reproductive health information: A human-centered design approach (Preprint)

2021 ◽  
Author(s):  
Paul Macharia ◽  
Antoni Pérez-Navarro ◽  
Irene Inwani ◽  
Ruth Nduati ◽  
Carme Carrion
Keyword(s):  
Reproductive Health ◽  
Mobile Phone ◽  
Health Information ◽  
Mobile App ◽  
Resource Limited Settings ◽  
Human Centered Design ◽  
On Demand ◽  
Sexual Reproductive Health ◽  
Resource Limited ◽  
Adolescent Reproductive Health

BACKGROUND Adolescent pregnancies and sexually-transmitted infections continue to impact 15 – 19-year-olds across the globe. The lack of sexual reproductive health information in resource-limited settings can often be due to cultural and societal attitudes to adolescent sexual reproductive health. Innovative approaches, including mobile phone technologies, are needed to address the need for adolescent reproductive health information. OBJECTIVE To design and develop a mobile app prototype to provide confidential adolescent reproductive health information on demand and evaluate its usability and user experience. METHODS A human-centered design methodology was applied. This practice framework allowed the perspectives and feedback of adolescent users to be included in the iterative design process. Field usability testing enabled the adolescents to provide feedback on the functionality, usability, and usefulness of the app. RESULTS During the usability test, 62 (54.9%) of the adolescents that were followed-up had used the app at least once, 30 (48.4%) of these were male participants and 32 (51.6%) female. The app was described as ‘very interesting’ to use by 44 (70.9%) participants, 20 male and 24 female. The content was deemed to be either ‘perfectly’ or ‘well targeted’ on sexual reproductive health by 60 (96.7%) adolescents, and the app was rated ‘best app’ by 45 (72.6%) adolescents, 27 female and 18 male, with a p-value = 0.011. CONCLUSIONS A mobile phone app is a feasible and acceptable way to deliver adolescent sexual reproductive health information in resource-limited settings. The USSD mobile phone technology could deliver confidential information on demand.

scholarly journals Assessment of the quality of sexual and reproductive health services delivered to adolescents at Ujala clinics: A qualitative study in Rajasthan, India

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261757
Author(s):  
Radhika Dayal ◽  
Mukta Gundi
Keyword(s):  
Reproductive Health ◽  
Service Delivery ◽  
Health Care Services ◽  
Reproductive Health Services ◽  
Quality Health Care ◽  
Care Services ◽  
Sexual Reproductive Health ◽  
Global Standards ◽  
Quality Health

The Adolescent Friendly Health Clinic (AFHCs), a key component of the Government of India’s National Adolescent Health Programme a.k.a. Rashtriya Kishor Swasthya Karyakram (RKSK), aims to increase the accessibility and utilization of sexual-reproductive health services by adolescents and youth. However, low quality of care provided at AFHCs by counsellors calls for attention. We, thus, explore both the clients’ and providers’ perspectives using the World Health Organization’s (WHO) global standards for quality health-care services for adolescents to assess the quality of the sexual reproductive health service delivery at AFHCs in Rajasthan, India. We conducted a qualitative study, comprising observation of the service delivery using mystery clients (MCs) (n = 12) and in-depth interviews with the counsellors (n = 4) in four AFHCs. Interviews were transcribed in local language and were translated in English. The transcripts were coded thematically. Our study, using five of the eight WHO global standards for quality health-care services for adolescents highlighted several gaps in the quality-of-service delivery at AFHCs. We unearth various intricacies related to the quality of the services provided at the AFHCs by referring to the relevant input, process, and the output criteria of WHO global standards I, III, IV, V and VI. Our study calls for efforts to improve- (i) the counsellors’ competencies to increase adolescents’ health literacy on sensitive topics, (ii) the facilities at the clinic to ensure privacy, comfort and confidentiality of the adolescents seeking services, (iii) the referrals to improve appropriate package of services, and (iv) an overall environment to ensure an equity and non-discrimination for all the adolescents. Our findings unearth the barriers that both the service providers and the adolescents face at the AFHCs and underscore the need for regular monitoring and evaluation of the AFHCs to strengthen the facility-based intervention of the RKSK programme.

The Effectiveness of Sexual Reproductive Health (SRH) Programme Among Adolescents in Cheras, Malaysia

2021 ◽  
Vol 5 ◽  
pp. 20
Author(s):  
Zaitul Akmal AZ ◽  
Salmah N ◽  
ND Ismail ◽  
Muhammad Akmal MN ◽  
Khairatul Nainey K
Keyword(s):  
Reproductive Health ◽  
Secondary School ◽  
Knowledge Score ◽  
School Students ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Sexual Reproductive Health ◽  
Post Test ◽  
The Mean ◽  
Knowledge And Attitude

Introduction: In Malaysia, the rate of adolescents involved in sexual activities has increased and starts at an earlier age. Data from NHMS 2017 showed that 7.3% among surveyed 13 to 17 years-old adolescents have already had sex. The rate of teenage pregnancies is also increasing at 3.7-3.9% between the years 2009 until 2011. Therefore, an effective SRH Programme should be conducted in schools to equip them with adequate knowledge regarding this subject.Methods: A cross-sectional questionnaire survey was conducted among 145 randomly selected secondary school students aged 13 to 15 years old, attending the SRH Programme in a secondary school in Cheras, Selangor, Malaysia. The objective of this programme is to deliver knowledge and promote awareness among adolescents regarding SRH. The programme consists of intervention using adolescent-friendly module and games. A pre- and post-test were given to the participants to evaluate the effectiveness of the programme using the validated SRH questionnaire (Malay version). The questionnaire consists of fourteen and six items for knowledge and attitude, respectively.Results: The result showed an increase in the mean knowledge score (±SD) after the SRH Programme at the school from 7.25 ± 2.44 for pre-test to 9.70 ± 3.17 for post-test. The mean difference in pre- and post-test was 2.45 (95% CI: 2.02, 2.87) and was statistically significant (p<0.001). In terms of attitudes, the majority of the students felt that they have enough knowledge to make a gooddecision regarding sexual reproductive health issues after the SRH programme. However, there was only a small increment with regards to their attitudes on assertiveness.Conclusion: This study demonstrated an increase in the level of knowledge among adolescents in Cheras after the SRH programme using the adolescent-friendly module and games. However, there is no significant change in attitude among adolescents regarding SRH.Future SRH programmes need to be done regularly to instil positive attitudes among adolescents in dealing withsexual reproductive dilemmas.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S20

scholarly journals Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chama Mulubwa ◽  
Anna-Karin Hurtig ◽  
Joseph Mumba Zulu ◽  
Charles Michelo ◽  
Ingvild Fossgard Sandøy ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Systems ◽  
Contextual Factors ◽  
Realist Evaluation ◽  
Health Interventions ◽  
Alternative Theory ◽  
Health Coverage ◽  
Programme Theory ◽  
Community Based ◽  
Sexual Reproductive Health

Abstract Introduction Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their sexual reproductive health and rights’ needs. As the first step of realist evaluation, this study provides a programme theory that explains how, why and under what circumstances community-based sexual reproductive health interventions can transform (or not) ‘ordinary’ community-based health systems (CBHSs) into systems that are responsive to the sexual reproductive health of adolescents. Methods This realist approach adopted a case study design. We nested the study in the full intervention arm of the Research Initiative to Support the Empowerment of Girls trial in Zambia. Sixteen in-depth interviews were conducted with stakeholders involved in the development and/or implementation of the trial. All the interviews were recorded and analysed using NVIVO version 12.0. Thematic analysis was used guided by realist evaluation concepts. The findings were later synthesized using the Intervention−Context−Actors−Mechanism−Outcomes conceptualization tool. Using the retroduction approach, we summarized the findings into two programme theories. Results We identified two initial testable programme theories. The first theory presumes that adolescent sexual reproductive health and rights (SRHR) interventions that are supported by contextual factors, such as existing policies and guidelines related to SRHR, socio-cultural norms and CBHS structures are more likely to trigger mechanisms among the different actors that can encourage uptake of the interventions, and thus contribute to making the CBHS responsive to the SRHR needs of adolescents. The second and alternative theory suggests that SRHR interventions, if not supported by contextual factors, are less likely to transform the CBHSs in which they are implemented. At individual level the mechanisms, awareness and knowledge were expected to lead to value clarification’, which was also expected would lead to individuals developing a ‘supportive attitude towards adolescent SRHR. It was anticipated that these individual mechanisms would in turn trigger the collective mechanisms, communication, cohesion, social connection and linkages. Conclusion The two alternative programme theories describe how, why and under what circumstances SRHR interventions that target adolescents can transform ‘ordinary’ community-based health systems into systems that are responsive to adolescents.

79. Early Adolescents’ Experiences and Attitudes about Discussing Sexual & Reproductive Health Topics During Preventive Care Visits, United States, 2019

2020 ◽  
Vol 66 (2) ◽  
pp. S41
Author(s):  
Renee E. Sieving ◽  
Christopher Mehus ◽  
Annie-Laurie McRee ◽  
Pooja Brar ◽  
Marina Catallozzi ◽  
...  
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Preventive Care ◽  
Early Adolescents ◽  
Sexual Reproductive Health
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