Factors associated with pregnant adolescents’ access to sexual and reproductive health services in New York City

2019 ◽  
Vol 19 ◽  
pp. 50-55 ◽  
Author(s):  
Kelly F. Flanagan ◽  
Shayna D. Cunningham ◽  
Jessica B. Lewis ◽  
Jonathan N. Tobin ◽  
Jeannette R. Ickovics
Keyword(s):  
New York ◽  
New York City ◽  
Reproductive Health ◽  
Health Services ◽  
York City ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Pregnant Adolescents ◽  
Factors Associated

scholarly journals Evaluation of a Mobile Phone App for Providing Adolescents With Sexual and Reproductive Health Information, New York City, 2013-2016

2018 ◽  
Vol 133 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Allyna Steinberg ◽  
Marybec Griffin-Tomas ◽  
Desiree Abu-Odeh ◽  
Alzen Whitten
Keyword(s):  
New York ◽  
New York City ◽  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual Health ◽  
Mobile Phone ◽  
York City ◽  
Sexual And Reproductive Health ◽  
Wide Range

The New York City (NYC) Department of Health and Mental Hygiene released the Teens in NYC mobile phone application (app) in 2013 as part of a program to promote sexual and reproductive health among adolescents aged 12-19 in NYC. The app featured a locator that allowed users to search for health service providers by sexual health services, contraceptive methods, and geographic locations. We analyzed data on searches from the Where to Go section of the app to understand the patterns of use of the app’s search functionality. From January 7, 2013, through March 20, 2016, the app was downloaded more than 20 000 times, and more than 25 000 unique searches were conducted within the app. Results suggest that the app helped adolescents discover and access a wide range of sexual health services, including less commonly used contraceptives. Those designing similar apps should consider incorporating search functionality by sexual health service (including abortion), contraceptive method, and user location.

scholarly journals Assessment of access and utilization of adolescent and youth sexual and reproductive health services in western Ethiopia

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Temesgen Tilahun ◽  
Tariku Tesfaye Bekuma ◽  
Motuma Getachew ◽  
Assefa Seme
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Qualitative Inquiry ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
History Of ◽  
Western Ethiopia

Abstract Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess factors associated with the utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youth aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service providers, focus group discussions, and observation checklists of service units in the study facilities. Data were analyzed thematically. Results The mean age of participants was 18.99 years (SD ± 2.49). Two hundred seventeen (28.1%) of participants reported that they have ever heard about adolescents' and youth’s reproductive health services. Only 66 (8.6%) have ever visited health facilities for sexual and reproductive health (SRH) services. Factors associated with the utilization of sexual and reproductive health service were age from 15 to 19 years (AOR = 0.36; 95%CI: 0.17, 0.76), history of having sexual intercourse(AOR = 5.34;95%CI: 2.53, 11.23), ever heard about sexual reproductive health service (AOR = 11.33; 95%CI: 5.59, 22.96), and visited a health facility for other health services (AOR = 5.12; 95%CI:1.72,15.24). Conclusion Sexual and reproductive health service utilization among adolescents and youth was found to be low. The factors associated with adolescents and youth sexual and reproductive health services utilization were age, history of ever having sexual intercourse, ever heard about SRH services, and visit the health facility for other services. Therefore, it is better if the concerned bodies work on improving awareness of adolescents and youth towards SRH services and integrating these services into other routine services.

scholarly journals Assessment of access and utilization of Adolescent and Youth Sexual and Reproductive Health services  in Western Ethiopia

2021 ◽  
Author(s):  
Temesgen Tilahun ◽  
Tariku Tesfaye Bekuma ◽  
Motuma Getachew ◽  
Assefa Seme
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Qualitative Inquiry ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
History Of ◽  
Western Ethiopia

Abstract Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess access and utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youths aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face to face interview using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service providers, focus group discussions, and observation checklists of service units in the study facilities. Results The mean age of participants was 18.99 years (SD ± 2.49). Two hundred seventeen (28.1%) of participants reported that they have ever heard about adolescents and youths' reproductive health services. Only 66 (8.6%) have ever visited health facilities for sexual and reproductive health (SRH) services. Factors associated with the utilization of sexual and reproductive health service were age from 15 to 19 years (AOR = 0.36;95%CI:0.17,0.76), history of having sexual intercourse(AOR = 5.34;95%CI: 2.53,11.23), ever heard about sexual reproductive health service (AOR = 11.33; 95%CI: 5.59, 22.96), and visited a health facility for other health services (AOR = 5.12; 95%CI:1.72,15.24). Conclusion Sexual and reproductive health service utilization among adolescents and youths was found to be low. The factors associated with adolescents' and youths' sexual and reproductive health services utilization were age, history of ever having sexual intercourse, ever heard about SRH services, and visit of health facility for other services. Therefore, it is better if the concerned bodies work on improving awareness of adolescents and youths towards SRH services and integrating these services into other routine services.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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