scholarly journals Needs Assesment of Adolescent Health Services

2017 ◽  
Vol 6 (1) ◽  
pp. 72
Author(s):  
Khoiriyah Isni ◽  
Lina Handayani

Health problems surround the adolescent rises everytime, yet it does unexcelled with their awareness or knowledge about that problems. The adolescent health service that are poorly accesced by the adolescent become the indicator that proves that the adolescent health services are not fully known and utilized yet. The assesment of adolesccent health services need has to be done so that it can be fully understand by the helper, target and stakeholder. This study aimed to analyse the adolescent health service need in Karang Bendo, Banguntapan, Bantul, Yogyakarta, Indonesia. The study was conducted in 2016 using cross-sectional approach. The results revealed that the level of adolsecent’s knowledge are still relatively poor: reproductive health knowledge (44.1%), HIV/AIDS (41.2%), smoke (50%), drugs (58.8%), and healthy lifestyle () (47.1%). The majority of respondents said that they need health services about reproduction health (94.1%), HIV/AIDS (91.2%), smoke (91.2%), drugs (88.2%) and healthy lifestyle (91.2%).

2017 ◽  
Vol 6 (1) ◽  
pp. 74
Author(s):  
Khoiriyah Isni ◽  
Lina Handayani

Health problems surround the adolescent rises everytime, yet it does unexcelled with their awareness or knowledge about that problems. The adolescent health service that are poorly accesced by the adolescent become the indicator that proves that the adolescent health services are not fully known and utilized yet. The assesment of adolesccent health services need has to be done so that it can be fully understand by the helper, target and stakeholder. This study aimed to analyse the adolescent health service need in Karang Bendo, Banguntapan, Bantul, Yogyakarta, Indonesia. The study was conducted in 2016 using cross-sectional approach. The results revealed that the level of adolsecent’s knowledge are still relatively poor: reproductive health knowledge (44.1%), HIV/AIDS (41.2%), smoke (50%), drugs (58.8%), and healthy lifestyle () (47.1%). The majority of respondents said that they need health services about reproduction health (94.1%), HIV/AIDS (91.2%), smoke (91.2%), drugs (88.2%) and healthy lifestyle (91.2%).


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Martin Nyaaba Adokiya ◽  
Francis Kronzu Cudjoe ◽  
Vida Nyagre Yakong

PurposeThis paper assessed factors affecting adolescent-friendly health services (AFHS), education and utilization among youth (10–19 years) in Kumbungu district, Ghana.Design/methodology/approachThe study used a cross-sectional design involving 416 adolescents from households using a random sampling technique. The authors collected data on sociodemographic characteristics, education and utilization of AFHS using a semi-structured questionnaire between June and September 2017. Logistic regression models were used to determine the factors associated with AFHS education and utilization.FindingsOf the 416 adolescents interviewed, 66% were between 15 and 19 years. Half (50%) of the adolescents received AFHS education, 54% utilized existing services and 85% knew about health challenges. Females (aOR = 0.64; p = 0.031) were less likely to receive AFHS education compared to males. Muslims (aOR = 0.21; p < 0.001) were less likely to utilize AFHS compared to Christians. Adolescents with primary (aOR = 6.65; p = 0.020), junor high school (JHS) (aOR = 10.66, p = 0.079) or senior high school (SHS) (aOR = 1.04; p = 0.954) education were more likely to utilize AFHSs compared to those with no education.Originality/valueThis study reports a moderate level of education and the utilization of adolescent health services. Sex, religion and education are the key predictors of AFHS education and utilization. This study contributes to the understanding of adolescent health services and the foundation for future studies. It may be used for the planning of adolescent health service programs in disadvantaged settings.


2021 ◽  
Author(s):  
Shantanu Sharma ◽  
Sonali Maheshwari ◽  
Jitesh Kuwatada ◽  
Chandra Shekhar ◽  
Sunil Mehra

Abstract Background: Adolescents lack adequate knowledge, self-efficacy, and access to sexual and reproductive health services; thereby, predisposing them to sexual violence, sexually transmitted infections, early marriage, and high fertility rates. Socio-economic inequalities fuel such problems, but we have limited evidence from some of the least developed states of Eastern India. Therefore, we aimed to assess the inequalities in the reproductive health knowledge and practices of unmarried adolescents (10-19 years) from marginalized populations in one district each from the state of Bihar and Assam in India.Methods: It was a community-based cross-sectional study with a quantitative research methodology. In our study, we captured data on five domains related to reproductive health, including knowledge about HIV/AIDS, and contraceptives, awareness and perceptions related to right age at marriage, general self-efficacy, menstrual hygiene practices among girls, and access to health services for reproductive health problems; besides socio-demographic details. We performed a 2-step cluster analysis to gain insights into the patterns of reproductive health knowledge and self-efficacy among unmarried adolescent boys and girls, separately. Multinomial logistic regression analysis was employed to identify the predictors associated with the cluster membership determined through cluster analysis.Results: A total of 811 boys and 826 girls participated in the study. Three-clusters were identified for boys and girls in the analysis, varying from high to low knowledge and self-efficacy for boys, and high to low knowledge with constant low self-efficacy in all the three clusters for girls. Higher educational status and increasing age were positively associated with the high knowledge clusters among boys and girls. Additionally, marginalized social class and working status were associated with higher knowledge cluster in girls.Conclusions: We emphasize on the need of comprehensive (covering a broad range of reproductive health issues, such as child marriage, contraceptives, HIV/AIDS, menstrual hygiene, etc.), contextualized (relevant for adolescents in the least developed states like Bihar), and customized (tailored for different cultures and religions through appropriate means) sexual and reproductive health education for adolescents.


2020 ◽  
Vol 21 (2) ◽  
pp. 127-132
Author(s):  
Milena Maricic ◽  
Radmila Amanovic Curuvija ◽  
Milos Stepovic

AbstractThe aim of the study is to assess the health literacy of women who are using health services within the Gynecology Obstetric Clinic “Narodni Front” in Belgrade. Testing of health literacy was conducted as a cross-sectional study in the period October-November 2012. As instruments of research the following questionnaires are used: Short Test of Functional Health Literacy in Adults and General information questionnaire of respondents who referred to the demographic, social and economic characteristics of respondents, self-assessment of health, use of health services, health knowledge and behavior in the area of reproductive health. Inadequate health literacy level is registered in every ten respondents. The education level of the respondents proved to be a significant predictor of health literacy. Demographic and socio-economic characteristics of the patients (age, occupation, marital status) as well as self-evaluation of the health status were not significantly related to the health literacy. Health literacy respondents did not significantly dependent on risk behaviors related to reproductive health. The level of health literacy is consistent with the knowledge of subjects in the field of protection of reproductive health. Health literacy as the ability to function within the health care system is equally certain by individual characteristics and skills, characteristics of the health and education systems as well as a wide range of social and cultural factors. Health literacy is more systematic than individual problem, so it requires a broader social action.


2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Alfreda Dinayu Purbantari ◽  
Roesdiyanto Roesdiyanto ◽  
Nurnaningsih Herya Ulfah

Abstract: Tuberculosis (TB) is a contagious disease that is still the world's attention, Until now, there is not a single country that is free of TB (Kemenkes 2011). Public Health Center (puskesmas) Janti is a puskesmas where the number of TB BTA+ sufferers increases every year while the number of treatment success rate at Puskesmas Janti decreases every year. In 2013 is 96%, in 2014 is 87,50% and in 2015 is 85,37%. Increasing the number of patients and decreasing the number of success rates of treatment indicates that the utilization of health services is less. This study aims to find out the relationship of Education, Health Service Access and Family Support with Health Service Utilization of BTA+ Pulmonary TB Patients at Public Health Center (puskesmas) Janti Malang. The design of this study is quantitative correlation with samples of all patients with TB Paru + BTA who are still doing treatment at Puskesmas Janti in September 2016 until April 2017. The analysis used correlation test and logistic regression test with cross sectional approach. The results of the research analysis found that there is a significant relationship between education, access to health services and family support together with the utilization of health services of patients Tb Paru BTA+. Based on the results of determination coefficient R2 (Nagelkerke) of 0.619, this means that education (X1), access to health services (X2), and family support (X3) has contributed 61.9% to the utilization of health services of patients with TB Paru BTA+ at Puskesmas Janti.Keywords: education, access, family support, health service utilizationAbstrak: Tuberkulosis (TB) adalah penyakit menular yang masih menjadi perhatian dunia, hingga saat ini, belum ada satu negara pun yang bebas TB (Kemenkes 2011). Puskesmas Janti adalah satu puskesmas yang berada di Kota Malang dengan jumlah pasien TB Paru BTA+ yang paling tinggi dan meningkat setiap tahun diantara puskesmas yang lain di Kota Malang, sedangkan jumlah angka keberhasilan pengobatan di Puskesmas Janti mengalami penurunan setiap tahun. Tahun 2013 sebesar 96%, pada tahun 2014 sebesar 87,50% dan pada tahun 2015 sebesar 85,37%. Peningkatan jumlah penderita dan penurunan jumlah angka keberhasilan pengobatan menunjukkan bahwa pemanfaatan pelayanan kesehatan kurang. Penelitian ini bertujuan untuk mengetahui Hubungan Pendidikan, Akses Pelayanan Kesehatan dan Dukungan Keluarga dengan Pemanfaatan Pelayanan Kesehatan Penderita TB Paru BTA+ di Puskesmas Janti Kota Malang. Rancangan penelitian ini adalah kuantitatif korelasional dengan sampel seluruh penderita TB Paru BTA+ yang masih melakukan pengobatan di Puskesmas Janti pada bulan September 2016 sampai dengan April 2017. Analisis menggunakan uji korelasi dan uji regresi logistik dengan pendekatan cross sectional. Hasil analisis penelitian di dapatkan ada hubungan yang dignifikan antara pendidikan, akses pelayanan kesehatan dan dukungan keluarga secara bersama-sama dengan pemanfaatan pelayanan kesehatan penderita Tb Paru BTA+. Berdasarkan hasil koefisien determinasi R2 (Nagelkerke) sebesar 0,619, hal ini berarti bahwa pendidikan (X1), akses pelayanan kesehatan (X2), dan dukungan keluarga (X3) memiliki kontribusi sebesar 61,9% terhadap pemanfaatan pelayanan kesehatan penderita TB Paru BTA+ di Puskesmas Janti.Kata Kunci:    pendidikan, akses pelayanan kesehatan, dukungan keluarga, pemanfaatan pelayanan kesehatan penderita TB Paru BTA+


2021 ◽  
Vol 9 (2) ◽  
pp. 100-108
Author(s):  
Kustin Hariyono

Adolescenceis a vulnerableperiod becausethis period is a time forthem to findtheir identity. Thisis thetime we needto pay attention to. One manifestation of the government's concern for youth tobecome a quality generationthrough the Ministry of Health is to promote the Youth Care Health Service Activity program. These programs include counseling, clinical services and counseling by program implementers, as well as training peer counselors. Peer counselors in question are adolescent health cadres who have been given additional training in interpersonal relationships and counseling. This program can be applied to students to create clean living behavior for students in Islamic boarding schools. The purpose of the study was the Effectiveness of Formation of Adolescent Health Cadres in Improving Clean and Healthy Life Behavior in Santri at the Shofa Warwa Islamic Boarding School. This research is quantitative with a quasi-experimental research design with a one group pre-test-post-test design approach. The population is students with a sample of 50. Clean and Healthy Life Behavior of students before the Adolescent Care Health Service is in good criteria by 10% and after the Adolescent Care Health Service is formed there is an increase in good criteria to 60%. There was a significant change in the Clean and Healthy Lifestyle of the santri before and after the Adolescent Care Health Service was established. P=0.000<α 0.05. It is hoped that the Islamic boarding school can continue to monitor this activity so that the Clean and Healthy Life Behavior of students can continue to be improved.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siriwan Choojaturo ◽  
Siriorn Sindhu ◽  
Ketsarin Utriyaprasit ◽  
Chukiat Viwatwongkasem

Abstract Background The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients present to the health system do not have access to health services, and their QoL remains poor. These circumstances raise important questions about what (if any) factors can improve health care accessibility and QoL for knee OA patients. Methods A multicenter, cross-sectional survey was performed with 618 knee OA patients who received care at 16 hospitals in Thailand. Structural equation modeling (SEM) was conducted to investigate the association of health service factors and patient factors with access to health services and QoL. Results The QoL of knee OA patients was very poor (mean score = 33.8). Only 2.1% of the knee OA patients found it easy to obtain medical care when needed. Approximately 39.4% of them were able to access appropriate interventions before being referred for knee replacement. More than 85% of orthopedic health services had implemented chronic disease management (CDM) policy into practice. However, the implementation was basic, with an average score of 5.9. SEM showed that QoL was determined by both health system factors (β = .10, p = .01) and patient factors (β = .29, p = .00 for self-management and β = −.49, p = .00 for disease factors). Access to health services was determined by self-management (β = .10, p = .01), but it was not significantly associated with QoL (β = .00, p = 1.0). Conclusions This study provides compelling information about self-management, access to health services and QoL from the individual and health service system perspectives. Furthermore, it identifies a need to develop health services that are better attuned to the patient’s background, such as socioeconomic status, disease severity, and self-management skills.


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