Sexual Reproductive Health services seeking behavior among Maldivian youth between the ages of 18- 25 years

2020 ◽  
pp. 105984052095043
Author(s):  
Karen E. Johnson ◽  
Kathryn L. Conn ◽  
Cynthia Osborne ◽  
Kelly L. Wilson ◽  
Lynn Rew

We compared sexual/reproductive health services and sexuality education topics provided in Texas alternative high schools (AHSs) with the prevalence of sexual risk behaviors among students in AHS. Using cross-sectional data from convenience samples of 14 principals, 14 lead health educators, and 515 students, we calculated descriptive statistics for 20 services and 15 sexuality education topics provided by AHSs and seven sexual risk behaviors among students in AHS. AHSs provided few sexual/reproductive health services and limited educational content, despite high levels of sexual risk taking among students. For example, no AHSs taught students about proper condom use, yet 84% of students have had sex. Findings provide preliminary evidence of unmet needs for school-based sexual/reproductive health services and comprehensive sexuality education in AHS settings. Future investigation with larger, representative samples is needed to assess the provision of sexual/reproductive health services and sexuality education in AHSs and monitor sexual risk behaviors in the AHS population.


2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Roseline Dzekem Dine ◽  
Aline Dukuze ◽  
Isabelle Kubwimana ◽  
Jean Baptiste Nyandwi ◽  
...  

Abstract Background: A fifth of the global population is made up of adolescents. Sexual reproductive health needs for young people is largely ignored by existing health, education and other social programs. In Rwanda, there is still an increase in teen pregnancies, HIV/ STIs as well as reports on the lack of access to accurate SRH information. The study aimed to explore the perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in the second cities of Rwanda.Methods: Cross-sectional study was conducted in six selected cities of Rwanda. In-depth interviews were conducted using semi-structured questionnaires among 121 adolescents aged 10-19 years old living in six selected cities.Results : Majority of the participants were female 62.8% and aged between 15-17 years old 32.8%. Females adolescents were more aware, and adolescents with primary school level 62.5% were not aware about SRH services provision at health facilities. Adolescents were mostly aware about the availability of HIV testing and circumcision services at 102 ( 86.4%). Results indicate that utilization of SRH services remains low (34.7%) among adolescents. A recent utilization of a particular service was linked to a use in the past: “I am aware of my HIV status because I was tested when I was going to receive a transfusion at a hospital” (Female participant, Rwamagana). Family, socio-cultural, religious influences and lack of privacy, high costs for the services, unavailability of some services at private facilities as well as lack of comfortable separated rooms, were the barriers reported by adolescents that prevented them from utilising SRH services.Conclusion : Accessibility to SRH services for adolescents remains low and SRH services provision doesn’t offer confidentiality to adolescents who seek services at health facilities. Family influences, socio-cultural stigma and religious barriers remain a burden to adolescents’ SRH services utilization. Increasing community outreach and adolescent’s engagement is needed to enable access to accurate SRH information. Multidisciplinary stakeholders should collaborate and cooperate to address the stigma associated with access to SRH services for adolescents.


2019 ◽  
Vol 9 (2) ◽  
pp. 1-20
Author(s):  
Jeffrey Kurebwa

This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.


2012 ◽  
Vol 13 (4) ◽  
pp. 43-50 ◽  
Author(s):  
Ayesha Kharsany ◽  
Mukelisiwe Mlotshwa ◽  
Janet Frohlich ◽  
Nonhlanhla Zuma ◽  
Natasha Samsunder ◽  
...  

2021 ◽  
pp. 002190962110439
Author(s):  
Nelson Muparamoto ◽  
Tsitsi Batsirai Chakanya ◽  
Isabel Shamu

Drawing on interviews and focus group discussions with 26 participants aged between 10 and 17, the paper describes sexual reproductive health problems, health-seeking behaviour, access to and utilisation of sexual reproductive health services among children living on the street in Harare. An intersectionality approach showed how participants’ social location, age and gender created vulnerabilities leading to STIs, maternal complications and sexual violence among others. Additionally, these factors contributed to challenges in accessing sexual reproductive health services among children living on the street. Thus there is need for tailor-made interventions to influence better health outcomes among children living on the street.


PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0124476 ◽  
Author(s):  
Carol Dayo Obure ◽  
Sedona Sweeney ◽  
Vanessa Darsamo ◽  
Christine Michaels-Igbokwe ◽  
Lorna Guinness ◽  
...  

2019 ◽  
Author(s):  
Razieh Lotfi ◽  
Seyed Ali Azin ◽  
Effat Hatefnia ◽  
Mina Amiri ◽  
Masoumeh Simbar ◽  
...  

Abstract Background Despite the effective role of men in promoting their sexual and reproductive health, they have been often been overlooked for cultural and social issues and limited data are available in this context. In developing countries, the majority of men have limited knowledge and ability in terms of reproductive and sexual health. Hence, this study aimed to investigate male perceptions of sexual and reproductive health concepts.Materials and methods Using the conventional content analysis approach, a qualitative study was conducted on data retrieved through semi-structured interviews with 19 adult males aged 18 to 59 years, purposefully selected from among populations of health centers in the province of Alborz, Iran.Results Three main concepts and 9 categories emerged from the conventional content analysis: 1) Needs including “access to sexual and reproductive health services”, “awareness”, and “high-quality and safe sex”; 2) Responsibilities including “health- seeking behaviors”, “sexual skills”, “childbearing responsibilities” and “ethical commitment”; and 3) Social norms including “gender role attitudes”, and “changing marriage rules”.Conclusion This study showed that structural factors along with cultural and social norms affect sexual and reproductive health in men, who are men not adequately taken care and many of their sexual and reproductive health needs have not yet been addressed. Participants believed that men are responsible for their sexual reproductive health, although they have often difficulties fulfilling their responsibilities because of inadequate knowledge on the subject and the lack of access to sexual/ reproductive health services. Hence, along with socioeconomic changes, the health care system should be prepared to meet these needs and responsibilities using preventive strategies and programs.


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