MODEL OF PREVENTION OF ADOLESCENT UNWANTED PREGNANCY IN INDONESIA: REVIEW ARTICLE

Adolescent reproductive health problems are an international problem. Circumstances that occur in Indonesia, young women are more afraid of social risks such as virginity loss, extramarital pregnancies that will be a source of public gossip compared to sexual risk, which concerns reproductive health and sexual health. This study aims to collect and analyze articles relating to the development of reproductive health models based on needs, needs, schools, culture and family as an effort to prevent pregnancy in adolescents. The method used is literature review, articles are collected using search engines such as EBSCO, Sciencedirect, googlesholar. The criteria for the articles used are those published in 1995-2018. Based on the results that the reproductive health situation of young women is a problem behind the still high maternal and infant mortality rates. This condition is exacerbated by other factors such as early marriage, early pregnancy, STIs, HIV and AIDS and non-communicable diseases such as breast and cervical cancer, abortion, premarital sex, nutrition and others. Exposure of adolescent girls to reproductive health from the social environment about health education through adolescent approaches involving peers, BK teachers, family or parents, health workers and stakeholders. Information about reproductive health issues, besides being important to be known by health care providers, decision makers, is also important for stakeholders, so that they can help reduce reproductive health problems for young women.

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Brief Intervention to prevent HIV, STI and unintended pregnancies: preliminary results of a feasibility study from the perspective of healthcare providers in Peru

10.21203/rs.3.rs-601818/v1 ◽

2021 ◽

Author(s):

Jean Pierre Jiron ◽

Clara Sandoval ◽

Juan Carlos Enciso ◽

Ana Sofía Vasconcelos ◽

Karel Blondeel ◽

...

Keyword(s):

Health Care ◽

Reproductive Health ◽

Feasibility Study ◽

Health Care Providers ◽

Sexual And Reproductive Health ◽

Health Problems ◽

Northern Coast ◽

Health Providers ◽

Care Providers ◽

Unintended Pregnancies

Abstract Background Brief interventions have proven to be valuable instruments for the treatment and care of clients with diverse health needs, due to their potential to impact both the individual and the population. In this regard, the Brief Sexuality-Related Communication (BSC) is presented as a viable and effective alternative for addressing sexual and reproductive health problems, assessing risk behaviors and motivating clients to generate behavioral change. Since health providers are key actors in treatment and prevention, it is essential to know their perceptions about the BSC intervention, as well as its acceptability in different contexts, with diverse client populations. Thus, the following paper reflects the findings of the perceptions and experiences of health providers in Peru from the first phase of the Feasibility study of a BSC intervention to prevent STIs and unintended pregnancies. Methods This is the first phase of a multisite and multiphase study of the feasibility of a BSC intervention. We conducted twenty in-depth interviews (IDI) with health care providers (physicians, obstetricians, psychologists, nurses and peer counselors) recruited from three health care institutions in Peru: The Tahuantinsuyo Bajo Maternal and Child Center (CMI) and the San José Maternal and Child Center, both located in the capital city, Lima; and La Caleta Hospital located in Chimbote, northern coast of Peru. Participating health providers included those working at the HIV/STI Reference service and the family planning/reproductive health service. The IDI addressed three domains: 1) Acceptability of the BSC intervention; 2) Perceived willingness to implement the BSC intervention; and 3) Considerations for the Implementation of the BSC intervention. Results Health providers expressed high acceptance of the BSC intervention, considering it as a useful and effective instrument to address sexual and reproductive health problems with all clients; however, some providers had some concerns about the real impact of the intervention to achieve significant behavior change. On the other hand, health providers showed high willingness to learn and implement the BSC intervention, affirming their commitment to learn new techniques and strategies that could allow them to improve their knowledge and the quality of their care. Health care providers consider it necessary to take into account the barriers that arise in the implementation of the BSC intervention, such as the structural limitations to access, the providers’ abilities to deliver the intervention effectively, and the participants’ reception of the intervention. Finally, providers consider it essential to establish the BSC intervention in a normative framework that allows it to receive the support of the health departments and eventually enforces implementation. Conclusions Health providers consider the BSC intervention as an interesting and exciting behavioral intervention to deal with the sexual and reproductive health issues existing in different populations, and seemed highly willing to adapt and implement it, hoping that it become beneficial to all client populations to prevent HIV/STIs and unintended pregnancies.

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Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

Frontiers in Reproductive Health ◽

10.3389/frph.2021.668672 ◽

2021 ◽

Vol 3 ◽

Author(s):

Gabrielle O'Malley ◽

Kristin M. Beima-Sofie ◽

Stephanie D. Roche ◽

Elzette Rousseau ◽

Danielle Travill ◽

...

Keyword(s):

Health Care ◽

Family Planning ◽

Reproductive Health ◽

Health Services ◽

Adolescent Girls ◽

Health Care Providers ◽

Young Women ◽

Care Providers ◽

Reproductive Health Services ◽

Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

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Awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth in Chaungzone township, Mon State, Myanmar (2018)

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20200929 ◽

2020 ◽

Vol 7 (3) ◽

pp. 815

Author(s):

Tun W. Lat ◽

Yan Aung ◽

Min Thu ◽

Thandar Tun ◽

Kyaw S. Mya

Keyword(s):

Reproductive Health ◽

Health Services ◽

Health Care Providers ◽

Sexual And Reproductive Health ◽

Service Providers ◽

Unwanted Pregnancy ◽

Premarital Sex ◽

Care Providers ◽

Reproductive Health Services ◽

Never Married

Background: Premarital sexual practices among youth and adolescents have been highly recognized and are increasing worldwide. This study aimed to assess the awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth.Methods: The study used mixed method approach among 404 youth of equal number of male and female youth from urban and rural community using guided self-administered questionnaire and in-depth interview among 12 youth and key informant interview among 6 health professionals.Results: The study found that 11.4% (95% CI: 8.3, 14.5) of youth had premarital sex practice. After adjusting the covariates, the odds of practicing premarital sex were higher among 18 years and above (AOR=3.5, 95% CI: 1.2, 9.6), low education (AOR=3.3, 95% CI: 1.1, 10.7), youth having relationship (AOR=8.0, 95% CI: 3.0, 21.2) and youth who accepted premarital sex practice (AOR=10.9, 95% CI: 3.6, 33,1), having friends who had experience in premarital sex (AOR=3.9, 95% CI: 1.3, 11.4), compared to their counterparts. The qualitative findings revealed that most of youth and service providers did not accept premarital sex among youth because of its contradiction to traditional norms. Health care providers and youth suggested that privacy was the most critical thing in accessibility of reproductive health services among youth. All levels of providers pointed out that there were insufficient resources for provision of effective reproductive health services.Conclusions: Youth-friendly reproductive health services should be implemented to prevent unwanted pregnancy, abortions and sexually transmitted diseases to ensure safer sex practices among youth.

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GAMBARAN PENGETAHUAN KESEHATAN REPRODUKSI SISWA SMK WISNUWARDHANA KOTA MALANG

Preventia : The Indonesian Journal of Public Health ◽

10.17977/um044v4i1p36-41 ◽

2019 ◽

Vol 4 (1) ◽

pp. 36

Author(s):

Dhian Kartikasari ◽

Desi Ariwinanti ◽

Anindya Hapsari

Keyword(s):

Reproductive Health ◽

Risky Sexual Behavior ◽

Health Knowledge ◽

Health Problems ◽

Hiv And Aids ◽

Vocational School ◽

Early Marriage ◽

Average Value ◽

Adolescent Reproductive Health ◽

Quota Sampling

Abstract: Adolescence is characterized by growth, development, and the emergence of opportunities to face reproductive health problems. Reproductive health problems that often arise are risky sexual behavior, pregnancy outside marriage, early marriage, abortion and sexually transmitted diseases such as HIV and AIDS. The results of the 2017 IDHS KRR show that knowledge of adolescent reproductive health in Indonesia is still low. This study aims to describe the reproductive health knowledge of adolescents in Wisnuwardhana Vocational School, Malang City. The number of samples was 44 students of Malang Wisnuwardhana Vocational School students who were taken by quota sampling. This type of research is descriptive research. The instrument used was a questionnaire to find out general respondents' data and questions about adolescent reproductive health. The results showed the number of respondents who had good knowledge was 9.1%, moderate knowledge was 81.1%, and knowledge was less than 9.1%. The average results of respondents' knowledge seen from gender factors have the results of male respondents having a higher average value of 8.8 than female respondents who have an average value of 8.1.Keywords: Knowledge, Reproductive Health, AdolescentsAbstrak: Masa remaja ditandai oleh pertumbuhan, perkembangan, dan munculnya kesempatan-kesempatan menghadapi masalah kesehatan reproduksi. Masalah kesehatan reproduksi yang sering timbul adalah perilaku seks berisiko, kehamilan di luar pernikahan, pernikahan dini, aborsi dan penyakit menular seksual seperti HIV dan AIDS. Hasil SDKI KRR tahun 2017 menunjukkan bahwa pengetahuan kesehatan reproduksi remaja di Indonesia masih rendah. Penelitian ini bertujuan untuk menggambarkan pengetahuan kesehatan reproduksi remaja di SMK Wisnuwardhana Kota Malang. Jumlah sampel sebanyak 44 orang siswa siswi SMK Wisnuwardhana Kota Malang yang diambil dengan cara quota sampling. Jenis penelitian ini adalah penelitian deskriptif. Instrumen yang digunakan berupa kuesioner untuk mengetahui data umum responden dan pertanyaan tentang kesehatan reproduksi remaja. Hasil penelitian menunjukkan jumlah responden yang berpengetahuan baik sebesar 9,1%, pengetahuan sedang sebesar 81,1%, dan berpengatahuan kurang sebsesar 9,1%. Hasil rata-rata pengetahuan responden yang dilihat dari faktor jenis kelamin memiliki hasil responden laki-laki lebih memiliki nilai rata-rata yang tinggi yaitu 8,8 daripada responden perempuan yang memiliki nilai rata-rata 8,1.Kata kunci: Pengetahuan, Kesehatan Reproduksi, Remaja

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Special needs of adolescent and young women in accessing reproductive health: Promoting partnerships between young people and health care providers

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2006.04.024 ◽

2006 ◽

Vol 94 (3) ◽

pp. 350-356 ◽

Cited By ~ 10

Author(s):

G. Hobcraft ◽

T. Baker

Keyword(s):

Health Care ◽

Young People ◽

Reproductive Health ◽

Special Needs ◽

Health Care Providers ◽

Young Women ◽

Care Providers ◽

Health Promoting

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Brief intervention to prevent HIV, STI and unintended pregnancies: preliminary results of a feasibility study from the perspective of healthcare providers in Peru

BMC Health Services Research ◽

10.1186/s12913-021-07229-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jean Pierre Jiron ◽

Clara Sandoval ◽

Juan Carlos Enciso ◽

Ana Sofía De Vasconcelos ◽

Karel Blondeel ◽

...

Keyword(s):

Health Care ◽

Reproductive Health ◽

Feasibility Study ◽

Health Care Providers ◽

Sexual And Reproductive Health ◽

Health Problems ◽

Northern Coast ◽

Health Providers ◽

Care Providers ◽

Unintended Pregnancies

Abstract Background Brief interventions have proven to be valuable instruments for the treatment and care of clients with diverse health needs, due to their potential to impact both the individual and the population. In this regard, the Brief Sexuality-Related Communication (BSC) is presented as a viable and effective alternative for addressing sexual and reproductive health problems, assessing risk behaviors and motivating clients to generate behavioral change. Since health providers are key actors in treatment and prevention, it is essential to know their perceptions about the BSC intervention, as well as its acceptability in different contexts, with diverse client populations. Thus, the following paper reflects the findings of the perceptions and experiences of health providers in Peru from the first phase of the Feasibility study of a BSC intervention to prevent STIs and unintended pregnancies. Methods This is the first phase of a multisite and multiphase study of the feasibility of a BSC intervention. We conducted twenty in-depth interviews (IDI) with health care providers (physicians, obstetricians, psychologists, nurses and peer counselors) recruited from three health care institutions in Peru: The Tahuantinsuyo Bajo Maternal and Child Center (CMI) and the San José Maternal and Child Center, both located in the capital city, Lima; and La Caleta Hospital located in Chimbote, northern coast of Peru. Participating health providers included those working at the HIV/STI Reference service and the family planning/reproductive health service. The IDI addressed three domains: 1) Acceptability of the BSC intervention; 2) Perceived willingness to implement the BSC intervention; and 3) Considerations for the Implementation of the BSC intervention. Results Health providers expressed high acceptance of the BSC intervention, considering it as a useful and effective instrument to address sexual and reproductive health problems with all clients; however, some providers had some concerns about the real impact of the intervention to achieve significant behavior change. On the other hand, health providers showed high willingness to learn and implement the BSC intervention, affirming their commitment to learn new techniques and strategies that could allow them to improve their knowledge and the quality of their care. Health care providers consider it necessary to take into account the barriers that arise in the implementation of the BSC intervention, such as the structural limitations to access, the providers’ abilities to deliver the intervention effectively, and the participants’ reception of the intervention. Finally, providers consider it essential to establish the BSC intervention in a normative framework that allows it to receive the support of the health departments and eventually enforces implementation. Conclusions Health providers consider the BSC intervention as an interesting and exciting behavioral intervention to deal with the sexual and reproductive health issues existing in different populations, and seemed highly willing to adapt and implement it, hoping that it become beneficial to all client populations to prevent HIV/STIs and unintended pregnancies.

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Race and Religious Beliefs Are Associated With Communication Regarding Reproductive Health and Preconception Counseling in Young Women With Diabetes

The Diabetes Educator ◽

10.1177/0145721716671008 ◽

2016 ◽

Vol 42 (6) ◽

pp. 721-727 ◽

Cited By ~ 3

Author(s):

Jessica Anne Devido ◽

Susan M. Sereika ◽

Susan Merle Cohen ◽

Denise Charron-Prochownik

Keyword(s):

Social Support ◽

Reproductive Health ◽

African American Women ◽

Health Care Providers ◽

Young Women ◽

Religious Beliefs ◽

Sexually Active ◽

Preconception Counseling ◽

Care Providers ◽

External Characteristics

Purpose The purpose of this study was to examine the relationship between selected internal and external characteristics and communication (intended and actual) with health care providers (HCPs) about reproductive health and preconception counseling among adolescent females with diabetes. Methods A descriptive, correlational design was employed to conduct a secondary analysis of baseline data from a multisite, randomized controlled trial. Participants were 110 female adolescents (92% type 1 diabetes). Analysis included multiple linear regression and multivariate binary logistic regression analyses to examine the association of internal characteristics (age, race, religion, and religious beliefs) and external characteristics (ever sexually active, social support, and type of routine HCP). Results Participants were from 13.3 to 20.0 years of age, 82% were Caucasian, 80% had never been sexually active, and 58% perceived low to moderate amounts of social support. For both internal and external characteristics, no significant main effects were found for actual or intended communication. For internal characteristics, there was an interaction between race and religious beliefs for the probability of actual communication. African American women who reported that their religious beliefs did not influence their sexual behavior had the lowest probability of actual communication compared to all other participants. Conclusion Race and religious beliefs should be considered when providing reproductive health information to young women with diabetes. Further research with a larger, more diverse sample is warranted. These results may be considered for future development of novel interventions with targeted messages based on these personal characteristics to empower young women to initiate conversations with HCPs about reproductive health and preconception counseling.

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What methods and challenges for taking account of context when transferring complex interventions?

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1071 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Villadsen ◽

S Dias

Keyword(s):

Public Health ◽

Health Care ◽

Reproductive Health ◽

Health Care Providers ◽

Complex Interventions ◽

Health Interventions ◽

Care Providers ◽

Public Health Interventions ◽

Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

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Brazil’s Community Health Workers Practicing Narrative Medicine: Patients’ Perspectives

Journal of General Internal Medicine ◽

10.1007/s11606-021-06730-8 ◽

2021 ◽

Author(s):

Rogério Meireles Pinto ◽

Rahbel Rahman ◽

Margareth Santos Zanchetta ◽

W. Galhego-Garcia

Keyword(s):

Health Care ◽

Community Health ◽

Community Health Workers ◽

Health Care Providers ◽

Health Workers ◽

Hybrid Approach ◽

Narrative Medicine ◽

Structured Interview ◽

Patient Perspectives ◽

Care Providers

Abstract Background Narrative medicine (NM) encourages health care providers to draw on their personal experiences to establish therapeutic alliances with patients of prevention and care services. NM medicine practiced by nurses and physicians has been well documented, yet there is little understanding of how community health workers (CHWs) apply NM concepts in their day-to-day practices from patient perspectives. Objective To document how CHWs apply specific NM concepts in Brazil’s Family Health Strategy (FHS), the key component of Brazil’s Unified Health System. Design We used a semi-structured interview, grounded in Charon’s (2001) framework, including four types of NM relationships: provider–patient, provider–colleague, provider–society, and provider–self. A hybrid approach of thematic analysis was used to analyze data from 27 patients. Key Results Sample: 18 females; 13 White, 12 “Pardo” (mixed races), 12 Black. We found: (1) provider–patient relationship—CHWs offered health education through compassion, empathy, trustworthiness, patience, attentiveness, jargon-free communication, and altruism; (2) provider–colleague relationship—CHWs lacked credibility as perceived by physicians, impacting their effectiveness negatively; (3) provider–society relationship—CHWs mobilized patients civically and politically to advocate for and address emerging health care and prevention needs; (4) provider–self relationship—patients identified possible low self-esteem among CHWs and a need to engage in self-care practices to abate exhaustion from intense labor and lack of resources. Conclusion This study adds to patient perspectives on how CHWs apply NM concepts to build and sustain four types of relationships. Findings suggest the need to improve provider–colleague relationships by ongoing training to foster cooperation among FHS team members. More generous organizational supports (wellness initiatives and supervision) may facilitate the provider–self relationship. Public education on CHWs’ roles is needed to enhance the professional and societal credibility of their roles and responsibilities. Future research should investigate how CHWs’ personality traits may influence their ability to apply NM.

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