Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe

2019 ◽  
Vol 9 (2) ◽  
pp. 1-20
Author(s):  
Jeffrey Kurebwa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Healthcare Providers ◽  
Cultural Norms ◽  
Service Utilisation ◽  
Reproductive Health Services ◽  
Factors Associated ◽  
Moral Framework ◽  
Sexual Reproductive Health ◽  
Norms And Values

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.

scholarly journals Reproductive health service utilization and associated factors among adolescents at public school in Adama town east Shewa Ethiopia; 2018

2020 ◽  
Author(s):  
Abenet Menene Gurara ◽  
Admasu Belay Gizaw ◽  
Awoke Koyachew Ayalew ◽  
Aliye Kediro Adem
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Health Service Utilization ◽  
Associated Factors ◽  
Health Services Utilization ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Services Utilization ◽  
Factors Associated

Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia. Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service. Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important.

School-Level Efforts to Address Sexual Health and Risky Sexual Behavior Among Students in Texas Alternative High Schools

2020 ◽  
pp. 105984052095043
Author(s):  
Karen E. Johnson ◽  
Kathryn L. Conn ◽  
Cynthia Osborne ◽  
Kelly L. Wilson ◽  
Lynn Rew
Keyword(s):  
High Schools ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexuality Education ◽  
Sexual Risk Behaviors ◽  
Alternative High Schools ◽  
Reproductive Health Services ◽  
Sexual Reproductive Health

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.

scholarly journals The experiences of clients and healthcare providers regarding the provision of reproductive health services including the prevention of HIV and AIDS in an informal settlement in Tshwane

2016 ◽  
Vol 21 ◽  
pp. 67-76
Author(s):  
M. L.S. Mataboge ◽  
S. Beukes ◽  
A. G.W. Nolte
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Primary Healthcare ◽  
Informal Settlement ◽  
Healthcare Providers ◽  
Hiv And Aids ◽  
Reproductive Health Services ◽  
Healthcare Provision ◽  
Reproductive Healthcare ◽  
Prevention Of Hiv

Globally challenges regarding healthcare provision are sometimes related to a failure to estimate client numbers in peri-urban areas due to rapid population growth. About one-sixth of the world's population live in informal settlements which are mostly characterised by poor healthcare service provision. Poor access to primary healthcare may expose residents of informal settlement more to the human immunodeficiency virus (HIV) and to acquired immunodeficiency syndrome (AIDS) than their rural and urban counterparts due to a lack of access to information on prevention, early diagnosis and treatment. The objective of this study was to explore and describe the experiences of both the reproductive health services' clients and the healthcare providers with regard to the provision of reproductive health services including the prevention of HIV and AIDS in a primary healthcare setting in Tshwane. A qualitative, exploratory and contextual design using a phenomenological approach to enquire about the participants' experiences was implemented. Purposive sampling resulted in the selection of 23 clients who used the reproductive healthcare services and ten healthcare providers who were interviewed during individual and focus group interviews respectively. Tesch's method for qualitative data analysis was used. Ethical principles guided the study, and certain strategies were followed to ensure trustworthiness. The findings revealed that females who lived in informal settlements were aware of the inability of the PHC setting to provide adequate reproductive healthcare to meet their needs. The HCPs acknowledged that healthcare provision was negatively affected by policies. It was found that the community members could be taught how to coach teenagers and support each other in order to bridge staff shortages and increase health outcomes including HIV/AIDS prevention.

scholarly journals Perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in selected cities of Rwanda

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Roseline Dzekem Dine ◽  
Aline Dukuze ◽  
Isabelle Kubwimana ◽  
Jean Baptiste Nyandwi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Services Accessibility ◽  
Community Outreach ◽  
Health Facilities ◽  
School Level ◽  
Female Participant ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Sexual Reproductive Health

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.

scholarly journals HIV Prevalence among High School Learners – Opportunities for School-based HIV Testing Programmes and Sexual Reproductive Health Services*

2012 ◽  
Vol 13 (4) ◽  
pp. 43-50 ◽  
Author(s):  
Ayesha Kharsany ◽  
Mukelisiwe Mlotshwa ◽  
Janet Frohlich ◽  
Nonhlanhla Zuma ◽  
Natasha Samsunder ◽  
...  
Keyword(s):  
High School ◽  
Reproductive Health ◽  
Health Services ◽  
Hiv Testing ◽  
Hiv Prevalence ◽  
Reproductive Health Services ◽  
School Based ◽  
Sexual Reproductive Health

scholarly journals Self-care and remote care during pregnancy: a new paradigm?

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
A. Metin Gülmezoglu ◽  
Anne Ammerdorffer ◽  
Manjulaa Narasimhan ◽  
Alyce N. Wilson ◽  
Joshua P. Vogel ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
Self Care ◽  
Reproductive Health Services ◽  
New Paradigm ◽  
Remote Care

Abstract Self-care interventions and remote care offer innovative and equitable ways to strengthen access to sexual and reproductive health services. Self-isolation during COVID-19 provided the opportunity for obstetric facilities and healthcare providers to integrate and increase the usage of interventions for self-care and remote care for pregnant women and to improve the quality of care overall.

scholarly journals What do service providers in Southern Ethiopia say about barriers to using youth-friendly sexual and reproductive health services for adolescents?: Qualitative study

2021 ◽  
Author(s):  
Yitagesu Habtu ◽  
Mirgissa Kaba ◽  
Hussen Mekonnen
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Healthcare System ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Healthcare Providers ◽  
System Level ◽  
Southern Ethiopia ◽  
Reproductive Health Services ◽  
Youth Friendly

Abstract Background: In Ethiopia, the utilization coverage of adolescent-friendly health services (AFSRHs) ranged only from 9% to 55% and it was the lowest of all Sub-Saharan African countries in 2016. Little is known why adolescents were not accessing the existing services to the side of healthcare providers. Objective: The aim of this study is to explore contextual perceived and actual barriers to accessing AFSRHs by adolescents in Southern Ethiopia.Methods: Phenomenological study design supplemented with observation was used to explore perceived and actual barriers to accessing AFSRHs in 2020. Criterion sampling was used to select study participants. In-depth interviews with healthcare providers and non-specialist sexual and reproductive healthcare providers were conducted. Transcribed interviews and observations were imported to Open Code 4.02 for coding, categorizing, and creating themes. Finally, barriers to accessing existing services were explained using thematic analysis. Results: The study explores contextual barriers to accessing sexual and reproductive health services in five emergent themes. According to providers’ points of view, the barriers include ranging from providers (e.g poor providers’ competency), health facilities (e.g. supply constraints and unsupportive environment), adolescents (e.g perceived lack of information and attitude towards SRHs), community (e.g. lack of parental and social support), and broader health system (e.g. poor implementation and multi-sectorial engagement). Conclusion: As to providers, adolescents face multiple barriers to accessing youth friendly sexual and reproductive health services. Healthcare facilities and all levels of the healthcare system should implement varieties of approaches to increase access to the services for adolescents. Given the lack of progress in utilization of adolescents- youth friendly sexual and reproductive services, the existing strategy should be re-evaluated and new interventions at all levels of the healthcare system are needed. Moreover, implementation research is required at system level factors.

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