scholarly journals Sexual reproductive healthcare utilisation and HIV testing in an integrated adolescent youth centre clinic in Cape Town, South Africa

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Andrea S. Mendelsohn ◽  
Katherine Gill ◽  
Rebecca Marcus ◽  
Dante Robbertze ◽  
Claudine Van de Venter ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Cape Town ◽  
Healthcare Utilisation ◽  
Male Youth ◽  
Sexually Transmitted ◽  
Contraception Use ◽  
Hiv Counselling And Testing ◽  
Screening And Prevention ◽  
The Impact ◽  
Youth Centre

Background: HIV prevalence is increasing among South African youth, but HIV counselling and testing (HCT) remains low. Adolescent pregnancy rates are also high.Objectives: Innovative strategies are needed to increase HIV and pregnancy screening and prevention among youth.Method: The Desmond Tutu HIV Foundation Youth Centre (DTHF-YC) offers integrated, incentivised sexual and reproductive health (SRH), educational and recreational programmes. We compared HCT and contraception rates between the DTHF-YC and a public clinic (PC) in Cape Town to estimate the impact of DTHF-YC on youth contraception and HCT utilisation.Results: In 2015, females < 18 years had 3.74 times (confidence interval [CI]: 3.37–4.15) more contraception visits at DTHF-YC versus PC. There were no differences in the contraception and adherence was suboptimal. DTHF-YC youth (aged 15–24 years) were 1.85 times (CI: 1.69–2.01) more likely to undergo HCT versus PC, while male youth were 3.83 times (CI: 3.04–4.81) more likely to test at DTHF-YC. Youth were a third less likely to test HIV-positive at DTHF-YC versus PC. Female sex, older age, clinic attendance for contraception and sexually transmitted infections (STIs), redeeming incentives and high DTHF-YC attendance were all independent factors associated with increased HCT.Conclusion: Youth were significantly more likely to access SRH services at DTHF-YC compared with the PC. The differences were greatest in contraception use by female adolescents < 18 years and HCT by male youth. Increased HCT did not increase youth HIV case detection. Data from DTHF-YC suggest that youth-friendly healthcare providers integrated into community youth spaces may increase youth HCT and contraception rates.

scholarly journals Men and sexual and reproductive healthcare in the Nordic countries: a scoping review

2021 ◽  
Author(s):  
Mazen Baroudi ◽  
Jon Petter Stoor ◽  
Hanna Blåhed ◽  
Kerstin Edin ◽  
Anna-Karin Hurtig
Keyword(s):  
Medical Education ◽  
Healthcare Providers ◽  
Nordic Countries ◽  
Health Policies ◽  
Sexually Transmitted ◽  
Pregnancy And Childbirth ◽  
Knowledge And Attitudes ◽  
Factors Influencing ◽  
Reproductive Healthcare ◽  
The Impact

AbstractContextMen generally seek healthcare less often than women and, other than traditional gender norms, less is known about the explanation. The aim was to identify knowledge gaps and factors influencing men regarding sexual and reproductive healthcare (SRHC) in the Nordic countries.MethodsWe searched PubMed and SveMed+ for peer-reviewed articles published between 2010 and 2020. The analyses identified factors influencing men’s experiences of and access to SRHC.ResultsThe majority of the 68 articles included focused on pregnancy, birth, infertility, and sexually transmitted infections including HIV. During pregnancy and childbirth, men were treated as accompanying partners rather than individuals with their own needs. The knowledge and attitudes of healthcare providers were crucial for their ability to provide SRHC and for the experiences of men. Organizational obstacles, such as women-centred SRHC and no assigned profession, hindered men’s access to SRHC. Lastly, the literature rarely discussed the impact of health policies on men’s access to SRHC.ConclusionsThe identified knowledge gap indicates the necessity of the improved health and medical education of healthcare providers, as well as of health system interventions.

scholarly journals Men and sexual and reproductive healthcare in the Nordic countries: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e052600
Author(s):  
Mazen Baroudi ◽  
Jon Petter Stoor ◽  
Hanna Blåhed ◽  
Kerstin Edin ◽  
Anna-Karin Hurtig
Keyword(s):  
Contraceptive Use ◽  
Healthcare Providers ◽  
Nordic Countries ◽  
Gender Based Violence ◽  
Knowledge Gaps ◽  
Sexually Transmitted ◽  
Pregnancy And Childbirth ◽  
Factors Influencing ◽  
Reproductive Healthcare ◽  
The Impact

ContextMen generally seek healthcare less often than women and, other than traditional gender norms, less is known about the explanation. The aim was to identify knowledge gaps and factors influencing men regarding sexual and reproductive healthcare (SRHC) in the Nordic countries.MethodsWe searched PubMed and SveMed+ for peer-reviewed articles published between January 2010 and May 2020. The analyses identified factors influencing men’s experiences of and access to SRHC.ResultsThe majority of the 68 articles included focused on pregnancy, birth, infertility and sexually transmitted infections including HIV. During pregnancy and childbirth, men were treated as accompanying partners rather than individuals with their own needs. The knowledge and attitudes of healthcare providers were crucial for their ability to provide SRHC and for the experiences of men. Organisational obstacles, such as women-centred SRHC and no assigned healthcare profession for men’s sexual and reproductive health issues, hindered men’s access to SRHC. Lastly, the literature rarely discussed the impact of health policies on men’s access to SRHC.ConclusionsThe literature lacked the perspectives of specific groups of men such as migrants, men who have sex with men and transmen, as well as the experiences of men in SRHC related to sexual function, contraceptive use and gender-based violence. These knowledge gaps, taken together with the lack of a clear entry point for men into SRHC, indicate the necessity of an improved health and medical education of healthcare providers, as well as of health system interventions.

What's in a name? Concordance is better than adherence for promoting partnership and self-management of chronic disease

2016 ◽  
Vol 22 (3) ◽  
pp. 181 ◽  
Author(s):  
Sue Randall ◽  
Lis Neubeck
Keyword(s):  
Chronic Disease ◽  
Healthcare Providers ◽  
Healthcare Utilisation ◽  
Potential Effect ◽  
Models Of Care ◽  
Self Management ◽  
Healthcare Outcomes ◽  
Professional Relationship ◽  
Patient Health ◽  
The Impact

The choice of language health professionals use to discuss self-management of chronic disease is important and influences patients’ self-management. The words compliance, adherence and concordance are used to discuss patients’ agreement with prescribed treatment plans, but have different tone and meanings. Models of care linked to the words compliance and adherence are underpinned by interactions between patients and healthcare providers that merely reinforce instructions about treatments. The ‘patient-professional partnership’ is introduced as a model by Bodenheimer et al. (2002, p. 2469) whereby true partnership working should be an opportunity to pool the expertise of both parties to arrive at mutually agreed goals in concordance. The impact these words might have on partnership working is important in defining the patient–health professional relationship, and for the patients’ healthcare outcomes and the potential effect on healthcare utilisation.

scholarly journals Estimating the Impact of School Education on Contraception Use among Adolescents Aged 15–19 in Burkina Faso and Nigeria: Evidence from a Heckman Two-Step Correction Model

2018 ◽  
Vol 7 (5) ◽  
pp. 31 ◽  
Author(s):  
Miaba Louise Lompo ◽  
Jean-Louis Bago ◽  
Wamadini Souratie
Keyword(s):  
Burkina Faso ◽  
West African ◽  
School Education ◽  
Female Adolescents ◽  
Sexually Active ◽  
Correction Model ◽  
Sexually Transmitted ◽  
Percentage Points ◽  
Contraception Use ◽  
The Impact

Sexually Transmitted Infections (STIs) still raise serious concerns for adolescents’ sexual health in west-African developing countries. To this extent, promoting contraception use among sexually active adolescents is a major key to addressing this problem. Yet, the rate of contraception use by adolescents remains surprisingly low in these countries. Using the Demographic Health Survey of Burkina Faso (2014) and Nigeria (2013), this paper examines the influence of school education on contraception use among sexually active male and female adolescents aged 15-19 in Burkina Faso and Nigeria. The standard estimates using Probit regressions suggest that achieving a primary school education increases the probability of a sexually active adolescent to use contraception by 8.26 percentage points (Burkina Faso) and 17.2 percentage points (Nigeria). This effect increases to 20.3 percentage points (Burkina Faso) and 34.7 percentage points (Nigeria) for adolescents with a secondary or higher school education. However, these baseline estimates are biased because adolescents’ decision to engage into sexual activity is not random. In light of this, a Heckman Correction Model (HCM) has been applied to account for this selection bias. The results show that the Probit regressions underestimate the effect of education on adolescents’ likelihood to use contraception in Burkina Faso and overestimate this effect in Nigeria. In fact, compared to adolescents with no school education, HCM estimates show that adolescents with primary and secondary (or higher) school education have respectively 10.2 and 24.4 percentage points more in the use of contraception in Burkina Faso and 15.1 and 34 percentage points in Nigeria. Together, these results suggest that the exposure to school education increases contraception use among the adolescents in both Burkina Faso and Nigeria.

scholarly journals Estimating the Impact of School Education on Contraception Use among Adolescents Aged 15–19 in Burkina Faso and Nigeria: Evidence from a Heckman Two-Step Correction Model

2018 ◽  
Author(s):  
Jean-Louis Bago ◽  
Miaba Louise Lompo ◽  
Wamadini dite Minata Souratié
Keyword(s):  
Burkina Faso ◽  
Sexually Transmitted Infections ◽  
School Education ◽  
Sexually Active ◽  
Demographic Health Survey ◽  
Correction Model ◽  
Sexually Transmitted ◽  
Percentage Points ◽  
Contraception Use ◽  
The Impact

Sexually Transmitted Infections (STIs) still raise serious concerns for adolescents’ sexual health in west-Africandeveloping countries. To this extent, promoting contraception use among sexually active adolescents is a major key to addressing this problem. Yet, the rate of contraception use by adolescents remains surprisingly low in these countries. Using the Demographic Health Survey of Burkina Faso (2014) and Nigeria (2013), this paper examines the influence of school education on contraception use among sexually active male and femaleadolescents aged 15-19 in Burkina Faso and Nigeria. The standard estimates using Probit regressions suggestthat achieving a primary school education increases the probability of a sexually active adolescent to usecontraception by 8.26 percentage points (Burkina Faso) and 17.2 percentage points (Nigeria). This effectincreases to 20.3 percentage points (Burkina Faso) and 34.7 percentage points (Nigeria) for adolescents with asecondary or higher school education. However, these baseline estimates are biased because adolescents’decision to engage into sexual activity is not random. In light of this, a Heckman Correction Model (HCM) hasbeen applied to account for this selection bias. The results show that the Probit regressions underestimate theeffect of education on adolescents’ likelihood to use contraception in Burkina Faso and overestimate this effect in Nigeria. In fact, compared to adolescents with no school education, HCM estimates show that adolescentswith primary and secondary (or higher) school education have respectively 10.2 and 24.4 percentage points morein the use of contraception in Burkina Faso and 15.1 and 34 percentage points in Nigeria. Together, these resultssuggest that the exposure to school education increases contraception use among the adolescents in both BurkinaFaso and Nigeria.

The Impact of Internal Work Environment on the Retention of Healthcare Providers at Turaif General Hospital

2019 ◽  
Vol 10 (12) ◽  
pp. 1183-1199
Author(s):  
Mohammed Alrouili ◽  
Keyword(s):  
Work Environment ◽  
General Hospital ◽  
Professional Growth ◽  
Healthcare Providers ◽  
Entire Study ◽  
Internal Work ◽  
Research Findings ◽  
Study Population ◽  
The Right ◽  
The Impact

This study attempted to identify the impact of internal work environment on the retention of healthcare providers at Turaif General Hospital in the Kingdom of Saudi Arabia. In particular, the study aimed to identify the dimensions of work circumstances, compensation, and relationship with colleagues, professional growth, and the level of healthcare providers’ retention. In order to achieve the study goals, the researcher used the descriptive analytical approach. The researcher used the questionnaire as the study tool. The study population comprised all the healthcare providers at Turaif General Hospital. Questionnaires were distributed to the entire study sample that consisted of 220 individuals. The number of questionnaires valid for study was 183 questionnaires. The research findings were as follows: the participants’ estimate of the work circumstances dimension was high (3.64), the participants’ estimate of the compensation dimension was moderate (3.32), the participants’ estimate of the relationship with colleagues dimension was high (3.62), the participants’ estimate of the professional growth dimension was weak (2.39), and the participants’ estimate of healthcare providers’ retention level was intermediate (2.75). Accordingly, the researcher’s major recommendations are: the need to create the right atmosphere for personnel in hospitals, the interest of the hospital to provide the appropriate conditions for the staff in terms of the physical and moral aspects for building the work adjustment in the staff, and conducting training courses and educational lectures for personnel in hospitals on how to cope with the work pressures.

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