scholarly journals Prevalence and Determinants of the Utilization of Sexual and Reproductive Health Services in the Teen Health Kiosk of a Public Secondary School in the City of Dasmariñas

2021 ◽  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Secondary School ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Public Secondary School ◽  
The City

scholarly journals Access to and use of sexual and reproductive health services among street children in Uganda: Does Migration matter?

2020 ◽  
Author(s):  
Mulekya Francis Bwambale ◽  
Paul Bukuluki ◽  
Cheryl A. Moyer ◽  
Bart H.W Van den Borne
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Street Children ◽  
Binary Logistic Regression ◽  
Urban Migration ◽  
Reproductive Health Services ◽  
Time Space ◽  
Rural Urban Migration ◽  
The City

Abstract Background While the nexus of migration and health outcomes is well acknowledged, the effect of rural-urban migration on uptake of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural-rural urban migration on uptake of SRH services and whether there is a difference in uptake of SRH services among migrant and non-migrant street children. Methods Data were collected among 513 street children aged 12-24 years using face‐to‐face interviews. Participants were recruited by venue-based time-space sampling (VBTS). Using STATA 16.00, we performed multivariate binary logistic regression to identify correlates of SRH service uptake with migration status as the main predictor while controlling for confounding. In this study, migrants are defined as children who had moved to settle in the city for at least 24 months preceding the survey. Results Overall, two-thirds (66.82%) of children had moved to the city in the last 2 years, 20% in the last 3-5 years and 13.18% in 6 years or longer. Only 18.13% of the street children had ever used contraception/family planning, 45.89% had ever tested for HIV and knew their status while 34.70% had ever been screened for sexually transmitted infections. Multivariate analysis shows that migrant street children had reduced odds of using sexual and reproductive health services (HIV testing, use of contraception and screening for STIs) compared to the lifelong native street children (aOR=0.59, 95%CI 0.36- 0.97). Other factors associated with use of SRH services among street children include age (aOR=4.51; 95%CI 2.78-7.33), schooling status (aOR=0.34; 95%CI -1.830 0.15-0.76), knowledge of place of care (OR=3.37,95%CI 2.04-5.34) and access to SRH education information (aOR=2.7, 95%CI 1.67- 4.53). Conclusion Rural-urban migration is associated with low SRH service uptake. Access to and use of SRH services among migrant street children is low compared to non-migrant street children. Our findings point to the need for urban health systems to design effective interventions to improve equitable access to and use of quality SRH services among street children while taking into consideration their migration patterns.

scholarly journals Psychosocial Determinants of Expectant Mothers’ uptake of Sexual and Reproductive Health Services in the City of Parakou in 2017

2019 ◽  
Vol 2 (4) ◽  
Author(s):  
Djidonou Anselme ◽  
Gansou Grégoire Magloire ◽  
Tognon Tchegnonsi Francis ◽  
Sidi Imorou Rachidi ◽  
Chabi Yasmine Gloria Mondoukpè ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Psychosocial Determinants ◽  
Expectant Mothers ◽  
The City

scholarly journals Sexual and Reproductive Health Needs of Adolescent Secondary School Girls in Bayelsa State

2021 ◽  
Vol 4 (6) ◽  
pp. 84-100
Author(s):  
Helen I.W. ◽  
Efeunu E.N.
Keyword(s):  
Reproductive Health ◽  
Secondary School ◽  
Sexual And Reproductive Health ◽  
Structured Interview ◽  
Health Needs ◽  
Reproductive Health Services ◽  
School Students ◽  
The Public ◽  
Public Secondary School ◽  
School Girls

Introduction- Pinpointing sexual and reproductive health needs from the students` perspective is a key step towards prevention of avoidable global adolescents` death and promotion of health. The purpose of this article was to explore the sexual and reproductive health needs of adolescent secondary school students in Bayelsa State. Method- A descriptive qualitative design was adopted for this study using the purposive sampling technique with a sample of 10 participants in one public secondary school. The Source of data was a semi-structured interview guide and a voice recorder. Data was analyzed thematically in six sequential steps. Findings- Two (2) themes, sexual and reproductive health needs of adolescents, methods of sexual health dissemination and five (5) sub-themes emerged. Conclusion- Findings indicate that the public-secondary school adolescent girls require education on; menstrual cycle, prevention of sexually transmitted infections, Human Immuno-Deficiency Virus /Acquired Immune Deficiency Syndrome, as well as on appropriate use of different types of contraceptives from established centres for sexual and reproductive health services. To ensure the public secondary school girls have access to the services and utilize the services, this study recommends the dare need to adopt different methods to disseminate sexual and reproductive health information to reach the secondary school girls to prevent avertable illnesses and deaths.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

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