Download or read book Balancing youth friendliness of sexual and reproductive health service delivery and service utilisation among Ghanaian youth written by Seth Christopher Yaw Appiah and published by GRIN Verlag. This book was released on 2015-09-07 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master's Thesis from the year 2015 in the subject Sociology - Miscellaneous, grade: A (70.0), Kwame Nkrumah University of Science and Technology (DEPARTMENT OF SOCIOLOGY AND SOCIAL WORK), course: SOCIOLOGY, language: English, abstract: Incidence and prevalence of reproductive health difficulties have been shown to be higher among younger people in the society. Preferences for youth friendly sexual and reproductive health services and facilities are very limited. This study examines youth assessment of youth friendliness of sexual reproductive health services and how it influences their services reproductive health services utilization. The study adopted both descriptive and analytical cross sectional survey designs. In all 170 youth aged 10-24 were sampled from the Kwadaso Sub Metro using multi-stage stratified random sampling techniques. Both Bivariate and Univariate analysis were conducted with Chi-square test of significance and Pearson moment correlation to establish relations and associations between and among variables of interest. The study found out that in 56.0% (84/150) of the 150 in-school youth had ever had a boyfriend/girlfriend with the majority 39.3%(33/84) not recalling the length of stay with partner whiles only 58% (87/150) have heard about sexual reproductive health services offered in the study area. In all 45.2% (77/170) of youth (10-24) had had sexual experience in life time. Among the in -school youth with sexual experience were 63(thus 42% of total) whiles out of school youth was 14(70%). A total of 69.9% (44/63) in-school youth had sexual intercourse in the last six months whiles only 35.7(5/14) out of school youth had sex in the last six months A total of 55.8% (95/170) of all categories of youth had used at least one or more reproductive health service in lifetime. However, a marginal 25.2% (43/170) of youth had used facility based sexual reproductive health services out of which 39% and 44% considered the services very friendly and friendly. There was statistically significant relationship between youth knowledge of the available sexual reproductive health service and reproductive health service utilization (X2=0.00, P≤0.05) and a strong positive correlation(r=0.5, R2=0.25). 25% of the relationship was explained by linear relationship. A stakeholder integrative and comprehensive approach is required scale up youth utilization of sexual reproductive health services especially facility based ones as friendliness is being improved upon and system barriers removed. This requires baseline survey of youth users of reproductive health services and the quality of services offered.
Download or read book Youth Friendliness of Sexual and Reproductive Health Service Delivery and Service Utilization in the Kwadaso Sub Metro of the Ashanti Region Ghana written by Seth Christopher Appiah and published by . This book was released on 2015 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Incidence and prevalence of reproductive health difficulties have been shown to be higher among younger people. In Ghana, youth-friendly sexual and reproductive health services and facilities are very limited. The study aimed at examining the friendliness of sexual and reproductive health service delivery and utilization.Methods: Across sectional design with both qualitative and quantitative methods was conducted to examine the friendliness and utilization of reproductive health services among youth in the Kwadaso Sub-Metro of Ashanti Region, Ghana. A multistage stratified sampling was used to enroll 170 youth (150 in-school and 20 out of school youth) aged 10-24 years. Data analysis involved descriptive statistics using SPSS software version 20.Results: Findings demonstrated that out of the 150 in-school youth sampled, 56% ever had a boyfriend or girlfriend, however, about one third (39.3%) did not recall the length of stay with partner, 58% have heard about sexual reproductive health services offered in the study area. A total of 55.8% of all categories of youth had used at least one or more reproductive health service before. Findings again revealed that 37.2% and 44% respectively of youth who had used sexual reproductive health considered the services received at a facility to be very friendly and friendly, yet, a few 18.6% indicated unfriendliness with services received at the facility.Conclusion: An integrative and comprehensive approach is required to scale up youth utilization of sexual reproductive health services especially facility based. This requires baseline survey of youth users of reproductive health services and the quality of services offered.
Download or read book Exploring Factors to Strengthen Existing Reproductive Health Services for Young People in Tonga written by Iemaima Havea and published by . This book was released on 2007 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Youth Led Action and Research for Demanding Adolescent Friendly Sexual and Reproductive Health Services written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The attention on sexual and reproductive health (SRH) needs of adolescents and youth by the Government of India (GoI) has resulted in the development of national programmes and policies in the last two decades. For example, Adolescent Reproductive and Sexual Health (ARSH) component was included as one of the strategies in the Reproductive and Child Health-II Programme (2005-2010), GoI, to reduce the Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR) and Total Fertility Rate (TFR) nationally. Moving beyond the instrumentalist approach of the ARSH programme which perceives adolescent girlsu2019 health concerns within the framework of u201cmaternal health of future mothersu201d, the Access Project argues that female adolescent sexual health issues cannot only be limited to their fertility and future maternity. The Access Project is a community and youth-led audit of SRH services in India in multiple health facilities including Adolescent Friendly Health Clinics (AFHC, a component of National Adolescent Health Programme, 2014). World Health Organisation (WHO) recognises provision of counselling services through AFHCs as an important component of adolescent health. The following study seeks to audit six SRH services, including Reproductive Tract Infection (RTI)/ Sexually Transmitted Infections (STI) testing, RTI/STI counselling, safe sex and contraceptive methods counselling, pregnancy test and information on abortion care. It identifies barriers within the health system in accessing counselling services on SRH like non-availability of the comprehensive IEC material, inadequate distribution of clinics and staff capacities, lack of measures for ensuring privacy and confidentiality in the AFHCs and conservative attitude of the service providers towards premarital sex. The programme uses the identified barriers as evidence from young researchers for advocacy. It adopts a two-point strategy which includes policy advocacy and public advocacy. Policy advocacy initiative focuses on improvement of service delivery with key stakeholders for an effective implementation of the programme and public advocacy focuses on uptake of SRH services with young people in the community.
Download or read book Utilization of Adolescent Reproductive Health Services by Young People in Vanuatu written by Joe Kalo and published by . This book was released on 2006 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Promoting Young People s Sexual Health written by Roger Ingham and published by Routledge. This book was released on 2006-09-27 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Valuable contributions on different aspects of sexual and reproductive health among young people are presented in this book, with a focus on developing country contexts. Key discussions on issues relating to young people and their sexual activities are brought together in one volume, exploring how these issues are affected by the wider contexts in which they live. The interdisciplinary team of contributors examine the practical and ideological barriers that inhibit progress in the development of educational and service level improvement of young people’s sexual health as well as presenting examples of efforts made to overcome such difficulties. Promoting Young People's Sexual Health looks to the future, proposing ways forward in terms of policy and legislative changes necessary for long term improvements in young people’s sexual health.
Download or read book An Assessment of the Capacity of Facility based Youth Friendly Reproductive Health Services to Promote Sexual and Reproductive Health Among Unmarried Adolescents written by Dixon Bester Jimmy-Gama and published by . This book was released on 2009 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the recognition of the influence of cultural norms on adolescent sexual behaviours in most societies (Kaler 2004; Chege 2005), less attention has been paid to the link between social norms and effectiveness of health facilities to promote adolescent sexual and reproductive health (ASRH). This thesis therefore examines the capacity of facilitybased youth-friendly reproductive health services (YFRHS) to promote ASRH in rural Malawian societies where culture strongly influences adolescent sexual behaviours. The study employs a social constructionist epistemology and a social interactionism theory to understand the capacity of YFRHS in ASRH promotion in rural Malawi. Qualitative and quantitative data were collected using a sequential exploratory design. Semi-structured in-depth interviews, participant observations, client exit interviews, survey, focus group discussions and review of health strategic and service utilisation documents/records were conducted. The results were generated by triangulating both qualitative and quantitative data. The findings of the study illuminate how social norms related to social identities influence adolescent sexual behaviours and ASRH promotion. An exploration of the cultural context reveals a major disjuncture between an ideal norm - no premarital sex - and a modelled norm where unmarried adolescents are expected to engage in unsafe sex. It also shows the conflicts between the cultural and scientific models of ASRH promotion. Structural gender asymmetry that emphasises subservience in females and hegemonic masculinity also reduces adolescents' rights and agency in SRH promotion. The health providers are cultural agents. They manage diverse roles both as 'moral guardians' and as 'health promoters' in a way that limits their effectiveness as health promoters. The thesis concludes that the way facility-based YFRHS is implemented has limited impact on SRH promotion among unmarried adolescents of rural Malawi. The study recommends that appropriate health promotion interventions based on conscientisationoriented empowerment theories directed at adolescents, community and health workers should be used in ASRH promotion in societies with strong cultural influence on sexual behaviours.
Download or read book Youth Reproductive and Sexual Health written by Shane Khan and published by . This book was released on 2008 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The study provides information on key reproductive and sexual health indicators in young women and men age 15-24 in 38 developing countries"--P. xiii.
Download or read book Adolescent Reproductive Rights and Responsibilities in Ghana written by and published by . This book was released on 2004 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Promoting Adolescent Sexual and Reproductive Health in East and Southern Africa written by Knut-Inge Klepp and published by Nordiska Afrikainstitutet. This book was released on 2008 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Africa, as in many parts of the world, adolescent reproductive health is a controversial issue for policy makers and programme planners. Adolescents are particularly vulnerable to HIV and AIDS and to a host of other problems such as sexually transmitted infection, unwanted pregnancy, unsafe abortions, sexual abuse, female genital mutilation and unsafe circumcision. Yet many countries do not have adolescent health policies in place and much remains to be done to ensure that adolescents can access appropriate sexual and reproductive health services. The authors of this volume present new perspectives and strategies to promote adolescent sexual and reproductive health. In particular, they make a unique attempt to bring together social and biomedical science and to disseminate concrete empirical evidence from existing programmes, carefully analysing what works and what does not at the local level.
Download or read book PERCEPTIONS ATTITUDES AND BELIEFS OF YOUTH REGARDING THE USE OF SEXUAL AND REPRODUCTIVE HEALTH SRH SERVICES IN ASHAIMAN GHANA written by Samuel Adabla and published by . This book was released on 2019 with total page 87 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research explored the perceptions of young people regarding the use of Sexual and Reproductive Health (SRH) services in Ashaiman, Ghana. In particular, it explored their perceptions about contraceptives, SRH service providers as well as their access and use of SRH educational materials. The study also explored ways of improving service utilization by correcting the misconceptions of young people about SRH services. The health belief model was used to appraise how people’s perceptions of their susceptibility to a particular health condition, the severity, benefits, barriers, cues to action and self-efficacy impact their health behavior, more so reproductive health. Twelve people were recruited using purposive and convenience sampling. They were asked ten sets of open-ended questions concerning the study’s objectives. Using a thematic content analysis approach, it was found that most participants consider contraceptives, especially condoms, as preventing pregnancies and STIs. However, each person expressed concern over the side effects of hormonal contraceptives as this influences their decisions to use condoms and pills more. The findings also established that there is a negative perception about SRH service providers because they are considered unwelcoming to young people, charge higher fees or seek husbands’ consent before administering long-term contraceptives to married women. Participants, therefore, recommended stakeholders to work on improving health workers professionalism and include family planning services under the National Health Insurance. Sex education should also be included in the educational system to provide credible and timely information; government should commit resources to SRH services, and various services providers were encouraged to coordinate efforts towards achieving a common goal. Limitations of the study were noted, and recommendations for stakeholders and future studies were also made.
Download or read book Leveraging on Media and Technology to Improve Access to Family Planning FP Information and Services for Adolescents TOMBEY written by Rhoda Robinson and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Leveraging on Media and Technology to Improve Access to Family Planning (FP) Information and Services for Adolescents// TOMBEYMary Adeoye, Rhoda Robinson, Isaiah Owolabi and Paul OjajuniINTRODUCTION In Nigeria, the age of sexual debut has steadily decreased over the years; from 19.7 years in 2007 to 17.6 years in 2013 and 15years in 2016. This decrease has however not been accompanied by a commensurate increase in access to sexual and reproductive health information and services for adolescents. Studies have shown that with the decrease in the age of sexual debut, more adolescents are at a greater risk of contracting sexually transmitted infections. According to UNAIDS 2017 report, an average of 23% of adolescents in Nigeria aged 15-19 have had at least one unplanned pregnancy. The rate of STI transmission and unsafe abortions has also risen among this age group. Access to SRH affects the health outcomes for young people; from high rates of teenage maternal mortality and morbidity, to unsafe abortions and sexually transmitted diseases. Most of these risks result from access to little or no factual information to enable them make informed decisions, and too little access to affordable and appropriate SRH services and commodities. Factors such as privacy, discrimination and denial also contribute to limiting adolescent access to SRH services. METHODOLOGYTOMBEY is an adolescent sexual and reproductive (SRH) project designed to provide safe and non-discriminatory access to quality, affordable and appropriate SRH information and services for adolescents in Nigeria. TOMBEY incorporates a website, mobile application, mobile chat and Short Message Service to provide adolescents information on SRH and access to available services near them. Adolescents can locate adolescent-friendly centres, learn about services they can request for and contribute to improving the quality of SRH service received through feedback. It also provides opportunities for adolescents to interact online and in physical group hangouts and ask questions via toll-free line and WhatsApp. The TOMBEY project was designed to improve sexual and reproductive health of young people in Nigeria by facilitating access to adequate sexual and reproductive health (SRH) information and services. While it is important to increase the accessibility to sexual and reproductive services and information for young people, it is also equally important to ensure that the quality of service that they receive is tailored towards and receptive of their unique needs. By increasing the awareness and agency of young people concerning their sexual and reproductive health and facilitating their access to and use of sexual and reproductive health resources and services, the project aimed to reduce the negative outcomes of the SRH choices of young people. The TOMBEY project was implemented in the six (6) states of Southwest Nigeria - Lagos, Ogun, Oyo, Osun, Ekiti and Ondo states in two years with the support of AmplifyChange Strengthening grant. A total of 975 centres were selected as part of the study. Centre contact were gotten through networks, referrals and known databases. Each centre was visited by a trained field investigator who administered a detailed questionnaire to collect information on services provided. Data was collected over a period of 5 days in each states and collated data was cleaned by the project data analyst who reviewed and removed invalid entries and organizations that did not fit the criteria set. The criteria for inclusion in the mapping activities included offering at least 3 SRH services to adolescents aged 13 u2013 19 years. Data gotten was further analysed to determine where these centres were located, what services they provided and who provided them. Only 276 SRH service centres, include state primary and secondary health centres, Non-Governmental Organizations and private clinics were mapped in rural, peri-urban and urban communities. Data collection and project implementation involved focus group discussions, interviews and advocacy meetings and dialogues with key decision and policy makers, stakeholders, nongovernmental organizations and adolescents. The project was targeted to reach 5200 persons with disabilities; 7,130 sex workers; 17, 280 people living with HIV and orphans and vulnerable children; 22,390 out-of-school youths and 73,850 in-school-youths. In total, over 43 communities where visited across the 6 states.RESULTSA survey carried out in the TOMBEY project showed the disproportionate distribution of facilities providing sexual and reproductive health services among rural and urban settings and the type of services available across the Southwestern states in Nigeria. Results showed that Nongovernmental organizations (NGOs) provided 61% of the adolescent SRH services available in the states with up to 80% located within the central cities; for instance, less than 10% of SRH services were available outside the state capital in Ekiti state. Of these services providers by NGOs, less than 25% of the available service centres provide a marginally wide choice in SRH services especially contraceptive choices. Though 80% of the state health centres surveyed had extensive SRH services, they either did not offer them to adolescents or those that did were too sparsely distributed across the states. Information gathered through discussions and interviews also showed that a large number of these service providers required knowledge and capacity building relating to responding to the SRH needs of adolescents, both state and NGOs.ADVOCACY IMPACTAdolescents require a broad spectrum of sexual and reproductive health services ranging from accurate and reliable sexual and reproductive health information, to contraception options and non-judgemental counselling in a conducive non-discriminatory environment. Policies and actions that specifically provide for adolescents are required if their SRH needs are to be met. Because SRH issues have significant effect on the lives of adolescents if left unattended, it should be addressed as priority in all discussions regarding their development and the development of the states. The provision of SRH for adolescent still requires a lot of effort to overcome sociocultural barriers such as victimization of adolescents seeking information and services at health centres by health care providers, discrimination surrounding seeking for some SRH services as a young person such as contraceptives. The availability and accessibility of SRH services can significantly reduce the negative SRH outcomes of adolescents such as unintended pregnancy, illegal and unsafe abortion, STI transmission, and pregnancy and child birth complications. All stakeholders: government, nongovernmental, community leaders, religious and traditional leaders are required to ensure that these services reach adolescents when and where they need it. Key recommendations resulting from dialogues and consultations during the project include:1.tIncrease the provision of SRHS for adolescents in public health centres and schools through policy mandate.2.tImprove quality of ASRH services provided through consistent training of health workers, provision of comprehensive services and supervisory support services to health workers.3.tIncrease budgetary allocations by states for implementation ASRH policies and action plans, and for improvement and development of adolescent friendly facilities.4.tIncrease awareness among communities through community based programs, and education among in- and out-of-school adolescents to increase demand for ASRH services.5.tIntegrate family planning providers training campaigns in the areas of communication and counselling skills for relating with adolescents. 6.tEnsure effective supply chain mechanisms to ensure regular availability of commodities for young peopleREFERENCESu2022tFatusi AO, Blum RW. Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health (2008) 8:136. doi: 10.1186/1471-2458-8-136u2022tNational Population Commission Nigeria. Nigerian Demographic and Health Survey (NDHS). 2013u2022tYaya S and Bishwajit G (2018) Age at First Sexual Intercourse and Multiple Sexual Partnerships Among Women in Nigeria: A Cross-Sectional Analysis. Front. Med. 5:171. doi: 10.3389/fmed.2018.00171.
Download or read book Investing in Our Future written by WHO Regional Office for the Western Pacific and published by World Health Organization. This book was released on 2006 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: This document contains guidance for policy-makers and programme managers to help provide for the sexual and reproductive health needs of young people, based on three key factors: i) life-skills-based information and education; ii) access to reproductive health services that are receptive to them; and iii) a supportive and enabling environment. It is a joint WHO/UNFPA/UNICEF publication and has been developed in response to World Health Assembly resolution WHA55.19.
Download or read book Exploring Adolescents Perceptions Regarding Youth friendly Sexual and Reproductive Health Services in a Selected Community Health Centre CHC in Umgungundlovu District written by Kwenzile Lungile Hlatshwayo and published by . This book was released on 2017 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Mobilising Communities for Reproductive Health Through Football Camps written by Holo M. Hachonda and published by . This book was released on 2001 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Transforming the System of Care for Adolescents in Ghana written by Yeetey Akpe Kwesi Enuameh and published by . This book was released on 2013 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background -- The younger generation is the wealth and future of humanity; their health and wellbeing deserve utmost attention. Adolescent Friendly Health Services (AFHS) aim at providing accessible, developmentally appropriate and comprehensive evidence based promotional, preventive, therapeutic, and rehabilitative health care to adolescents via well trained professionals and well equipped health facilities. This study sought to explore adherence of health facilities in Ghana to the World Health Organization (WHO) AFHS concept. The study also identified obstacles the facilities faced in implementing the program, innovative measures taken to overcome them and any other approaches to enhance AFHS delivery to the adolescent population. Methods -- Using a cross sectional (observational) study design with a multi informant, mixed method survey, the study assessed adherence to AFHS criteria among health facilities providing AFHS oriented care in the Akwapim North and South Districts of Ghana. Results -- Health facilities identified as early adopters had significantly higher AFHS implementation compared to late adopters, and the association of adopter category with AFHS implementation did not vary by location (urban vs. rural). Organizational characteristics of clinical care infrastructure, logistics monitoring, and capacity building, were significantly associated with implementation. Major barriers to AFHS implementation included care provider attitude/behavior towards adolescents, community attitudes about adolescents receiving sexual and reproductive health services like family planning, and health care costs (affecting adolescents and health facilities). Conclusions -- The Ghana Ministry of Health initiative to transform the system towards AFHS appears to be successful, as early adopters have higher rates of implementation than late adopters, but it is important to note that a transformation of this nature takes time. The change towards AFHS implementation is supported by organizational changes to clinical care infrastructure, logistics monitoring, and capacity building, suggesting that the addition of a training and technical assistance program may speed the change process. Finally, while facility structure and process issues are important for transforming the Ghana Healthy System towards AFHS, it appears that successful transformation also depends, in part, upon provider and community attitudes, available resources for work, and health care policies related to costs, highlighting the importance of working with health care professional organizations, community leaders, and other stakeholders to institute full system-wide change.
Download or read book Investing in Adolescents and Youth to Realize the Demographic Dividend in West and Central Africa written by Anandita Philipose and published by . This book was released on 2016 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
