Background Adolescents often lack basic reproductive health RH information, knowledge, and access to health services for RH. Many have less than favourable attitudes and do not feel comfortable to discuss RH with parents or other key adults. Objectives To assess RH knowledge, attitude and provider preference among adolescents of age 15 to 19 years. Methods A community-based cross-sectional study was conducted in Tirana Town, capital city of Albania from October 2012 to January 2013. A structured questionnaire was utilised to collect data from the sampled population.Adolescents aged between 15 to 19 years old were interviewed about their knowledge and attitudes regarding health services for RH. The data were entered into two different computers using SPSS for windows version 17.00. Descriptive analyses using t-test were employed to depict results. Results The majority of adolescents knew major health services for RH and the main health service providers of RH.The major sources of information for RH were internet radio 92% and television and radio for 61% school teachers for 35.9% and parents 28% of respondents. Conclusion The level of knowledge and attitude about health services for RH, source of information for these services and service provider centres is encouraging. However, the role of health professionals and families as the source of information for the adolescents seems to be low. This should be improved using a more integrated all stakeholders particularly adolescents' families and health professionals who have a vital role to ensure adequate knowledge and favourable attitudes for utilisation of the RH in the locality. Sexual Network aNd PractiSe of female Sex workerS iN Sikkim
We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.
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