Access to sexual and reproductive health care: Adolescents and young people

Braeken, Doortje; Otoo-Oyortey, Naana; Serour, Gamal I.

doi:10.1016/j.ijgo.2007.04.016

Cited by 12 publications

(12 citation statements)

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“…Young people have a right to have correct information about sexual/reproduction health, however; many young people and adolescences in developing countries do not have chance to be informed [18]. Either because of insufficient knowledge about sexual health or because of social values, adolescences and young people are not informed by their families.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Practices About Sexual and Reproductive Health in University Students

et al. 2011

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Concern about young people's sexual and reproduction health has recently increased in Turkey. This study aimed to search university students' knowledge and practices about sexual and reproduction health. The study utilized a cross-sectional design. 1,112 students (567 female and 545 male) from Selcuk University were the sampling for the study. The average age of the study group was 21.1 ± 2.0. Students' average sexual experiences were 17.7%. 8.1% of sexually active students were female and 91.95% of sexually active students were male students. Findings showed that there was need to have a youth center in the university that should inform students about healthy sexual intercourse in non-threatening confidential ways.

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Section: Discussionmentioning

confidence: 99%

Knowledge and Practices About Sexual and Reproductive Health in University Students

et al. 2011

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“…They noted that service providers needed greater understanding of the changing needs and evolving capacities of young people and that preservice curriculum was the optimal time to improve attitudes through education. Recommended comprehensive services for adolescents included emergency contraception, safe abortion, and care for survivors of sexual violence [30]. In follow-up, FIGO is beginning an initiative, with UNFPA support, to advance young people's SRH and rights through partnerships at global, regional, and national levels.…”

Section: Universal Access To Youth-friendly Sexual and Reproductive Hmentioning

confidence: 99%

Access to sexual and reproductive health for young people: Bridging the disconnect between rights and reality

Shaw

2009

Intl J Gynecology & Obste

111

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Of the 1.5 billion young people globally, 78% live in Asia and Africa, the poorest regions of the world. The majority of young people infected with HIV are female and adolescent girls have a significant increased risk for maternal mortality and morbidity, such as fistula. Trends to delay marriage do not decrease the age of onset of sexual activity, but highlight the need for access to sexual and reproductive information, and skills and services to learn healthy sexuality and prevent unwanted pregnancy and sexually transmitted infections. Youth-friendly services require confidentiality, privacy, and non-judgmental attitudes, and rights of adolescents include the consideration of their evolving capacities to consent to services. Denial of young people's sexuality and rights by conservative and traditional forces has lethal consequences, especially for women and girls. Countries have committed to these rights through numerous international instruments and many are making progress, but challenges at the community level are significant.

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“…Despite research evidencing that AFS contributes to better adolescents’ health, worldwide health systems are failing to institutionalise this approach (2, 3, 11, 13). Even in countries where public health systems perform well, health care for young people remains a neglected topic and one in which clear guidelines and real political will appear to be weaker than in other areas (2, 6, 11, 14).…”

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confidence: 99%

Mechanisms for achieving adolescent-friendly services in Ecuador: a realist evaluation approach

Goicolea

Coe

Hurtig

et al. 2012

Global Health Action

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BackgroundDespite evidence showing that adolescent-friendly health services (AFSs) increase young people's access to these services, health systems across the world are failing to integrate this approach. In Latin America, policies aimed at strengthening AFS abound. However, such services are offered only in a limited number of sites, and providers’ attitudes and respect for confidentiality have not been addressed to a sufficient extent.MethodsThe aim of this study was to explore the mechanisms that triggered the transformation of an ‘ordinary’ health care facility into an AFS in Ecuador. For this purpose, a realist evaluation approach was used in order to analyse three well-functioning AFSs. Information was gathered at the national level and from each of the settings including: (i) statistical information and unpublished reports; (ii) in-depth interviews and focus group discussions with policy makers, health care providers, users and adolescents participating in youth organisations and (iii) observations at the health care facilities. Thematic analysis was carried out, driven by the realist evaluation approach, namely exploring the connections between mechanisms, contexts and outcomes.ResultsThe results highlighted that the development of the AFSs was mediated by four mechanisms: grounded self-confidence in trying new things, legitimacy, a transformative process and an integral approach to adolescents. Along this process, contextual factors at the national and institutional levels were further explored.ConclusionThe Ministry of Health of Ecuador, based on the New Guidelines for Comprehensive Care of Adolescent Health, has started the scaling up of AFSs. Our research points towards the need to recognise and incorporate these mechanisms as part of the implementation strategy from the very beginning of the process. Although contextually limited to Ecuador, many mechanisms and good practices in these AFS may be relevant to the Latin American setting and elsewhere.

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Access to sexual and reproductive health care: Adolescents and young people

Cited by 12 publications

References 1 publication

Knowledge and Practices About Sexual and Reproductive Health in University Students

Knowledge and Practices About Sexual and Reproductive Health in University Students

Access to sexual and reproductive health for young people: Bridging the disconnect between rights and reality

Mechanisms for achieving adolescent-friendly services in Ecuador: a realist evaluation approach

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