Adolescent Sexual and Reproductive Health Care Service Availability and delivery in Public Health Facilities of Plateau State Nigeria

Envuladu, Esther Awazzi; Massar, Karlijn; Wit, John de

doi:10.21203/rs.3.rs-60029/v1

Cited by 4 publications

(4 citation statements)

References 19 publications

(27 reference statements)

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“…It is crucial to ensure that public health facilities offer reproductive health care services to guarantee their access, to high quality care (Envuladu et al, 2020).…”

Section: Performance Of Health Facilitiesmentioning

confidence: 99%

Comprehensive Assessment of Adolescent and Youth Friendly Sexual Reproductive Health Services in South Sudan.

Jolem,

Imunu

2023

Preprint

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Introduction: Adolescent and Youth Friendly Sexual Reproductive Health and Rights (SRHR) services play a crucial role in addressing the unique health needs of young people. This study aimed to comprehensively assess the availability, perception, quality, and utilization of these services in South Sudan. Methods: The study employed a mixed-methods approach, combining both quantitative and qualitative data collection techniques to provide a comprehensive understanding of the current state of these services. The study utilized a purposive sampling strategy to select young people (aged 10–24 years) seeking SRH services at health facilities. The minimum sample size was calculated to be 294 individuals. Data collection methods included client interviews, focus group discussions, and a desk-based review of secondary data. Supervisors and research assistants were trained to ensure quality data collection, and ethical considerations were prioritized throughout the study. Findings: The study revealed several key findings, including demographic characteristics of the adolescents, factors influencing their utilization of youth-friendly health services, and their access to reproductive health services. The study also highlighted challenges faced by pregnant adolescents and the performance of health facilities in providing services to adolescents. Conclusion: The study's findings underscore the importance of addressing barriers such as limited access to education, lack of awareness and education on sexual and reproductive health, and challenges in accessing health services. The study also generated recommendations to improve adolescent youth-friendly health services, emphasizing the need for comprehensive strategies to promote the well-being of adolescents in South Sudan.

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“…It is crucial to ensure that public health facilities offer reproductive health care services to guarantee their access, to high quality care (Envuladu et al, 2020).…”

Section: Performance Of Health Facilitiesmentioning

confidence: 99%

Comprehensive Assessment of Adolescent and Youth Friendly Sexual Reproductive Health Services in South Sudan.

Jolem,

Imunu

2023

Preprint

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“…Kurangnya privasi adalah salah satu alasan pemanfaatan layanan kesehatan reproduksi dan seksual remaja yang buruk (13,29). Hal ini dapat menyebabkan kurangnya kepercayaan remaja pada penyedia pelayanan kesehatan yang mengakibatkan remaja memutuskan untuk tidak mengakses pelayanan kesehatan.…”

Section: Kurangnya Privasi Dan Kerahasiaanunclassified

Scoping Review : Pelayanan Kesehatan Reproduksi Remaja

Rokhmah¹,

Astuti²,

Ernawati³

et al. 2022

jky

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Latar Belakang: BKKBN mendefinisikan remaja sebagai individu berusia 10-24 tahun yang belum menikah. Secara global, setiap tahun ada lebih dari 1,2 juta kematian remaja sedangkan mayoritas masalah kesehatan remaja dapat dicegah atau dapat diobati, remaja menghadapi banyak hambatan dalam mengakses pelayanan kesehatan dan informasi. Tujuan: Tujuan review ini untuk menyimpulkan dan menggali terkait pelayanan kesehatan reproduksi remaja Metode: Metode scoping review ini mengadaptasi framework PRISMA-ScR checklist tahun 2018. Tinjauan ini berhasil menemukan 10 artikel yang sesuai dengan kriteria inklusi berdasarkan seleksi artikel sebanyak 1030 artikel yang ditemukan menggunakan databases yaitu PubMed, ScienceDirect, Willey Online Library dan EBSCO. Hasil penelitian: Tinjauan ini menemukan dua tema yaitu faktor determinan pelayanan kesehatan reproduksi remaja meliputi pengetahuan, persepsi, dan kebutuhan; Hambatan pelayanan kesehatan reproduksi remaja meliputi fasilitas, biaya, petugas, kurangnya privasi dan kerahasiaan, sosial budaya dan kebijakan. Simpulan: Tinjauan studi literatur ini menunjukkan bahwa remaja terus menghadapi banyak hambatan untuk mengakses informasi dan layanan kesehatan reproduksi remaja.

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“…To ensure access to SRHS and improve adolescent SRH health seeking, adolescent health services were integrated into the primary healthcare (PHC) centres, which are found in all communities, and are often closer to where adolescents spend the majority of their time [9,15]. We assessed the availability and accessibility of adolescent sexual and reproductive health services (ASRHS) in PHCs in Plateau State [21,22,23], and found that the range of services included in the Nigerian policy were not available in most of the facilities surveyed, and that facilities that did provide SRHS were mainly adult focused (e.g., maternal healthcare) and not adolescent-centred [21,22]. Moreover, we showed that adolescents did not seek SRH care in health facilities and were unwilling to utilize the health facilities for SRH care -even when they were in need [21,23].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Workers’ Delivery of Adolescent Responsive Sexual and Reproductive Healthcare Services: An Assessment in Plateau State, Nigeria

Envuladu

Massar

Wit

2023

Preprint

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Background Adolescents should have access to high quality and responsive sexual and reproductive health services (SRHS), and recently, in Nigeria a national policy on the health and development of adolescent and young people was developed to ensure adolescents’ sexual and reproductive health needs will be met. However, it is unclear to what extent the policy is implemented by healthcare workers (HCW’s) in health facilities across the country. The current study assessed the general availability of SRHS and the delivery of SRHS to adolescents in primary care facilities from the perspective of HCW. We also assessed HCWs views of facilities meeting the SRH needs of adolescents, and their understanding of what constitutes adolescent responsive SRHS. Methods Using a cross sectional design, we included 409 HCWs selected by multistage sampling technique, mostly females (66.3%) and above 40 years, across six Local Government Areas (LGAs) of Plateau State, Nigeria and interviewed them using an interviewer-administered survey questionnaire. Results The most frequently available SRHS was antenatal and delivery care (69.2%). Availability of contraception was reported by 25.9%, and 14.9% reported the availability of post abortion care. Only 1.2% indicated that all four SRHS recommended for adolescents (counselling/information provision, provision of contraceptives, testing/treatment for sexually transmitted infection (STI) /HIV, and post abortion care) were available. Little over half (58.4%) felt their facilities were adequate in meeting the SRH needs of adolescent, and this was associated with duration of working experience (AOR = 0.407; CI = 0.238–0.698; p = .001), delivery of post abortion care (AOR = 3.612; CI = 1.886–6.917; p = .001), and providing SRHS to adolescents without parental consent (AOR = 3.612; CI = 1.886–6.917; p = .001). Most HCWs had poor understanding of adolescent responsiveness of SRHS, and better understanding was associated with lower HWC’s age, and also better among HCWs who provided SRHS without parental consent and in a separate room for privacy and confidentiality. Conclusion We conclude that ASRHS is not yet as stipulated in the national policy in Plateau State, Nigeria and HCW’s perception of their services being adolescent responsive was higher when they actually delivered relevant ASRHS. In general they have poor understanding of what it means to provide adolescent-responsive services.

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Adolescent Sexual and Reproductive Health Care Service Availability and delivery in Public Health Facilities of Plateau State Nigeria

Cited by 4 publications

References 19 publications

Comprehensive Assessment of Adolescent and Youth Friendly Sexual Reproductive Health Services in South Sudan.

Comprehensive Assessment of Adolescent and Youth Friendly Sexual Reproductive Health Services in South Sudan.

Scoping Review : Pelayanan Kesehatan Reproduksi Remaja

Healthcare Workers’ Delivery of Adolescent Responsive Sexual and Reproductive Healthcare Services: An Assessment in Plateau State, Nigeria

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