Barriers to Sexual and Reproductive Health Programming for Adolescents Living with HIV in Uganda

Obare, Francis; Birungi, Harriet; Kavuma, Linda

doi:10.1007/s11113-010-9182-1

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…This challenge is shaped in part by sociocultural factors, including stigma (Bearinger et al 2007;Mbeba et al 2012;Woog et al 2015;Newton-Levinson, Leichliter, and Chandra-Mouli 2016). For example, cultural and political taboos, traditional values and attitudes surrounding adolescent sexuality may affect legislation on confidentiality, the promotion of sexual and reproductive health services and the prevention of early marriages and early or unintended pregnancy (Utomo and McDonald 2009;Jaruseviciene, Lazarus, and Zaborskis 2011;Obare, Birungi, and Kavuma 2011). Within healthcare facilities, providers' preconceived notions of appropriate sexual behaviour based on age, gender or marital status may influence the quality of the information and services provided (Wood and Jewkes 2006;Nalwadda et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Perceived, anticipated and experienced stigma: exploring manifestations and implications for young people’s sexual and reproductive health and access to care in North-Western Tanzania

Nyblade

Stockton

Nyato

et al. 2017

Culture, Health & Sexuality

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Young people - particularly girls and young women in sub-Saharan Africa - face significant challenges accessing sexual and reproductive health information and services. These challenges are shaped in part by sociocultural factors, including stigma. This paper presents findings from a qualitative study that explored the micro-level social process of stigma surrounding young people's sexual and reproductive health in two communities in Tanzania. Respondents described an environment of pervasive stigma surrounding the sexual and reproductive health of unmarried young people. Stigma manifested itself in multiple forms, ranging from verbal harassment and social isolation to physical punishment by families, community members, peers and healthcare providers. Respondents perceived that stigma was a barrier to young people accessing sexual and reproductive health services and identified excessive questioning, scolding and requirements to bring sexual partners or parents to receive services at health facilities as obstacles to accessing care. The pervasiveness and complexities of stigma surrounding young people's sexual and reproductive health in the two study communities and its potential consequences for health suggest both a need for care in using the term stigma as well as further studies on the feasibility of incorporating stigma-reduction strategies into young people's sexual and reproductive health programmes.

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Section: Introductionmentioning

confidence: 99%

Perceived, anticipated and experienced stigma: exploring manifestations and implications for young people’s sexual and reproductive health and access to care in North-Western Tanzania

Nyblade

Stockton

Nyato

et al. 2017

Culture, Health & Sexuality

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“…As noted by Ingham and Aggleton (2006) and Obare, Birungi, and Kavuma (2011), rights-informed approaches predominate in international research, guidelines and norms However, there have also been highly influential international approaches to sex education which have been informed by more conservative values. Under the Bush administration, the US government promoted abstinence-only sex education programmes in developing countries, with a 'specific earmark' in the 2003 President's Emergency Plan for AIDS Relief (PEPFAR) ensuring that fully one-third of all HIV prevention funds had to be used for 'abstinence-until-marriage programmes' (Parkhurst 2011, 241).…”

Section: Introductionmentioning

confidence: 99%

‘Sex education should be taught, fine…but we make sure they control themselves’: teachers' beliefs and attitudes towards young people's sexual and reproductive health in a Ugandan secondary school

Iyer

Aggleton

2013

Sex Education

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Although schools have been identified as important settings in which young people's sexual and reproductive health (SRH) can be promoted, there has been limited research into the role of teachers in delivering sex education programmes. This paper describes findings from a qualitative study of teachers' beliefs and attitudes towards young people's SRH in a Ugandan secondary school, and discusses the ways in which conservative attitudes to young people's sexual activity and an adherence to gender stereotypes can limit students' access to SRH information and services. Teachers' attitudes, beliefs and often superstitions relating to young people's sexual activity inevitably affect the content and nature of school-based sex education. Findings from this preliminary study suggest that, rather than assuming teachers act as neutral delivery mechanisms in schools, these attitudes and beliefs must be taken into consideration and addressed in the development of school-based sex education programmes.

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“…The problematic relationship between the health care system and those at the grassroots level, poorly formulated policies, and an inefficient youth health services delivery programs have been the primary factors associated with barriers to seeking medical and sexual health counselling in Uganda [18]. …”

Section: Introductionmentioning

confidence: 99%

Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study

et al. 2012

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BackgroundMeeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling.MethodsThis study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services.ResultsTwo out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (p-value 0.01) in barriers faced by students originally from rural versus peri-urban/urban areas in seeking medical care (acceptability: 64.8%/74.5%, accessibility: 22.0% /12.6%, availability 13.2%/12.9%, respectively). Students who reported poor self-rated health encountered barriers in seeking both medical care and sexual health counselling that were significantly different from their other counterparts (p-value 0.001 and 0.007 respectively).ConclusionsBarriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups.

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Barriers to Sexual and Reproductive Health Programming for Adolescents Living with HIV in Uganda

Abstract: Barriers, Sexual and reproductive health, Programming, Adolescents living with HIV, Uganda,

Cited by 18 publications

References 10 publications

Perceived, anticipated and experienced stigma: exploring manifestations and implications for young people’s sexual and reproductive health and access to care in North-Western Tanzania

Perceived, anticipated and experienced stigma: exploring manifestations and implications for young people’s sexual and reproductive health and access to care in North-Western Tanzania

‘Sex education should be taught, fine…but we make sure they control themselves’: teachers' beliefs and attitudes towards young people's sexual and reproductive health in a Ugandan secondary school

Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study

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