Cost analysis and exploratory cost-effectiveness of youth-friendly sexual and reproductive health services in the Republic of Moldova

Kempers, Jari; Ketting, E; Lesco, Galina

doi:10.1186/1472-6963-14-316

Cited by 16 publications

(19 citation statements)

References 2 publications

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“…Results from our study confirm previous unpublished evaluations from FSUM and findings from qualitative studies that stress that the "special" youth-centred approach of YCs and the motivation of the staff working on these services make them accessible, acceptable, and appropriate for young people [11,12]. Since there are few examples of existing and sustained youth-friendly services in Europe [18,19], the lessons learnt from the Swedish YC model can inspire efforts in other countries.…”

Section: Discussionsupporting

confidence: 80%

Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

Waenerlund

Sebastián

Hurtig

et al. 2020

BMC Health Serv Res

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Background: Sweden has nearly 300 youth clinics that have been offering services since the 1970s. However, no evaluation has been done to assess their youth-friendliness. This study aims to assess: i) to what extent youth clinics are perceived as youth-friendly by the young people using them; and ii) if the level of youth friendliness is equally perceived across different sociodemographic groups of users. Methods: The four northernmost counties of Sweden were included in the study. Of the total identified 22 youth clinics, 20 participated by giving out questionnaires to the youth after their visits to the respective youth clinics. In total 1110 youth participated in the study and answered questions according to the World Health Organization's criteria of accessibility, equity, respect, privacy and confidentiality, no judgement, and quality. Means and frequencies were calculated, and t-test and ANOVA were used to compare means by sociodemographic variables. Results: Participants perceived the youth clinics as very youth friendly across the measured domains, with scores as high as 4.8 and 4.9 (of a maximum of 5). Youth clinics were perceived in a similar way regardless of gender, but other sociodemographic factors influenced some of the domains, especially ethnic background. Conclusions: The perception of youth friendliness in youth clinics was very high. Nonetheless, younger users; users who did not categorize themselves as either heterosexual, homosexual, or bisexual; users with trans-experiences; and users with non-Swedish backgrounds gave youth clinics lower scores for certain domains.

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Section: Discussionsupporting

confidence: 80%

Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

Waenerlund

Sebastián

Hurtig

et al. 2020

BMC Health Serv Res

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“…World Health Organization (WHO) promotes Youth Friendly Reproductive Health Services (YFRHS) to improve the SRH of the young generation. It is highly specialized and a cost-effective program that could contribute to better health among young people through reducing SRH problems such as unwanted pregnancies, new HIV infections, STI and increased overall service utilization [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Quality of youth friendly sexual and reproductive health Services in West Gojjam Zone, north West Ethiopia: with special reference to the application of the Donabedian model

Munea

Alene

Debelew

2020

BMC Health Serv Res

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Background: Although there has been momentum in implementing sexual and reproductive health services in Ethiopia, young people remain underserved despite their demonstrated needs. Quality care improves utilization of health service and increases the likelihood of obtaining ongoing care. However, little is known about the quality of youth-friendly sexual and reproductive health service in Ethiopia. Therefore, this study sought to investigate the quality of youth-friendly sexual and reproductive health service in West Gojjam Zone, North West Ethiopia. Methods: Health facility-based cross-sectional study was conducted in West Gojjam zone in 2018 to assess the quality of the service using the Donabedian model. The assessment was done through the triangulation of multiple methods: simulated client study; structured interviews with service providers; observations; and key informant interview with providers and expertise. Fifty-four visits were made to 18 randomly selected health facilities by three simulated clients trained to present three different scenarios (i.e., adolescent with sexually transmitted infection, pregnancy test request and a lady with dry cough). Data were entered and analyzed using SPSS version 21. Facility visit score of ≥ 75% in all quality component categorized as "good quality" otherwise classified as performing below the standard. Thematic analysis was done to analyze qualitative data. Results: In this study, none of the health facilities achieved ≥ 75% in the three components of quality measurement. From 18 health facilities, 6(33.3%) provided low quality in all domains. Process component, which measures client-provider interaction and privacy/confidentiality, was the most compromised one. However, a promising result was reported in the input quality that measured the availability of trained providers, drugs, and supplies. The presence of community-based health insurance and age driven comprehensive youth-friendly service delivery approach were identified as challenges to deliver quality services.Conclusions: The quality of the service ranges from low to medium, with adolescent related elements performing poorly. Minor renovations of health facilities, training on client handling, and contextual modifying the age driven youth-friendly service approach may improve the quality of the services.

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“…In fact, the WHO has recently highlighted the need to move forward from YFHSs into youth-responsive health systems [18]. However, progress has been slow, despite the fact that the literature shows that implementing YFHSs is a cost-effective intervention that could contribute to better health among young people [2, 17, 19, 20]. Even in countries where public health systems perform well, health care for young people is usually a neglected area that lacks clear guidelines and political will.…”

Section: Introductionmentioning

confidence: 99%

Challenges and strategies for sustaining youth-friendly health services — a qualitative study from the perspective of professionals at youth clinics in northern Sweden

et al. 2016

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BackgroundYouth-friendly health-care services — those that are accessible, acceptable, equitable, appropriate and effective for different youth subpopulations – are beneficial for youth health, but not easy to implement and sustain. Sweden is among the few countries where youth-friendly health-care services have been integrated within the public health system and sustained for a long time.This study explores the challenges and strategies in providing sustainable youth-friendly health-care services, from the perspective of professionals working in youth clinics in northern Sweden.MethodsEleven semi-structured interviews with various health-care professionals working in youth clinics in northern Sweden were conducted. The interviews were transcribed verbatim, and analysed using thematic analysis in relation to the World Health Organization domains of youth friendliness.ResultsFour themes emerged from the analysis of the data: 1) ‘Meeting youths on their own terms – the key to ensuring a holistic and youth-centred care’ was related to the acceptability and appropriateness of the services; 2) ‘Organizational challenges and strategies in keeping professionals’ expertise on youth updated’ referred to the domain of effectiveness; 3) ‘Youth clinics are accessible for those who know and can reach them’ was related to the domains of accessibility and equity, and 4) ‘The challenge of combining strong directions and flexibility in diverse local realities’ focused on the struggle to sustain the youth clinics organization and their goals within the broader health system.ConclusionsProfessionals working in youth clinics are perceived as motivated, interested and knowledgeable about youth, and the clinics ensure confidentiality and a youth-centred and holistic approach. Challenges remain, especially in terms of ensuring equitable access to different youth subpopulations, improving monitoring routines and ensuring training and competence for all professionals, independently of the location and characteristics of the clinic. Youth clinics are perceived as an indisputable part of the Swedish health system, but organizational challenges are also pointed out in terms of weak clear directives and leadership, heavy workload, local/regional diversity and unequitable distribution of resources.Electronic supplementary materialThe online version of this article (doi:10.1186/s12978-016-0261-6) contains supplementary material, which is available to authorized users.

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Cost analysis and exploratory cost-effectiveness of youth-friendly sexual and reproductive health services in the Republic of Moldova

Cited by 16 publications

References 2 publications

Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

Quality of youth friendly sexual and reproductive health Services in West Gojjam Zone, north West Ethiopia: with special reference to the application of the Donabedian model

Challenges and strategies for sustaining youth-friendly health services — a qualitative study from the perspective of professionals at youth clinics in northern Sweden

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