Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? evidence from Lusaka, Zambia

Mmari, Kristin; Magnani, Robert J.

doi:10.1016/s1054-139x(03)00062-4

Cited by 85 publications

(104 citation statements)

References 11 publications

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“…By overcoming some logistical and stigma-related barriers to use of contraception [11][12][13], data from the m4RH pilot demonstrate the potential to increase contraceptive knowledge and behavior change among young people in Kenya. The m4RH program delivers contraception messages in a format that is concise and consistent with clinicbased counseling messages.…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to youth accessing clinics for contraception include limited or misinformation; cost and convenience of clinic services; privacy concerns; and provider biases toward sexual activity among young unmarried individuals [11][12][13]. Mobile phones may address some of these barriers; while there is 1 doctor for every 10 000 Kenyans [14], there are approximately 6200 mobile phone subscriptions per 10 000 people [8].…”

Section: Introductionmentioning

confidence: 99%

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There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Vahdat

L’Engle

Plourde

et al. 2013

Intl J Gynecology & Obste

106

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a b s t r a c t a r t i c l e i n f oObjective: To evaluate the acceptability, information access, and potential behavioral impact of providing contraception information via text message on mobile phones to young people in Kenya. Methods: Three methods of data collection were implemented during the 17-month pilot period for the Mobile for Reproductive Health (m4RH) program in Kenya: automatic logging of all queries to the m4RH system; demographic and behavior change questions sent via short message service protocol (SMS) to everyone who used m4RH during the pilot period; and telephone interviews with a subset of m4RH users. Results: During the pilot period, 4817 unique users accessed m4RH in Kenya. Of these, 82% were 29 years of age and younger, and 36% were male. Condom and natural family-planning information was accessed most frequently, although users queried all methods. One in 5 used the m4RH system to locate nearby clinics. Respondents liked the simple language and confidentiality of receiving health information via mobile phone, and reported increased contraceptive knowledge and use after using m4RH. Conclusion: Providing contraception information via mobile phone is an effective strategy for reaching young people. More research is needed to learn how to link young people to youth-friendly services effectively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Vahdat

L’Engle

Plourde

et al. 2013

Intl J Gynecology & Obste

106

View full text Add to dashboard Cite

show abstract

“…[6][7][8] One of these studies 6 , in which young people were invited to attend a nurse-led general-practice visit reported only minor changes in participants' health-risk behaviours. The other studies, which focused on reductions in sexual-risk behaviours, reported a positive effect of the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The other studies, which focused on reductions in sexual-risk behaviours, reported a positive effect of the intervention. 7,8 In a study, information and education activities of health workers in health facilities were considered key contributors to the changes in reported behaviors of the adolescents. 9 Most studies suggest that access to all settings can be improved through youth-friendly interventions.…”

Section: Discussionmentioning

confidence: 99%

Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study.

De¹,

Mitra²,

Das³

et al. 2011

Asian J Med Sci

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Objective: Adolescent Reproductive and Sexual Health Issue is an important component of Youth Friendly Health Services. The objective of this study to compare the impact of sensitization on adolescent reproductive and sexual health issues of adolescent clients between clinic and school setting using the youth-friendly principles. Material & Methods:An urban-based prospective longitudinal study, conducted at adolescent health clinic and schools. The participants are adolescents in the age group of 14-18 years (both boys and girls). Intervention: Youthfriendly sensitization. Main outcome measures: Change in the knowledge on different ARSH issues among adolescent clients in both clinics and schools.Results: Statistically significant improvement (p values< 0.05) in knowledge on various aspects of ARSH issues among adolescent clients in both clinic and school setting. Conclusion:Youth-friendly sensitization makes positive change in the knowledge of adolescents on ARSH issues in both clinics and schools.

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“…(female student, age 16) Reasons for concern about 'What people think' differed amongst the schools, which might have been linked to the students' racial groupings. Students from schools D (only mixed race students), E and F (students from various racial groups) were concerned that others would assume that they were sexually active if they went for testing.…”

Section: We Do Not Want To Be Seen Going For Hiv Counselling and Testingmentioning

confidence: 99%

HIV counselling and testing in secondary schools: What students want

Lawrence

Struthers

Hove

2015

Southern African Journal of HIV Medicine

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Background: HIV counselling and testing (HCT) is an essential element in the response to the HIV epidemic. There are still major research gaps about the best ways to provide HCT, especially to the youth, and school-based HCT is a model that has been suggested. To make HCT youth friendly and to enhance access to the service, the particular needs of the youth need to be addressed. Aim:To explore the expressed needs of students about school-based HCT service provision. Method:The study was conducted in 6 secondary schools in Cape Town where a mobile HCT service is provided by a non-governmental organisation. In each school, two mixedgender focus groups were held, one with grades 8 and 9 students and one with grades 10 and 11. A total of 91 students aged 13-21 were involved. The focus groups were conducted in the students' home language. All groups were audio-recorded, transcribed verbatim and translated into English.Results: Content data analysis was done and the following themes emerged: (1) Where the students want HCT to be done, (2) How they want HCT to be done and (3) Who should do the counselling. Most students want HCT to be provided in schools on condition that their fears and expressed needs are taken into account. They raised concerns regarding privacy and confidentiality, and expressed the need to be given information regarding HCT before testing is done. They wanted staff providing the service to be experienced and trained to work with youth, and they wanted students who tested positive to be followed up and supported. Conclusion:To increase youth utilisation of the HCT service, their expressed needs should be taken into account when developing a model for school-based HCT.

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Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? evidence from Lusaka, Zambia

Cited by 85 publications

References 11 publications

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

There are some questions you may not ask in a clinic: Providing contraception information to young people in Kenya using SMS

Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study.

HIV counselling and testing in secondary schools: What students want

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