In-school adolescents’ knowledge, access to and use of sexual and reproductive health services in Metropolitan Kumasi, Ghana

Amankwaa, Godfred; Abass, Kabila; Gyasi, Razak M.

doi:10.1007/s10389-017-0883-3

Cited by 22 publications

(24 citation statements)

References 13 publications

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“…The nding of this study does not augur well with those from other developing countries. For instance study in Ghana show that in-school adolescence was knowledgeable on SRH and exhibited in-depth knowledge about contraceptive methods (17). This difference may be explained by the implementation of SRH programs in their schools and teachers taking up classes effectively.…”

Section: Discussionmentioning

confidence: 99%

“…With a good penetration of over 47%, there is potential for using the internet as a source of SRH information in Fiji. Whilst individuals can be exposed to pornographic sites, the internet can also promote sex depending on the availability of such content that promotes safe sex or a sexual health application on a mobile phone (17).…”

Section: Discussionmentioning

confidence: 99%

“…Fiji continues to have very poor adolescents SRH indicators. This study is designed to gauge the perceptions of students regarding the delivery of SRH education to students in Years 11 to 13 (aged [16][17][18] and suggest solutions and strategies for improvement in Fiji.…”

Section: Introductionmentioning

confidence: 99%

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WITHDRAWN: Perceptions of students regarding the delivery of Sexual and Reproductive Health Education in schools in Fiji

Ram

Mohammadnezhad

2020

Preprint

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Background: Adolescent Sexual and Reproductive Health (SRH) remains a challenge globally. High school youths without Comprehensive Sexuality Education (CSE), are more likely to engage in high risk sexual behaviors than their peers in schools with CSE. Fiji continues to have very poor adolescents SRH indicators. This study aimed to gauge the perceptions of students towards the delivery of SRH education in schools in Fiji. Methods: A qualitative study design was used to collect data from students in Year 11-13 in public secondary schools in Suva, Fiji in 2018. Schools with equal ethnic mix were selected. A semi-structured open–ended questionnaire was used to guide Focus Group Discussions (FGDs). A male research facilitator conducted FGD with males while a female research facilitator facilitated that amongst the females. Data collected was analyzed thematically. Results: Seven FGDs were conducted. A total of 46 students (29 males) participated with the age range from 17-19 years old. Eight themes emerged: current SRH education; students’ knowledge on adverse consequences of SRH; sources of SRH information; need for sex education; provision of SRH education in schools; characteristics of teachers of SRH education; age-appropriate incremental sex education; and ideal version of SRH. Conclusions: The study shows that Fijian students desired a lot more from sex education than what is currently offered for sexual decision-making. There is a need for mandatory and comprehensive sex education for young people.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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WITHDRAWN: Perceptions of students regarding the delivery of Sexual and Reproductive Health Education in schools in Fiji

Ram

Mohammadnezhad

2020

Preprint

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“…This effort will need creativity on the part of governments and SRH programmers that promote community rather than facility-based access of SIYP to SRH services. Adolescents in general have difficulty accessing facilities services due to the requirement for parental consent for those less than 18 years, and the stigma associated with unmarried adolescents accessing contraception [40][41][42]. SIYP may find access even more challenging.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with sexual and reproductive health behaviour of street-involved young people: findings from a baseline survey in southwest Nigeria

Olaleye

Obiyan

Foláyan

2020

Preprint

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Background: To achieve the Sustainable Development Goal 3, which is to ensure healthy lives and promote well-being for all persons of all ages, street-involved young people (SIYP) must be assured of universal access to sexual and reproductive healthcare. This study aims to determine the factors associated with age- and sex-specific differences in the sexual and reproductive health (SRH) behaviour of SIYP in southwest Nigeria.Methods: This was a cross-sectional study that recruited 1505 SIYP aged 10-24 years by use of respondent-driven and time-location sampling. Data were collected through interviewer-administered questionnaires on socioeconomic characteristics; access to SRH information; contraceptive knowledge and use; sexual behavior; and sexual practice. The outcome variables were inconsistent condom use, multiple sexual partners, and transactional sex. Binomial regression analysis models were developed to determine risk indicators for outcome variables. Results: Although 968 (64.3%) participants were sexually active and 1089 (72.4%) knew about modern contraception, only 300 (31.0%) sexually active respondents used modern contraceptives. Knowledge of modern contraception (AOR: 0.11; 95% C.I: 0.01-0.82, p=0.03) and being employed (AOR: 0.38; 95% C.I: 0.15-0.95, p=0.04) reduced the odds for inconsistent condom use among male SIYPs. For female SIYPs, knowledge of modern contraception reduced the odds for inconsistent condom use (AOR: 0.26; 95% C.I: 0.08-0.90, p=0.03), whereas access to SRH information significantly increased the odds for inconsistent condom use (AOR: 5.06; 95% C.I: 1.67-15.37, p=0.004). Conclusion: Age- and sex- related factors associated with risky sexual behaviors vary among SIYP. Addressing these differences in the delivery of targeted interventions to reduce sexual health risk of SIYP may be required.

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“…Availability, access and utilization of these services in low-and middle-income countries have been criticized for not being comprehensive. Other factors affecting utilization include health workers refusing to give unmarried adolescents contraceptive information due to socio-cultural norms, contraceptives out of stock, long distances to the health facility, and unfriendly service provision [10,11]. Second, if youth-friendly services exist at all, they have been limited to the health-care facilities in many settings, disregarding that youth sexual and reproductive health needs might demand the involvement of other sectors and arenas, i.e.…”

Section: Introductionmentioning

confidence: 99%

Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia

Mulubwa¹,

Hurtig²,

Zulu³

et al. 2020

Reprod Health

120

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Introduction: Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their sexual reproductive health and rights' needs. As the first step of realist evaluation, this study provides a programme theory that explains how, why and under what circumstances community-based sexual reproductive health interventions can transform (or not) 'ordinary' community-based health systems (CBHSs) into systems that are responsive to the sexual reproductive health of adolescents.Methods: This realist approach adopted a case study design. We nested the study in the full intervention arm of the Research Initiative to Support the Empowerment of Girls trial in Zambia. Sixteen in-depth interviews were conducted with stakeholders involved in the development and/or implementation of the trial. All the interviews were recorded and analysed using NVIVO version 12.0. Thematic analysis was used guided by realist evaluation concepts. The findings were later synthesized using the Intervention−Context−Actors−Mechanism−Outcomes conceptualization tool. Using the retroduction approach, we summarized the findings into two programme theories. Results: We identified two initial testable programme theories. The first theory presumes that adolescent sexual reproductive health and rights (SRHR) interventions that are supported by contextual factors, such as existing policies and guidelines related to SRHR, socio-cultural norms and CBHS structures are more likely to trigger mechanisms among the different actors that can encourage uptake of the interventions, and thus contribute to making the CBHS responsive to the SRHR needs of adolescents. The second and alternative theory suggests that SRHR interventions, if not supported by contextual factors, are less likely to transform the CBHSs in which they are implemented. At individual level the mechanisms, awareness and knowledge were expected to lead to value clarification', which was also expected would lead to individuals developing a 'supportive attitude towards adolescent SRHR. It was anticipated that these individual mechanisms would in turn trigger the collective mechanisms, communication, cohesion, social connection and linkages.

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In-school adolescents’ knowledge, access to and use of sexual and reproductive health services in Metropolitan Kumasi, Ghana

Cited by 22 publications

References 13 publications

WITHDRAWN: Perceptions of students regarding the delivery of Sexual and Reproductive Health Education in schools in Fiji

WITHDRAWN: Perceptions of students regarding the delivery of Sexual and Reproductive Health Education in schools in Fiji

Factors associated with sexual and reproductive health behaviour of street-involved young people: findings from a baseline survey in southwest Nigeria

Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia

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