Integrating adolescent-friendly health services into the public health system: an experience from rural India

Mehra, Sunil; Sogarwal, Ruchi; Chandra, Murari

doi:10.4103/2224-3151.206763

Cited by 6 publications

(2 citation statements)

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“…In our study, 24 (42%) out of 57 service-utilized participants were highly satisfied, which is low when compared to a study conducted in rural Bangalore where 95% of participants were satisfied with services. [ 20 ] The quality of the services in the study area needs to be improved comprehensively, in terms of counseling and services provided.…”

Section: Discussionmentioning

confidence: 99%

Utilization of adolescent-friendly health services and its determinants in a rural area of Maharashtra

Sundaram,

Jogdand,

Sambutwad

et al. 2024

Journal of Family Medicine and Primary Care

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Context: Adolescent phase is a very crucial period in one’s life, much emotional and psychological support is needed for an adolescent to bloom into a responsible adult. But unfortunately adolescents do not get the support or they fail to seek support due to lack of awareness. Government of India, to address this issue has established dedicated adolescent friendly health services (AFHS). This study estimates the utilisation of adolescent friendly health clinics in a rural area of Maharashtra. Aims: Aim is to the study the utilisation of adolescent friendly health services and its various determinants in a rural area of Maharashtra. Objectives: Objectives of this study were to assess the sociodemographic profile of study participants, to study the utilisation of adolescent friendly health services among them and to determine the factors associated with utilisation of adolescent friendly health services. Settings and Design: A community based cross-sectional study was conducted among 290 late adolescents from a rural area of Maharashtra from October 2022 to December 2022. Methods and Material: With the help of data from Gram panchayat about residing adolescents in the rural field practice area of tertiary care hospital, all late adolescents were included in this study after obtaining informed consent. Data was collected with and Statistical analysis was done using ‘Open Epi Info’ software. Results: Out of 290 adolescents, 35% (102) were aware of adolescent friendly health clinics (AFHS), 20% (58) utilised AFHS, the significant sociodemographic components for utilisation were found to be females (AOR: 2.161,95% CI: 1.088-4.295), Bauddha religion (AOR: 2.465,95% CI: 0.585-10.383), socioeconomic class I and II- B.G Prasad classification (AOR: 1.544,95% CI: 0.786-3.030), higher secondary education (AOR: 8.025,95% CI: 1.434-44.916) and Government schooling (AOR:0.389,95% CI: 0.080-1.889). Conclusions: Though initiatives are taken from the Government to lend a helping hand to the adolescents, awareness and utilisation seems to be minimal.

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Section: Discussionmentioning

confidence: 99%

Utilization of adolescent-friendly health services and its determinants in a rural area of Maharashtra

Sundaram,

Jogdand,

Sambutwad

et al. 2024

Journal of Family Medicine and Primary Care

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“…Adolescent and youth healthcare is still insufficient, according to research from both high- and low-income countries ( 1 , 10 , 11 ). The three elements of quality such as structural, process, and output dimensions and the overall magnitude of quality of services provided for the young vary by country.…”

Section: Introductionmentioning

confidence: 99%

Quality of adolescent and youth-friendly sexual and reproductive health services and associated factors in Ethiopia: a systematic review and meta-analysis

Zenebe,

Ewunie,

Belay

et al. 2023

Front. Public Health

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BackgroundLow-quality health care services are linked to a variety of health problems, which can have negative effects on adolescent and youth health. As a result, national data is crucial to providing high-quality healthcare to adolescents and youths in order to promote their health, wellness, and growth.ObjectiveTo examine the quality of young people's sexual and reproductive health care services and factors associated with service satisfaction in Ethiopia.MethodsThis review was carried out in accordance with the PRISMA guideline. We reviewed published data related to the quality of adolescent and youth-friendly sexual and reproductive health services (AYSRHS) in Ethiopia from January 02, 2002 to December 30, 2022. Relevant studies were identified through Google Scholar, PubMed, Cochrane Library, Science Direct, and HINARI. The extracted data was imported into STATA version 14.0 software for analysis. Heterogeneity among the reported prevalence of studies was checked using χ2 and I2 tests. The publication bias was examined by Egger's correlation and Begg's regression intercept tests at a 5% significance level.ResultsThe national pooled magnitude of structural, process, and output dimensions of quality of AYSRHS is 54.22% (95% CI: 33.21, 75.24%), 35.44% (95% CI: 24.95, 45.93%), and 57.01% (95% CI: 50.32, 63.7%), respectively. Being female (AOR: 1.61, 95% CI: 1.14–2.27), employed (AOR: 1.82, 95% CI: 1.06–3.14), waiting <30 min to get services (AOR: 2.7, 95% CI: 1.69–4.31), and getting information on the availability of services (AOR: 1.56, 95% CI: 1.15–2.11) were significantly associated with client satisfaction with AYSRHS.ConclusionThe overall magnitude of quality of AYSRHS in the three dimensions is far below WHO quality standards, which are 75 percent for good quality. Sex, employment status, waiting time to get services, and information on the availability of services were significantly associated with client satisfaction with AYSRHS. Therefore, different stakeholders on different levels should work together to strengthen the quality of AYSRHS concidering the above factors.Systematic review registrationIdentifier [CRD42023422667].

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Quality of adolescent and youth-friendly health services in Dehana district public health facilities, northeast Ethiopia: Using the Donabedian quality framework

et al. 2021

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Introduction Adolescents and youths who need exceptional healthcare are the shapers and leaders of our global future. However, many of them are died prematurely, while others suffer from diseases partly because of the poor quality of health services. Thus, this study aimed to assess the quality of Adolescent and Youth-friendly Health Services (AYFHS) and associated factors in the public health facilities of Dehana district, Northeast Ethiopia. Methods A facility-based quantitative cross-sectional study supported with a qualitative component was conducted from February 24 to March 30, 2020. The quality of AYFHS was measured using the Donbidean framework (structure, process and output component). Accordingly, a total of 431 adolescents and youths, five health facilities, twenty-five client-provider interaction observations, and nine key informant interviews were conducted. Binary logistic regression analysis was done, and variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with its 95% Confidence Interval (CI) were used to measure the association. The qualitative data were audio-recorded and transcribed verbatim. Then, Open Code 4.03 software was used to manage and analyze the data. Results The quality of adolescent and youth-friendly health services was 58.8, 46.4, and 47.2% for structural, process, and output quality dimensions, respectively. The predictor variables for output quality were, being a student (AOR: 2.07, 95%CI: 1.07–3.40), farmers (AOR: 2.59, 95%CI: 1.25–5.39), own income sources (AOR: 1.99, 95%CI: 1.03–3.85), exempted services (AOR: 2.30, 95%CI: 1.43–3.71) and long waiting time (AOR: 3.8495%CI: 1.80–8.23). Conclusions The overall quality of adolescent and youth-friendly health services was still lower than the WHO good quality standards. The structural quality dimension was affected by the unavailability of adequate and trained health service providers, poor engagement of adolescents and youths in the facility governance structure, unavailability of guidelines, protocols and procedures. In contrast, the process quality dimension was also compromised due to the provider’s poor compliance with the national AYFHS guidelines. Therefore, health facilities need to engage adolescents and youths in the health facility governance structure, and providers should comply with the national guideline.

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Integrating adolescent-friendly health services into the public health system: an experience from rural India

Abstract: The intervention had positive results for the public health system and the services are being scaled up to different blocks of the districts, under a public-private partnership.

Cited by 6 publications

References 2 publications

Utilization of adolescent-friendly health services and its determinants in a rural area of Maharashtra

Utilization of adolescent-friendly health services and its determinants in a rural area of Maharashtra

Quality of adolescent and youth-friendly sexual and reproductive health services and associated factors in Ethiopia: a systematic review and meta-analysis

Quality of adolescent and youth-friendly health services in Dehana district public health facilities, northeast Ethiopia: Using the Donabedian quality framework

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