Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa

Mulaudzi, Mamakiri; Dlamini, Busisiwe Nkala; Coetzee, Jenny; Sikkema, Kathleen J.; Gray, Glenda; Dietrich, Janan

doi:10.1186/s12978-018-0455-1

Cited by 26 publications

(21 citation statements)

References 15 publications

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“…In combination with biochemical prevention methods, such as pre-exposure prophylaxis (PrEP), access to ART programs can significantly curb the HIV epidemic. Attaining this ambitious goal requires innovation that links young South Africans to SRHS, including diagnosis, prevention, treatment, adherence and viral suppression [1, 26–29]. With this in mind, youth-friendly services have been recommended for AYA [6, 30–32].…”

Section: Introductionmentioning

confidence: 99%

Mobile sexual health services for adolescents: investigating the acceptability of youth-directed mobile clinic services in Cape Town, South Africa

Tolla

Marcus

et al. 2019

BMC Health Serv Res

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Background The Human Immunodeficiency Virus (HIV) epidemic is growing rapidly among South African adolescents and young adults (AYA). Although HIV counselling and testing, HIV prevention and treatment options are widely available, many AYA delay health-seeking until illness occurs, demonstrating a need for youth responsive, integrated sexual and reproductive health services (SRHS). While feasibility and cost-effectiveness have been evaluated, acceptability of mobile clinics among AYA has yet to be established. The objective of this study was to investigate patient acceptability of mobile AYA SRHS and compare mobile clinic usage and HIV outcomes with nearby conventional clinics. Methods Patients presenting to a mobile clinic in Cape Town were invited to participate in an acceptability study of a mobile clinic after using the service. A trained researcher administered an acceptability questionnaire. Mobile clinic medical records during the study period were compared with the records of AYA attending four clinics in the same community. Results Three hundred three enrolled participants (16–24 years, 246 (81.2%) female) rated mobile AYA SRHS acceptability highly (median = 4,6 out of 5), with 90% rating their experience as better or much better than conventional clinics. The mobile clinic, compared to conventional clinics, attracted more men (26% v 13%, p < 0,000), younger patients (18 v 19 years, p < 0,000), and yielded more HIV diagnoses (4% v 2%, p < 0,000). Conclusions Given the high ratings of acceptability, and the preference for mobile clinics over conventional primary health clinics, the scalability of mobile clinics should be investigated as part of a multipronged approach to improve the uptake of SRHS diagnostic, prevention and treatment options for AYA. Electronic supplementary material The online version of this article (10.1186/s12913-019-4423-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Mobile sexual health services for adolescents: investigating the acceptability of youth-directed mobile clinic services in Cape Town, South Africa

Tolla

Marcus

et al. 2019

BMC Health Serv Res

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“…Another study in South Africa revealed the barriers of access to reproductive health as lack of confidentiality and privacy, waiting time duration, unpleasant work hours, distance from clinics, and parents' fear when they came to the clinic [18]. Secor-Turner MA & et al reported social stigma, fear of non-confidentiality of services, and the prohibition of their parents and tutors, teenagers as the main barriers of adolescents' access to barriers [19].…”

Section: Discussionmentioning

confidence: 99%

Barriers of access and utilization of reproductive health services by adolescents-Khartoum state-Sudan-2020: study protocol

2020

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Background: Adolescence is widely defined as the time in life when the developing individual attains the skills and attributes necessary to become a productive and reproductive adult. Most adolescents are healthy, but there is still substantial premature death, illness, and injury among adolescents. Illnesses can hinder their ability to grow and develop to their full potential. Alcohol or tobacco use, lack of physical activity, unprotected sex and/or exposure to violence can jeopardize not only their current health, but also their health as adults or even health of their future children. Method: Community and institutional-based cross sectional study will be conducted in Khartoum State the seven localities will be included. This state is the national capital of Sudan, which has an area of 22,122 km 2. The sample size of participant is estimated using the population formula (n = N/1+ (n*d 2)). The sample will be drawn using multistage cluster sampling. Also the concerned bodies involved in the delivery of reproductive health services for adolescents included in this study. Data will be collected using interviews with key informants and administered pre-coded, pretested closed ended questionnaire with community participants. Data will be managed and analyzed using Statistical Package for Social Sciences version 21. Analysis is mostly univariate descriptive and bi-variate with Chi Square & Fischer Exact test analysis to find associations between variables of interest. Discussion: The census of adolescents mounted to 25% of the population and thus it is important to care for such significant portion of the population to document their reproductive health problems and their access to health care services. The study is expected to generate base-line indicators about barriers of access to reproductive health services by adolescents that can be used for better planning, monitoring and evaluation of the delivered services. The research about barriers of access to reproductive health services by adolescents in Sudan is still limited and the information is scanty and scattered. Thus, it is necessary to conduct such study to enrich the current database.

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“…Another study in South Africa revealed the barriers of access to reproductive health as lack of confidentiality and privacy, waiting time duration, unpleasant work hours, distance from clinics, and parents' fear when they came to the clinic (14). Secor-Turner MA & et al reported social stigma, fear of non-confidentiality of services, and the prohibition of their parents and tutors, teenagers as the main barriers of adolescents' access to barriers (15).…”

Section: Discussionmentioning

confidence: 99%

Barriers of Access and Utilization of Reproductive Health Services by Adolescents-Khartoum State-Sudan-2020: study protocol

Elnimeiri

Satti

Ibrahim

2020

Preprint

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Abstract Background: Adolescence is widely defined as the time in life when the developing individual attains the skills and attributes necessary to become a productive and reproductive adult; Most adolescents are healthy, but there is still substantial premature death, illness, and injury among adolescents. Illnesses can hinder their ability to grow and develop to their full potential. Alcohol or tobacco use, lack of physical activity, unprotected sex and/or exposure to violence can jeopardize not only their current health, but also their health as adults or even health of their future children.Method: Community and institutional-based cross sectional study will be conducted in Khartoum State the seven localities will be included. This state is the national capital of Sudan, which has an area of 22,122km. The sample size of participant is estimated using the population formula (n=N/1+ (n*d) .The sample will be drawn using multistage cluster sampling.; Also the concerned bodies involved in delivery of reproductive health services for adolescents included in this study. Data will be collected using interview with key informants and administered pre-coded, pretested closed ended questionnaire with community participants. Data will be managed and analyzed using Statistical Package for Social Sciences version 21. Analysis is mostly univariate descriptive and bi-variate with Chi Square &Fischer Exact tests analysis to find associations between variables of interest.Discussion: The census of adolescents mounted to 25% of the population and thus it is important to care for such significant portion of the population to document their reproductive health problems and their access to health care services. The study is expected to generate base-line indicators about barriers of access to reproductive health services by adolescents that can be used for better planning, monitoring and evaluation of the delivered serviceslt. The research about barriers of access to reproductive health services by adolescents in Sudan is still limited and the information is scanty and scattered. Thus, it is necessary to conduct such study to enrich the current database.

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Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa

Cited by 26 publications

References 15 publications

Mobile sexual health services for adolescents: investigating the acceptability of youth-directed mobile clinic services in Cape Town, South Africa

Mobile sexual health services for adolescents: investigating the acceptability of youth-directed mobile clinic services in Cape Town, South Africa

Barriers of access and utilization of reproductive health services by adolescents-Khartoum state-Sudan-2020: study protocol

Barriers of Access and Utilization of Reproductive Health Services by Adolescents-Khartoum State-Sudan-2020: study protocol

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