Provision of Reproductive Health Services for Adolescents ‐‐ Report of a Study in Two Local Government Areas (LGAs) of Nigeria

Olukoya, Adepeju A.

doi:10.1080/0300443961200108

Cited by 2 publications

(16 citation statements)

References 6 publications

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“…However, a notable deficiency in many studies was observed concerning the declaration of potential biases [62–64]. Additionally, based on the quality judgement, one article [65] appeared to be of relatively low quality compared to the others. Nevertheless, no studies were excluded solely based on quality, as the authors were primarily interested in extracting relevant concepts from all included studies that directly mapped to the systematic review question.…”

Section: Resultsmentioning

confidence: 99%

“…Youths wanted services directly addressing their sexual and reproductive health issues. The need for a wide range of services was reported due to perceived gaps at local health facilities [67, 69, 71, 77-78]. This theme had two sub-themes: preventive services and treatment services .…”

Section: Resultsmentioning

confidence: 99%

“…Youths across all studies wanted STI testing and treatment services for issues like candidiasis, syphilis, and HIV/AIDS [65, 70, 71, 79]: “…when you get infected with diseases like Candida…we fall sick all of the time, the trenches here spread diseases due to poor sanitation” [71]. Reported lack of access may drive this demand: “She had been to Kasangati health centre and they told her that the drugs are not there…” [68].…”

Section: Resultsmentioning

confidence: 99%

“…Reported lack of access may drive this demand: “She had been to Kasangati health centre and they told her that the drugs are not there…” [68]. One study mentioned needing timely referrals for serious cases [65]. With unmet treatment needs, youths often relied on peers or unsafe options like herbs or traditional healers [66, 68, 76]: “When we get problems, sometimes we tell our friends…so that is what she is using” [68].…”

Section: Resultsmentioning

confidence: 99%

“…However, a notable deficiency in many studies was observed concerning the declaration of potential biases [62][63][64]. Additionally, based on the quality judgement, one article [65] appeared to be of relatively low quality compared to the others. Nevertheless, no studies were excluded…”

Section: Quality Appraisalmentioning

confidence: 99%

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The Sexual and Reproductive Health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

Uka,

White,

Smith

2024

Preprint

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The sexual and reproductive health (SRH) needs of youths in sub-Saharan Africa are not being fully met, as evidenced by high rates of unintended pregnancies and sexually transmitted infections in this population. Understanding service needs and preferences of sub-Saharan African youths aged 10-24 years is critical for improving access and SRH outcomes and the focus of this systematic review of qualitative research. Four databases were searched with key words to identify relevant studies, supplemented by citation search, with an update in June 2023. The eligibility criteria were clear and developed a priori. Twenty included studies from seven countries underwent quality appraisal using CASP. A meta-ethnographic approach was used to synthesise concepts across studies by the researchers. Four key themes were generated:information needs; service needs; social needs; and delivery preferences. Information needs encompassed desires for age-appropriate education on contraception, safer sex, bodily changes, and healthy relationships to fill knowledge gaps. Social needs consisted of life skills training, vocational development, substance use rehabilitation, and support systems to foster healthy behaviours. Service needs included accessible youth-friendly sexual health services, preventative care, sexually transmitted Infections (STI) management, and contraception; and delivery preferences including competent providers who maintain privacy and confidentiality, convenient youth-oriented settings, free or low-cost provisions, and youth involvement in service design. In conclusion, the identified themes emphasise the diverse nature of SRH needs and preferences among sub-Saharan African youths. Insights from their unique priorities and unmet needs inform policy development and intervention strategies. Tailored awareness campaigns, youth-centred training for providers, youth-friendly and confidential SRH models, comprehensive education, and engaging youth in developing relevant solutions may improve acceptability, access, and health outcomes. These efforts could address barriers around stigma, costs, and lack of knowledge, contributing to enhanced SRH and wellbeing. Fulfilling youth SRH needs in sub-Saharan Africa requires commitment across sectors to evidence-based, youth-focused strategies placing their perspectives at the centre.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Quality Appraisalmentioning

confidence: 99%

See 3 more Smart Citations

The Sexual and Reproductive Health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

Uka,

White,

Smith

2024

Preprint

View full text Add to dashboard Cite

show abstract

The sexual and reproductive health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

Uka,

White,

Smith

2024

PLoS ONE

View full text Add to dashboard Cite

The sexual and reproductive health (SRH) needs of youths in sub-Saharan Africa are not being fully met, as evidenced by high rates of unintended pregnancies and sexually transmitted infections in this population. Understanding service needs and preferences of sub-Saharan African youths aged 10–24 years is critical for improving access and SRH outcomes and the focus of this systematic review of qualitative research. Four databases were searched with key words to identify relevant studies, supplemented by citation search, with an update in June 2023. The eligibility criteria were clear and developed a priori. Twenty included studies from seven countries underwent quality appraisal using the Critical Appraisal Skills Programme (CASP). A meta-ethnographic approach was used to synthesise concepts across studies by the researchers. Four key themes were generated: information needs; service needs; social needs; and delivery preferences. Information needs encompassed desires for age-appropriate education on contraception, safer sex, bodily changes, and healthy relationships to fill knowledge gaps. Social needs consisted of life skills training, vocational development, substance use rehabilitation, and support systems to foster healthy behaviours. Service needs included accessible youth-friendly sexual health services, preventative care, sexually transmitted Infections (STI) management, and contraception; and delivery preferences including competent providers who maintain privacy and confidentiality, convenient youth-oriented settings, free or low-cost provisions, and youth involvement in service design. In conclusion, the identified themes emphasise the diverse nature of SRH needs and preferences among sub-Saharan African youths. Insights from their unique priorities and unmet needs inform policy development and intervention strategies. Tailored awareness campaigns, youth-centred training for providers, youth-friendly and confidential SRH models, comprehensive education, and engaging youth in developing relevant solutions may improve acceptability, access, and health outcomes. These efforts could address barriers around stigma, costs, and lack of knowledge, contributing to enhanced SRH and wellbeing. Fulfilling youth SRH needs in sub-Saharan Africa requires commitment across sectors to evidence-based, youth-focused strategies placing their perspectives at the centre.

show abstract

Provision of Reproductive Health Services for Adolescents ‐‐ Report of a Study in Two Local Government Areas (LGAs) of Nigeria

Cited by 2 publications

References 6 publications

The Sexual and Reproductive Health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

The Sexual and Reproductive Health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

The sexual and reproductive health needs and preferences of youths in sub-Saharan Africa: A meta-synthesis

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