Sexual and reproductive health needs of young people: Matching needs with systems

Braeken, Doortje; Rondinelli, Ilka

doi:10.1016/j.ijgo.2012.03.019

Cited by 57 publications

(61 citation statements)

References 2 publications

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“…Further studies pointed out the ability of youth friendly services to effectively attract youths, meet their needs comfortably and responsively, and succeed in retaining the young clients for continuing care [12]. When young people have access to health and education, which can be obtained in A/YFRHS, they become a powerful force for economic development and positive change [13]. When adolescents and youths are properly counselled and educated, there will be an improvement in their sexual and reproductive health knowledge and this would encourage them to adopt safer sexual behaviours that will in turn safeguard the health of future generations [14].…”

Section: The Need For Adolescents and Youths To Access A/yfrhsmentioning

confidence: 99%

Adolescent/Youth Utilization of Reproductive Health Services: Knowledge Still a Barrier

Ajike¹

2016

JFMHC

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Abstract:As a country drives efforts in establishing adolescent/youth friendly services to cater to the unique reproductive and sexual health of adolescents/youths, it is pertinent that the youth know about these services to be able to access and benefit from them. This study therefore examined the knowledge of youths on available adolescent/youth friendly services (A/YFRHS) in Ikeja, Lagos State, Nigeria. The study was a descriptive cross-sectional survey that collected data from 427 (15 to 24) year olds. Respondents answered questions on general knowledge of A/YFRHS, Sources of knowledge about A/YFRHS, Services offered by A/YFRHS facilities and identification of locally available A/YFRHS. Data were analyzed using SPSS version 21 to generate descriptive statistics. Two hundred and twenty-eight (82%) of the respondents had general knowledge about A/YFRHS. More than half, 268 (79.5%) of the respondents did not know of a specific A/YFRHS provided in study area. Friends/peers (45.7%) were the best source of information on A/YFRHS. The most popular services known were family planning (81.6%), voluntary counselling and testing (73.8%), and sexually transmitted diseases (67.3%). Knowledge was low (SE = 0.11; SD = 2.20) with a mean score of 5.46 on a 10-point scale. The participants knew what adolescent/youth friendly services were but did not know where to get these services from because they were not aware of the available A/YFRHS facilities. Extensive awareness of locally available A/YFRHS is needed in the study area.

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Section: The Need For Adolescents and Youths To Access A/yfrhsmentioning

confidence: 99%

Adolescent/Youth Utilization of Reproductive Health Services: Knowledge Still a Barrier

Ajike¹

2016

JFMHC

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“…It is important to state that the creation of new centers of reference is not required for this purpose, since the existing health system is organized to meet the specific needs of adolescents. Adjustments such as flexibility in service hours, a separate physical space for young people (or in the absence of a physical structure, specific shifts for teens), a safety guarantee, as well as brochures and information targeted at this audience, support their care [31][32][33] . The data demonstrate no such adjustment in most services, since the service is in the same environment as the adult population.…”

Section: Discussionmentioning

confidence: 99%

“…The attitudes and behavior of healthcare professionals are known to represent a major barrier to access to services for this population 34 . When compared to adults, adolescents are more susceptible to discriminatory approaches [31][32][33] . Surprisingly, in more than 10% of SRH services, adolescents are only treated in the presence of their guardian.…”

Section: Discussionmentioning

confidence: 99%

“…After all, this could lead to what would be considered a major impediment to a healthy life 36 . It is clear, therefore, that there is a violation of the rights to privacy, confidentiality and secrecy, all of which are key pillars to adolescent access to health services 7,25,[31][32][33][34][35][36][37] . On analyzing treatment for victims of violence, in more than a third of units, the presence of a guardian was found to be required (Table 2).…”

Section: Discussionmentioning

confidence: 99%

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Saúde sexual e reprodutiva para a população adolescente, Rio de Janeiro, Brasil

Taquette

Monteiro

Rodrigues

et al. 2017

Ciênc. saúde coletiva

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Resumo Objetivamos analisar a distribuição geográfica, a estrutura de atendimento e os recursos humanos das unidades do Sistema Único de Saúde (SUS) que prestam serviços em saúde sexual e reprodutiva (SSR) à população adolescente, na segunda maior cidade do Brasil. Realizamos estudo transversal com mapeamento geográfico e coleta de dados por meio de questionário aplicado aos coordenadores, em todas as 147 unidades ambulatoriais do Rio de Janeiro, dispostas ao atendimento em SSR. Verificamos que todas as Regiões Administrativas (RA) desse município dispõem de unidades de atendimento para adolescentes, entretanto, em mais de 90% delas, eles são atendidos juntamente com a população adulta, sem turnos ou salas específicas. Em mais de 10% dos serviços, a assistência só é dada na presença do responsável. Em casos de violência sexual a proporção mostrou-se ainda maior, chegando a atingir 34% dos casos. Em apenas 12,9% das unidades são realizadas atividades educativas direcionadas a adolescentes e constatou-se que menos de 1/3 dos médicos estava capacitado para lidar com a saúde do adolescente. Em conclusão, apesar da larga distribuição geográfica das unidades de saúde, a estrutura do atendimento e os recursos humanos não atendem a contento as especificidades do público adolescente.

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“…This can only happen when the sexual rights of young people are respected. 1 A rights-based and sex-positive approach leads to inclusion of outcomes such as empowerment and reduction of gender inequality, sexual violence, shame, fear and insecurity, discrimination and stigma.…”

mentioning

confidence: 99%

The importance of a positive approach to sexuality in sexual health programmes for unmarried adolescents in Bangladesh

Reeuwijk¹,

Nahar

2013

Reproductive Health Matters

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This article explores the mismatch that exists between what unmarried adolescents in Bangladesh experience, want and need in regard to their sexuality and what they receive from their society, which negatively impacts on their understanding of sexuality and their well-being. The findings provide a picture of Bangladeshi adolescents' (12-18 years) sexual feelings, experiences, behaviours, anxieties and concerns -in particular in relation to desire, pleasure, sexual power, masturbation, virginity, romantic love and dating, and arranged marriage -and how socio-sexual norms and taboos influence these. Curiosity of boys and girls about sex was driven by a need and desire to know and understand, but also because it was exciting to read about and talk about sex. Young people are not just passive recipients of adult norms and messages around sexuality, but agents who actively construe meanings and navigate between what is expected from them and what they want, need and feel themselves. Adolescents have a need for information and support -long before they ever have sex. We call for a positive, rights-based approach to sexuality education for adolescents and a focus beyond health outcomes alone to support adolescents and young people to make sense of the multiplicity of messages they encounter and reduce unnecessary feelings of guilt and anxiety.

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Sexual and reproductive health needs of young people: Matching needs with systems

Cited by 57 publications

References 2 publications

Adolescent/Youth Utilization of Reproductive Health Services: Knowledge Still a Barrier

Adolescent/Youth Utilization of Reproductive Health Services: Knowledge Still a Barrier

Saúde sexual e reprodutiva para a população adolescente, Rio de Janeiro, Brasil

The importance of a positive approach to sexuality in sexual health programmes for unmarried adolescents in Bangladesh

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