Use of contraceptives among adolescents in Kintampo, Ghana: a cross-sectional study

Boamah, Ellen Abrafi; Asante, Kwaku Poku; Mahama, Emmanuel; Manu, Grace; Ayipah, Emmanuel Kwesi; Adeniji, Elisha; Owusu‐Agyei, Seth

doi:10.2147/oajc.s56485

Cited by 46 publications

(63 citation statements)

References 14 publications

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“…Available literature has shown that health workers are effective in the provision of community health information to both young and old people on SRH issues to develop not only adolescent reproductive health but also a wider range of maternal and child health issues (67)(68)(69). Similarly, although studies have shown that adolescents feel ashamed going to these health centers for information or services relating to sex and contraception due the perception of unwelcoming attitude at the facility (70,71), there is evidence that delivering quality services that are tailored to adolescents needs (e.g., extension in operation hours, reduction in prices of SRH services, transforming physical design to promote privacy or confidentiality) may result in an improvement in service use, adherence to contraceptive methods, and increase the probability of seeking on-going health care (1,72). For example, an investigation in Uganda on the influence of health center reorganization at different stages of health worker training and empowering of health teams' ability for training and supervision involving adolescents revealed more than double upsurge in self-reported usage of health services such as family planning and STI services (73).…”

Section: Discussionmentioning

confidence: 99%

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Hagan

Seidu

Budu

et al. 2019

Front. Public Health

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Background: Pregnancy among girls 10-19 years remains a challenge that requires critical resolution all over the world. Despite this worrying sexual phenomenon, research pertaining to prevention information and related services in Sub-Saharan nations like Ghana is sparse. This study sought to determine the influence of access to pregnancy prevention information and services on adolescent pregnancy in the Komenda-Edina-Eguafo-Abrem Municipality in the Central Region of Ghana. Methods and Results: Adopting a matched case-control research design with a 1:1 mapping, female adolescents aged between 15 and 19 years in the KEEA Municipality were selected using a facility based sampling technique. Results from both bivariate and multivariate analyses revealed that non-pregnant adolescents were about two times more likely to have access to pregnancy prevention information from health workers compared to pregnant adolescents [OR = 0.57, 95% CI = (0.33-0.96), p = 0.036]. Likewise, pregnant adolescents were five times more likely to have access to pregnancy prevention information from media compared to non-pregnant adolescents [OR = 5.44, 95% CI = (2.64-11.23), p = 0.000]. Additionally, non-pregnant adolescents were two times more likely to receive information on pregnancy prevention from school compared to pregnant adolescents [OR = 0.48, 95% CI = (0.28-0.81), p = 0.006]. Conclusion: Sexuality and reproductive health (SRH) programme organizers should target specific intervention programmes that focus on training health workers and/or other analogous staff to enhance their awareness, attitudes, and skills to more effectively meet with the specific needs of adolescents. Specific health workers training and redesign of health facilities to foster more adolescent user friendly working environment (e.g., extension in operational times, reduction in fees of SRH services, transforming physical design to promote privacy or confidentiality) ought to be encouraged. Different media outreach programmes should also combine other community level events [e.g., Ahinkorah et al. Adolescent Pregnancy Prevention Information and Services informative methods through schools (e.g., focus group discussions, participatory learning), assisting connections to health services, community information network (e.g., use of sirens)] to provide well-tailored advocacy that would help modify SRH and sociocultural norms that hinder positive sexual behaviors among young people.

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Section: Discussionmentioning

confidence: 99%

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Hagan

Seidu

Budu

et al. 2019

Front. Public Health

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“…Sexual issues are sensitive topics in Iran. As such, some parts of the questionnaire were identified as being culturally challenging by experts, however, their input led us to culturally adapt these sections to ensure that the questionnaire can be used in a sensitive and yet accurate manner not only in Iran but also in other countries where religiosity is a strong component of their cultures (13,14,17).…”

Section: Discussionmentioning

confidence: 99%

“…They did not perform the psychometric assessment of the questionnaire for age group 15-49 years (6). This instrument has also been used in other countries including India, Nepal, Ghana, Boamah, Saudi Arabia, Kenya Nigeriya, China and Tanzania, where religiosity is a strong component informing culture (14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Version of Sexual and Reproductive Health Illustrative Questionnaire

Khoei¹,

Motamedi

Shahbazi

et al. 2020

Preprint

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Background: Sexual health is a human right, yet there is a lack of comprehensive, standardized and culturally appropriate instruments to assess sexual health in Iran.Objectives: This study aimed to assess the psychometric properties of the Persian version of the Sexual and Reproductive Health Illustrative Questionnaire (SRH-IQ).Material and methods: This was a methodological psychometric study conducted in Tehran, Iran, during 2014–2015, with a sample of 755 men and women aged 15–49 years. The SRH-IQ was translated and adapted via the method recommended by the world health organization.. Qualitative and quantitative face and content validity were evaluated and the construct validity assessed using exploratory and confirmatory factor analysis. The internal consistency and the stability of the tool were assessed using Cronbach’s alpha, Intraclass Correlations Coefficient (ICC) and test–retest method.Results: Several items were changed in accordance with the cultural and religious beliefs of Iranians. The mean item-level content validity index (I-CVI) was 0.98; the content validity ratio (CVR) was high at 0.976; and scale-level content validity average (S-CVI/Ave) and scale level content validity universal agreement (S-CVI/UA) were found to be 0.97 and 0.94, respectively. Exploratory and Confirmatory factor analysis confirmed that all items in domains were significant, and the results supported goodness of fit indices, too. The final Cronbach’s alpha coefficients of all sub-scales were > 0.60 indicating acceptable internal consistency. Test-Retest data analysis showed that the ICC was higher than 0.88 for most items (0.75–0.99). Kappa coefficients were above 0.8 in most instances (0.65–0.99).Conclusion: Given the appropriate validity and reliability of the Persian version of the SRH Questionnaire, it can be used to assess sexual health knowledge, attitudes, behaviour and outcomes of Iranian adults.Plain English Summary Sexual health is an integral component of human right, and it is an important basis for an individual’s physical and psychological well-being, as well as the social and economic development of communities. Evaluating the sexual health needs of people is necessary to address sexual health goals. Several studies have been conducted within the field of sexual health in Iran, however, no Persian instrument is available to assess the sexual health needs of adults within the reproductive ages. In order to make it applicable within the context of Iranian culture, we have investigated the psychometric properties of the Persian version of the Sexual and Reproductive Health Illustrative Questionnaire (SRH-IQ) among Iranian men and women in reproductive age. With this aim, we have recruited 755 men and women aged between 15-49 years in urban Tehran, Iran. Several items of the questionnaire were changed in accordance with the cultural and religious beliefs of Iranians. Exploratory and Confirmatory factor analysis confirmed that all items in domains were significant, and the results supported goodness of fit indices, too. All in all, this study has given the appropriate validity and reliability of the Persian version of the SRH Questionnaire, and it can be used to assess sexual health knowledge, attitudes, behaviour and outcomes of Iranian adults.

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“…Two government owned hospitals, four private clinics, seven health centres, and about 27 functional community-based health planning and services (CHPS) facilities are located in the study area. Contraceptive use is low, with 25% among the general population [30] and 23% among adolescents [7]. …”

Section: Methodsmentioning

confidence: 99%

Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents

Boamah-Kaali

Kaali

Manu

et al. 2018

International Journal of Reproductive Medicine

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Introduction Tailoring sexual and reproductive health programs and services to the needs of adolescents will help adolescents make informed decisions and choices regarding their sexual and reproductive health. Objective To assess the opinions of service providers on tailoring sexual and reproductive health services to the needs of adolescents. Method A qualitative study using indepth interviews was held among eight decision-makers and service providers in two hospitals within the Kintampo North Municipality and Kintampo South District as well as the Municipal and District Health Directorates in Kintampo North and South between April and May 2011. Results All respondents expressed the opinion that it is a good idea to tailor sexual and reproductive health services to the needs of adolescents. They admitted that very limited sexual and reproductive health programs targeting adolescent needs were available in the study area. Service providers also reported very low levels of health facilities use by adolescents for sexual and reproductive health information and services. Health professionals attributed the poor sexual and reproductive health services utilization by adolescents to stigma from the society and attitudes of service providers. Conclusion There are no targeted sexual and reproductive health programmes and services for adolescents. Services providers indicated that it is important to tailor sexual and reproductive health services to the needs of adolescents to prevent stigma, unwanted pregnancy, abortion, and sexually transmitted infections.

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Use of contraceptives among adolescents in Kintampo, Ghana: a cross-sectional study

Cited by 46 publications

References 14 publications

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Access to Adolescent Pregnancy Prevention Information and Services in Ghana: A Community-Based Case-Control Study

Psychometric Properties of the Persian Version of Sexual and Reproductive Health Illustrative Questionnaire

Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents

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