Young people’s experiences in accessing sexual and reproductive health services in sub-Saharan Africa from 1994 to 2019 - A content analysis

Watara, Abubakari Sulemana; Abu, Mumuni; Yidana, Zuwera; Apraku, Edward Anane; Iddrisu, Mutaru Goro; Margret, Badasu Delalali

doi:10.17352/ijsrhc.000011

Cited by 13 publications

(13 citation statements)

References 52 publications

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“…The cost factor led to the reliance on borrowed or shared phones by people who could not afford to be able to access SRH services. The use of borrowed and shared phones resulting in privacy and confidentiality challenges was also reported in this study [72,105,119,120,157,162,163,168,173] with high confidence in the study findings noted. Mobile phone sharing is a common phenomenon across rural settings in LMICs among poor young people and creates potential source of privacy and confidentiality breaches (60)(61)(62)(63).…”

Section: Discussionsupporting

confidence: 74%

“…These social beliefs need to be addressed to avoid misinforming young people for using the mobile phone technology for SRH information and services in rural context of LMICs. Public education is critical to educate rural populations about mHealth SRH initiatives to address knowledge gaps in relation to myths and perceptions that affect use of mobile phone platforms for SRH information and services among young people in rural contexts in LMICs (72, 73).…”

Section: Discussionmentioning

confidence: 99%

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Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

Laar,

Harris,

Khan

et al. 2023

Preprint

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In low- and middle-income countries (LMICs), reproductive health programs use mobile health (mHealth) platforms to deliver a broad range of SRH information and services to young people in rural areas. However, young people’s experiences of using mobile phone platforms for SRH services in the rural contexts of LMICs remains unexplored. This review qualitatively explored the experiences and perceptions of young people’s use of mobile phone platforms for SRH information and services. This qualitative evidence synthesis was conducted through a systematic search of online databases: Medline, Embase, CINAHL, PsycInfo and Scopus. We included peer reviewed articles that were conducted between 2000 and 2020 and used qualitative methods. The methodological quality of papers was assessed by two authors using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) and Confidence in Evidence from Reviews of Qualitative research (CERQual) approach with the identified papers synthesized using a narrative thematic analysis approach. The 26 studies included in the review were conducted in a wide range of LMIC rural settings. The studies used seven different types of mHealth platforms in providing access to SRH information and services on contraception, family planning, sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) education. Participant preferences for use of SRH service platforms centred on convenience, privacy and confidentiality, as well as ease and affordability. High confidence was found in the studies preferencing text messaging, voice messaging, and interactive voice response services while moderate confidence was found in studies focused on phone calls. The overall constraint for platforms services included poor and limited network and electricity connectivity (high confidence in the study findings), limited access to mobile phones and mobile credit due to cost, influence from socio-cultural norms and beliefs and community members (moderate confidence in the study findings), language and literacy skills constraints (high confidence in the study findings). The findings provide valuable information on the preferences of mHealth platforms for accessing SRH services among young people in rural settings in LMICs and the quality of available evidence on the topic. As such, the findings have important implications for health policy makers and implementers and mHealth technology platform developers on improving services for sustainable adoption and integration in LMIC rural health systems.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

Laar,

Harris,

Khan

et al. 2023

Preprint

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“…Previous literature has demonstrated that high rates of HIV and SRH service utilization among adolescents could be achieved by providing these HIV and SRH services within schools (11,32–34). In light of this evidence, the South African government has taken steps towards providing HIV and contraceptive services in schools under the Integrated School Health Programme (12). Not only is there resistance to this from some parents, it is difficult to implement and resource intensive.…”

Section: Discussionmentioning

confidence: 99%

School-going learners are more likely to access HIV and contraceptive care at locations with friendly providers, Wi-Fi and other value-added services: Findings from a discrete choice experiment among learners in Gauteng, South Africa

Govathson

Long

Moolla

et al. 2022

Preprint

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Background: Many Adolescents in Sub-Saharan Africa do not access HIV and reproductive health services optimally. To improve uptake of these services, it is important to understand the students preferences for how services are delivered so that implementation strategies can reflect this. Methods: A discrete choice experiment (DCE) was used to elicit preferences. The DCE was conducted in 10 high schools situated in neighbourhoods of varying socioe-conomic status (SES) in Gauteng (South Africa). Students aged ≥15 years (Grades 9-12) were consented and enrolled in the DCE. Conditional logistic regression was used to determine preferred attributes for HIV and contraceptive service delivery. Results were stratified by gender and neighbourhood SES quintile. (1≡Lowest SES; 5≡Highest SES). Results: The DCE was completed between 07/2018-09/2019; 805 students were enrolled (67% female; 66% 15-17 years; 51% in grades 9-10). 54% of students in quintile 1 schools had no monthly income; 38% in quintile 5 schools had access to USD7 per month. Preferences were similar for male and female students. Students strongly preferred services provided by friendly, non-judgmental staff (Odds ratio 1.63; 95% Confidence Interval: 1.55-1.72) where confidentiality was ensured (1.33; 1.26-1.40). They preferred services offered after school (1.14; 1.04-1.25) with value-added services like free WiFi (1.19; 1.07-1.32), food (1.23; 1.11-1.37) and youth-only waiting areas (1.18; 1.07-1.32). Students did not have a specific location preference, but preferred not to receive services within the community (0.82; 0.74-0.91) or school (0.88; 0.80-0.96). Students attending schools in high SES neighbourhoods expressed a preference for private care (1.15; 0.98-1.35). Costs to access services were a deterrent for most students irrespective of school neighbourhood; female students were deterred by costs ≥USD3 (0.79; 0.70-0.91); males by costs ≥USD7 (0.86; 0.74-1.00) Conclusions: Preferences that encourage utilisation of services do not significantly differ by gender or school neighbourhood SES. Staff attitude and confidentiality are key issues affecting students decisions to access HIV and contraceptive services. Addressing how healthcare providers respond to young people seeking sexual

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“…[8] Negative attitudes of health workers have been reported to constitute significant barriers to the utilization of SRH services by adolescents when available. [9][10][11][12][13][14][15] As a result of these difficulties in access to SRH services, many adolescents lack adequate knowledge and skills to enjoy optimal SRH leading to health problems such as unwanted pregnancy, unsafe abortion and sexually transmitted infections including HIV/AIDS which are associated with a higher maternal mortality and morbidity in adolescents. [8,16] The assessment of tertiary-level health workers' perception and attitude towards the provision of SRH services to unmarried adolescents in Plateau State, Northcentral Nigeria has not been adequately investigated.…”

Section: Introductionmentioning

confidence: 99%

Perception and Attitude of Health Care Workers in Tertiary Health Care Facilities in Plateau State, Nigeria towards Sexual and Reproductive Health Services for Unmarried Adolescents

Noel,

Bulus,

Nkala

et al. 2024

IJEMD-BMCR

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Adolescents are faced with the challenges of having access to and the utilization of quality sexual and reproductive health services, and one of the barriers responsible for this situation is the negative personal attributes of service providers. This study aimed to assess the perception and attitude of health workers in the tertiary health facilities in Plateau State towards sexual and reproductive health services for unmarried adolescents. A cross-sectional study was conducted in December 2020 among 208 doctors and nurses/midwives who were selected using a stratified sampling technique. Data were collected using a semi-structured self-administered questionnaire and analyzed using the Statistical Product and Service Solutions version 23. The mean age of the respondents was 37.1 ± 9.1 years, 131 (63.0%) were doctors and females constituted 120 (57.7%). One hundred and twenty-nine (62.0%) had a good perception, while 105 (50.5%) had a positive attitude towards sexual and reproductive health services for unmarried adolescents. Younger age below 55 years and a good perception were found to be predictors of a positive attitude towards sexual and reproductive health services for unmarried adolescents. A considerable number of the health workers in the tertiary health facilities in Plateau state had a negative attitude towards sexual and reproductive health services for unmarried adolescents, an attribute that was significantly seen more in those who were older and had a poor perception. There is a need to improve healthcare workers’ attitudes towards the provision of sexual and reproductive health services for unmarried adolescents.

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Young people’s experiences in accessing sexual and reproductive health services in sub-Saharan Africa from 1994 to 2019 - A content analysis

Cited by 13 publications

References 52 publications

Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

School-going learners are more likely to access HIV and contraceptive care at locations with friendly providers, Wi-Fi and other value-added services: Findings from a discrete choice experiment among learners in Gauteng, South Africa

Perception and Attitude of Health Care Workers in Tertiary Health Care Facilities in Plateau State, Nigeria towards Sexual and Reproductive Health Services for Unmarried Adolescents

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