Youth friendly health services and role of outreach activities to improve access to services

Sogarwal, Ruchi; Chandra, Murari; Mehra, Sunil

doi:10.4236/ojpm.2013.32026

Cited by 10 publications
(15 citation statements)

References 8 publications

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“…Contraceptive nonuse varied by women's age in particularly Eastern Northern and Western region. Somewhat related with the study finding, a non-disintegrated study by region in Uganda revealed that contraceptive use among young women was low [45]; which could be associated to cost, fear, and cultural barriers [46,47]. In addition, studies indicate that women aged 45-49 older aged are generally expected to have achieved their desired number of children; therefore, are associated with infrequent sexual intercourse, menopause, and sometimes lost interest for sex [48,49].…”

Section: Discussionmentioning
confidence: 80%

Contraceptive nonuse among women in Uganda: a comparative assessment of predictors across regions
Otim
¹

2020
BMC Women's Health
14
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10
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Background Contraceptive nonuse has diverse effects on women, such as unintended pregnancies and births that result in high fertility and poor maternal health outcomes. In Uganda, knowledge on contraceptive use is high, amidst undesirably high contraceptive nonuse and scarce literature on predictors of contraceptive nonuse across regions. This study assessed factors associated with contraceptive nonuse among women of reproductive age across regions in Uganda. Method This study used data from a cross-sectional 2016 Uganda demographic and health survey that had 18,506 women of reproductive age. The relationship between contraceptive nonuse and socio-economic and demographic factors across regions were assessed using a binary multivariable logistic regression model. Results In Uganda, contraceptive nonuse is estimated at 40%. Northern region (55%) had the highest prevalence of contraceptive nonuse compared to Central region (35%) with the lowest. Across regions, wealth index, number of living children, educational level, and children born in the last 5 years prior to the demographic survey differently predicted contraceptive nonuse. Conversely, age, religion, age at first marriage, sexual autonomy, age at first birth, desire for children, listening to radio, and employment status were only predictors of contraceptive nonuse in particular regions amidst variations. Residence, perception of distance to health facility, watching television, and reading newspapers or magazines did not predict contraceptive nonuse. Conclusions The study findings propose the need to appreciate regional-variations in effect of contraceptive nonuse predictors and therefore, efforts should be directed towards addressing regional-variations so as to attain high contraceptive usage across regions, and thus reduce on unwanted pregnancies and births.

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Section: Discussionmentioning
confidence: 80%

Contraceptive nonuse among women in Uganda: a comparative assessment of predictors across regions
Otim
¹

2020
BMC Women's Health
14
1
10
0
View full text Add to dashboard Cite

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“…SRH comprises a major component of the global burden of sexual ill-health. Nearly a quarter of girls aged 15–19 years are married with an estimated 16 million adolescents giving birth each year globally, 95% of whom are from low- and middle-income countries (LMICs) [ 6 ]. Trends in delayed marriages do not indicate a decrease in the age of onset of sexual activity among the young people but rather highlights the need to improve access to SRH information, skills and improve services to learn more about sexuality and prevent unwanted pregnancies and sexually transmitted infections [ 7 ].…”

Section: Introductionmentioning
confidence: 99%

“…In sub-Saharan Africa, adolescents face many significant SRH challenges such as limited access to youth-friendly services (YFS) including information on growth, unsafe abortion, gender-based violence, sexuality, and family planning (FP). This has led youth into risky sexual behaviour resulting in high STI and HIV prevalence among young people, early pregnancy, and vulnerability to delivery complications resulting in high rates of death and disability [ 6 ]. Numerous surveys in LMICs indicated that only 33% of young men and 20% of young women have comprehensive knowledge of HIV but still less than half of young men and women surveyed reported using condoms at their last time of sexual activity [ 8 ].…”

Section: Introductionmentioning
confidence: 99%

Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review
Ninsiima
¹
,
Chiumia
²
,
Ndejjo
³

2021
Reprod Health
99
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61
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Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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“…Concurrently, encouraging and empowering youth with skills would enhance their chances of employment. Youth information centres have been accepted as a medium to enhance knowledge and inculcate skills in youth [ 15,16 ]. A hypothesis related to this model is that peer-led education sessions on health, hygiene, and nutrition in conjunction with community mobilization would change the perceptions in the families and communities towards maternal and child health.…”

Section: Introductionmentioning
confidence: 99%

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India
Sharma
¹
,
Akhtar
²
,
Singh
³

et al. 2021
Journal of Public Health Research
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Background: A community-based intervention was implemented to improve maternal, child, and adolescent health practices, promote financial literacy and enhance livelihood opportunities for young people in marginalized communities. A hypothesis related to our intervention was that peer-led education sessions on health and nutrition in conjunction with community mobilization would change communities’ perceptions towards maternal and child health.Design and methods: This three-year intervention was done in the two districts of Rajasthan, India, namely Nagaur and Pali. The paper explored the changes in perceptions and practices that resulted from this intervention among women and adolescents. We performed a retrospective, qualitative effect evaluation of the project. Focus group discussions with married women (15-49 years) and adolescents (10-19 years), and in-depth interviews with frontline workers and village health committees were done. The qualitative data were translated, coded, and analyzed thematically using an inductive approach.Results: Overall, 4853 women and 8158 adolescents were engaged in the intervention. The study seemed to have brought a change in some of the practices like postnatal care uptake, breastfeeding, and uptake of antenatal care among women, and enhanced awareness about sexual and reproductive health and harms of substance abuse among adolescents was noted. Around 23% and 67% of the young people from Nagaur and Pali, respectively, were linked with jobs in computer training centres, tailoring centres, and beauty parlours.Conclusions: The intervention was perceived successful in improving many health and nutrition practices and livelihood opportunities among project beneficiaries, calling for a comprehensive and multi-dimensional intervention to target social determinants of health.

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Youth friendly health services and role of outreach activities to improve access to services

Cited by 10 publications

References 8 publications

Contraceptive nonuse among women in Uganda: a comparative assessment of predictors across regions

Contraceptive nonuse among women in Uganda: a comparative assessment of predictors across regions

Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

A Qualitative Evaluation of An Integrated Health and Livelihood Development Project for Marginalized Communities in India

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