Sexual reproductive health service provision to young people in Kenya; health service providers' experiences.
Sexual reproductive health service provision to young people in Kenya; health service providers' experiences.
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DOI：
10.1186/1472-6963-13-476
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发表时间：
2013-11-14
影响因子：
2.8
通讯作者：
van den Broek N
中科院分区：
文献类型：
--
作者：
Godia PM;Olenja JM;Lavussa JA;Quinney D;Hofman JJ;van den Broek N
满足青年人的性健康和生殖健康需求仍然是大多数发展中国家面临的一项挑战。本研究探讨了卫生服务提供者在向肯尼亚青年人提供性健康和生殖健康服务方面的看法和经验。在八个卫生设施进行了定性研究;五个来自内罗毕，三个农村地区医院位于莱基皮亚、梅鲁中心和Kirinyaga。与HSP进行了19次深入采访（IDI）和两次焦点小组讨论（FGD）。访谈录了音并作了文字记录。采用专题框架方法对数据进行编码和分析。大多数保健服务提供者都知道"青年友好服务“的概念，但不知道支持这一概念的国家政策和指导方针。HSP认为他们缺乏向年轻人提供性健康和生殖健康服务的能力，特别是在咨询和人际沟通方面。保健项目在向年轻人提供性健康和生殖健康服务，特别是避孕方面持保守态度。HSP报告说，他们在个人感情、文化和宗教价值观和信仰与尊重年轻人获得性健康和生殖健康服务的权利的愿望之间左右为难。支持对青年友好的政策和基于能力的HSP培训是改善青少年性健康和生殖健康服务的两种常用方法。然而，这些可能不足以改变HSP对青少年寻求帮助的态度。有必要解决阻碍保健项目向青年人提供优质和全面的性健康和生殖健康服务的文化、宗教和传统价值体系。培训更新应包括使HSP能够评估其个人和文化价值观和信仰如何影响实践的课程。
Addressing the sexual and reproductive health (SRH) needs of young people remains a challenge for most developing countries. This study explored the perceptions and experiences of Health Service Providers (HSP) in providing SRH services to young people in Kenya. Qualitative study conducted in eight health facilities; five from Nairobi and three rural district hospitals in Laikipia, Meru Central, and Kirinyaga. Nineteen in-depth interviews (IDI) and two focus group discussions (FGD) were conducted with HSPs. Interviews were tape recorded and transcribed. Data was coded and analysed using the thematic framework approach. The majority of HSPs were aware of the youth friendly service (YFS) concept but not of the supporting national policies and guidelines. HSP felt they lacked competency in providing SRH services to young people especially regarding counselling and interpersonal communication. HSPs were conservative with regards to providing SRH services to young people particularly contraception. HSP reported being torn between personal feelings, cultural and religious values and beliefs and their wish to respect young people’s rights to accessing and obtaining SRH services. Supporting youth friendly policies and competency based training of HSP are two common approaches used to improve SRH services for adolescents. However, these may not be sufficient to change HSPs’ attitude to adolescents seeking help. There is need to address the cultural, religious and traditional value systems that prevent HSPs from providing good quality and comprehensive SRH services to young people. Training updates should include sessions that enable HSPs to evaluate how their personal and cultural values and beliefs influence practice.
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影响因子：
4.2
作者：
Rana, Yioit;Kanik, Arzu;Yuzer, Selda
通讯作者：
Yuzer, Selda
影响因子：
3.4
作者：
Klingberg-Allvin, Marie;Nga, Nguyen Thu;Johansson, Annika
通讯作者：
Johansson, Annika
影响因子：
7.6
作者：
Larke, Natasha;Cleophas-Mazige, Bernadette;Ross, David A.
通讯作者：
Ross, David A.
影响因子：
4.1
作者：
Mngadi, P. T.;Faxelid, E.;Ransjo-Arvidson, A. -B.
通讯作者：
Ransjo-Arvidson, A. -B.
影响因子：
6
作者：
Renju J;Andrew B;Nyalali K;Kishamawe C;Kato C;Changalucha J;Obasi A
通讯作者：
Obasi A