Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa.
Perceptions of counsellors and youth-serving professionals about sexual and reproductive health services for adolescents in Soweto, South Africa.
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DOI：
10.1186/s12978-018-0455-1
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发表时间：
2018-02-06
影响因子：
3.4
通讯作者：
Dietrich JJ
中科院分区：
文献类型：
--
作者：
Mulaudzi M;Dlamini BN;Coetzee J;Sikkema K;Gray G;Dietrich JJ
南非的青少年仍然容易感染艾滋病毒。因此，至关重要的是提供可获得的、对青少年友好的、对他们的需求敏感的艾滋病毒预防干预措施。这项研究旨在调查艾滋病毒咨询师和其他为青年服务的专业人员对向南非索韦托青少年提供青少年友好型性健康和生殖健康服务的障碍的看法。该研究还探讨了如何改善南非的性健康和生殖健康服务，使青少年更容易获得这些服务。研究小组与艾滋病毒咨询师进行了两次焦点小组讨论，并对青少年工作组织的青年服务专业人员进行了19次半结构化采访。录音数据被逐字转录，并使用专题分析进行分析。这项研究的结果表明，咨询师应该给青少年提供艾滋病毒咨询和检测(HCT)，但他们觉得受到了他们认为缺乏灵活性的标准操作程序的限制。咨询师报告说，在HCT期间，没有足够的培训来解决青少年的心理社会问题。保健提供者的态度被认为是青少年使用性健康和生殖健康服务的障碍。与会者强烈建议加强青春期性健康和生殖健康服务，让辅导员和青少年参与制定针对青少年的针对年龄和具体情况的艾滋病毒预防服务。不断提高艾滋病毒咨询师的技能是提供青少年友好型服务的关键一步。包括辅导员和青少年在内的所有相关利益攸关方的意见对设计青少年友好型服务至关重要。
Adolescents in South Africa remain vulnerable to HIV. Therefore, it is crucial to provide accessible adolescent-friendly HIV prevention interventions that are sensitive to their needs. This study aimed to investigate the perceptions of HIV counsellors and other youth-serving professionals about the barriers to providing adolescent youth-friendly sexual and reproductive health services to adolescents in Soweto, South Africa. The study also explored how sexual and reproductive health services in South Africa could be improved to become more accessible to adolescents. The research team conducted two focus group discussions with HIV counsellors, and 19 semi-structured interviews with youth-serving professionals from organisations working with adolescents. Audio-recorded data were transcribed verbatim and analysed using thematic analysis. The results of the study reveal that counsellors were expected to give adolescents HIV counselling and testing (HCT) but felt restricted by what they perceived as inflexible standard operating procedures. Counsellors reported inadequate training to address adolescent psychosocial issues during HCT. Healthcare provider attitudes were perceived as a barrier to adolescents using sexual and reproductive health services. Participants strongly recommended augmenting adolescent sexual and reproductive health services to include counsellors and adolescents in developing age- and context-specific HIV prevention services for adolescents. Continuous upskilling of HIV counsellors is a critical step in providing adolescent-friendly services. Input from all relevant stakeholders, including counsellors and adolescents, is essential in designing adolescent-friendly services.
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DOI：
10.1080/09540121.2014.993352
发表时间：
2015-06-03
影响因子：
1.7
作者：
Nkala, Busisiwe;Khunwane, Mamakiri;Gray, Glenda
通讯作者：
Gray, Glenda
影响因子：
2.8
作者：
Mwisongo A;Mehlomakhulu V;Mohlabane N;Peltzer K;Mthembu J;Van Rooyen H
通讯作者：
Van Rooyen H
影响因子：
2.6
作者：
Twine, Rhian;Kahn, Kathleen;Norris, Shane A.
通讯作者：
Norris, Shane A.
影响因子：
--
作者：
Eskandari, Manijeh;Abbaszadeh, Abbas;Borhani, Fariba
通讯作者：
Borhani, Fariba
DOI：
10.7196/samj.8809
发表时间：
2014-10-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Beksinska, Mags E;Pillay, Lavanya;Smit, Jennifer A
通讯作者：
Smit, Jennifer A