Health providers' perceptions of adolescent sexual and reproductive health care in Swaziland
Health providers' perceptions of adolescent sexual and reproductive health care in Swaziland
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DOI：
10.1111/j.1466-7657.2007.00625.x
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发表时间：
2008-06-01
影响因子：
4.1
通讯作者：
Ransjo-Arvidson, A. -B.
中科院分区：
文献类型：
--
作者：
Mngadi, P. T.;Faxelid, E.;Ransjo-Arvidson, A. -B.
目的：探讨卫生服务提供者的青少年性与生殖健康服务的看法在Swaziland.Methods：五十六医疗服务提供者，在2005年在斯威士兰的11个卫生诊所工作，采用半结构式问卷调查。数据进行了分析，描述性统计和内容分析，以确定关键themes.Findings：大多数参与者是女性，平均年龄为36岁，平均数为6年的职业。所提供的服务包括性传播感染/艾滋病毒/艾滋病咨询、检测前后艾滋病毒咨询和检测、避孕药具和避孕套的使用。一半的护士/助产士没有接受过继续教育，也缺乏对青少年性保健和生殖保健的监督。大多数青少年对堕胎护理存在未解决的道德疑虑、消极态度、价值观和道德困境，既要面对禁止堕胎的法律，又要面对青少年的现实状况。44人希望接受堕胎后护理培训，8人希望接受如何进行堕胎的培训。26个希望政府支持对青少年友好的服务，并在青少年性和生殖健康service.Conclusion培训保健提供者：护理和助产士的专业教育的课程需要进行审查，将为青少年提供全面的服务。有必要为斯威士兰的青少年提供全面服务，并在各级提供适当的方便青年的服务。需要护士/助产士参与、倡导和领导政策制定。
Aim: To explore health providers' perceptions of adolescent sexual and reproductive healthcare services in Swaziland.Methods: Fifty-six healthcare providers, working in 11 health clinics in Swaziland in 2005, were surveyed using a semi-structured questionnaire. The data were analysed by descriptive statistics and content analysis to identify key themes.Findings: Most participants were women with a mean age of 36 years and a mean number of 6 years in the profession. Services provided included STIs/HIV/AIDS advice, pre- and post-test counselling and testing on HIV, contraceptives and condom use. Half of the nurses/midwives had no continued education and lacked supervision on adolescent sexual and reproductive health care. The majority had unresolved moral doubts, negative attitudes, values and ethical dilemmas towards abortion care between the law, which is against abortion, and the reality of the adolescents' situation. Forty-four wanted to be trained on post-abortion care while eight on how to perform abortions. Twenty-six wanted the government to support adolescent-friendly services and to train heathcare providers in adolescent sexual and reproductive health services.Conclusion: The curricula within nursing and midwifery preservice education need to be reviewed to incorporate comprehensive services for adolescents. There is need for provision of comprehensive services for adolescents in Swaziland and appropriate youth-friendly services at all levels. There is need for nurse/midwifery participation, advocacy and leadership in policy development.