Adolescents perception of reproductive health care services in Sri Lanka.
Adolescents perception of reproductive health care services in Sri Lanka.
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DOI：
10.1186/1472-6963-8-98
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发表时间：
2008-05-03
影响因子：
2.8
通讯作者：
Ukd, Piyaseeli
中科院分区：
文献类型：
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作者：
Agampodi, Suneth B;Agampodi, Thilini C;Ukd, Piyaseeli
背景：青少年的健康需求、行为和期望是独特的，常规卫生保健服务不能很好地提供这些服务。本研究旨在探讨斯里兰卡一群青少年对生殖健康问题的认知、求医行为、对现有服务的了解和获得服务的障碍，以改善生殖健康服务的提供。方法：本定性研究在斯里兰卡的半城市环境中进行。32名年龄在17-19岁之间的青少年参加了四次焦点小组讨论。参与者从四个助产士区选出。使用预先测试的焦点小组指南进行数据收集。男女辅导员分别与年轻男性和女性进行讨论。所有磁带记录的数据都进行了充分转录，并进行了专题分析。结果：由于各种原因引起的心理困扰和月经周期和手淫问题是最常见的健康问题。对现有服务的了解非常少，男孩完全不知道公共卫生系统提供的青年保健服务。在生殖健康问题上，女孩主要向朋友寻求帮助，而男孩不愿与任何人讨论他们的问题。有人指出，缺乏服务是满足青少年需要的最重要障碍。缺乏获得生殖健康知识的机会是青少年缺乏讨论这些问题的自信的一个重要原因。讨论的其他障碍包括缺乏保密性、对青年友好和现有服务的可及性。青少年乐于接受公共诊所和其他保健基础设施提供的服务，而不是其他组织提供的服务。有人要求通过医生提供单独的青年友好服务。结论和建议：青少年健康服务不足，现有服务没有以可接受的方式提供。对保健提供者进行适当培训，使其了解如何提供对青年友好的服务，这一点至关重要。需要为青少年制定国家一级的综合保健方案。
BACKGROUND: Adolescent health needs, behaviours and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems, health seeking behaviors, knowledge about available services and barriers to reach services among a group of adolescents in Sri Lanka in order to improve reproductive health service delivery.METHODS: This qualitative study was conducted in a semi urban setting in Sri Lanka. A convenient sample of 32 adolescents between 17-19 years of age participated in four focus group discussions. Participants were selected from four midwife areas. A pre-tested focus group guide was used for data collection. Male and female facilitators conducted discussions separately with young males and females. All tape-recorded data was fully transcribed and thematic analysis was done.RESULTS: Psychological distresses due to various reasons and problems regarding menstrual cycle and masturbation were reported as the commonest health problems. Knowledge on existing services was very poor and boys were totally unaware of youth health services available through the public health system. On reproductive Health Matters, girls mainly sought help from friends whereas boys did not want to discuss their problems with anyone. Lack of availability of services was pointed out as the most important barrier in reaching the adolescent needs. Lack of access to reproductive health knowledge was an important reason for poor self-confidence among adolescents to discuss these matters. Lack of confidentiality, youth friendliness and accessibility of available services were other barriers discussed. Adolescents were happy to accept available services through public clinics and other health infrastructure for their services rather than other organizations. A demand was made for separate youth friendly services through medical practitioners.CONCLUSIONS AND RECOMMENDATIONS: Adolescent health services are inadequate and available services are not being delivered in an acceptable manner. Proper training of health care providers on youth friendly service provision is essential. A National level integrated health care program is needed for the adolescents.