Perspectives of Adolescent Girls and Young Women on Optimizing Youth-Friendly HIV and Sexual and Reproductive Health Care in Zambia.
Perspectives of Adolescent Girls and Young Women on Optimizing Youth-Friendly HIV and Sexual and Reproductive Health Care in Zambia.
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DOI：
10.3389/fgwh.2021.723620
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Subramanian S
中科院分区：
文献类型：
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作者：
Edwards PV;Roberts ST;Chelwa N;Phiri L;Nyblade L;Mulenga D;Brander C;Musheke M;Mbizvo M;Subramanian S
需要青年友好的保健提供模式，以解决少女和年轻妇女复杂的保健需求（AGYW）。本研究的目的是探讨青少年妇女寻求全面的艾滋病毒和性与生殖健康（SRH）护理的生活经历，并了解他们对综合保健服务的偏好。我们在赞比亚的卢萨卡对69名10-20岁艾滋病毒阴性或身份不明的青年女青年和40名16-24岁艾滋病毒感染者进行了深入访谈和焦点小组讨论。这些数据通过演绎和归纳过程进行编码，并使用世界卫生组织（世卫组织）修订的方便青年服务质量维度进行专题分析。青年妇女协会表示，它倾向于提供综合服务的一站式诊所，这种诊所可以沿着提供艾滋病毒服务以及怀孕测试和计划生育等其他服务。青年妇女协会还希望了解有关保持健康和预防疾病的方法的信息，这些信息可以在青年俱乐部等社区环境中提供。一个综合诊所应该解决AGYW的重要属性，包括短的等待时间，灵活的开放时间，保密性和积极的工作人员态度的保证。对青年友好的综合护理提供模式，其中包括青年和女青年的偏好，可以促进与护理的联系，并改善弱势青年和女青年的成果。
Youth-friendly health care delivery models are needed to address the complex health care needs of adolescent girls and young women (AGYW). The aim of this study is to explore the lived experiences of AGYW seeking comprehensive HIV and sexual and reproductive health (SRH) care and to elicit their preferences for integrated health care services. We conducted in-depth interviews and focus group discussions in Lusaka, Zambia among 69 AGYW aged 10-20 who were HIV-negative or of unknown status and 40 AGYW aged 16-24 living with HIV. The data were coded through deductive and inductive processes and analyzed thematically using modified World Health Organization (WHO) dimensions of quality for youth-friendly services. AGYW expressed preference for one-stop clinics with integrated services that could provide HIV services along with other services such as pregnancy testing and family planning. AGYW also wanted information on staying healthy and approaches to prevent disease which could be delivered in the community setting such as youth clubs. An integrated clinic should address important attributes to AGYW including short wait time, flexible opening hours, assurance of confidentiality and positive staff attitudes. Youth-friendly, integrated care delivery models that incorporate AGYW preferences may foster linkages to care and improve outcomes among vulnerable AGYW.