Realising sexual and reproductive health and rights of adolescent girls and young women living in slums in Uganda: a qualitative study.
Realising sexual and reproductive health and rights of adolescent girls and young women living in slums in Uganda: a qualitative study.
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DOI：
10.1186/s12978-021-01174-z
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发表时间：
2021-06-12
影响因子：
3.4
通讯作者：
Oyebode O
中科院分区：
文献类型：
--
作者：
McGranahan M;Bruno-McClung E;Nakyeyune J;Nsibirwa DA;Baguma C;Ogwang C;Serunjogi F;Nakalembe J;Kayaga M;Sekalala S;Oyebode O
性健康和生殖健康及权利是至关重要的应享权利，最好通过基于人权的办法予以支持，使权利拥有者能够主张其权利，使责任承担者能够履行其义务。要落实这些建议，就需要了解寻求性健康和生殖健康及权利主张者目前的需求和面临的挑战。我们旨在通过以下方式确定影响乌干达贫民窟少女和青年妇女实现性健康和生殖健康及权利的根本因素：（1）探索相关服务提供者和利益攸关方的作用;（2）揭示在保护少女和青年妇女的性健康和生殖健康及权利方面的知识和差距。通过重点小组和访谈收集了定性数据，重点是少女和青年妇女、服务提供者和利益攸关方对性健康和生殖健康及权利的现有知识、行为和态度。使用NVivo软件按主题分析数据。与主要的信息提供者进行了10次深入访谈;与生活在乌干达两个贫民窟的少女和年轻妇女举行了两次重点小组会议（共21人参加）;与社区领袖、服务提供者、教师和家长举行了三次重点小组会议（共30人参加）。少女和年轻妇女缺乏关于她们的性健康、可获得的服务以及权利受到侵犯的补救机制的信息。正式的信息来源往往无法获得。家庭成员有时是侵犯权利的根源，往往寻求非正式的方法来纠正权利。污名和恐惧是医疗保健和追求正式正义的共同特征，责任承担者习惯性地违反保密规定。教育和培训是提出的主要变革建议。 少女和青年妇女在充分实现其性健康和生殖健康及权利方面继续面临障碍。为实现少女和青年妇女的性健康和生殖健康及权利而采取的有针对性的干预措施可以解决根本原因，并积极转变促进健康的态度。在线版本包含补充材料，可通过10.1186/s12978-021-01174-z获得。每个妇女都有权享有良好的性健康和生殖健康。这包括免于性传播感染、基于性别的暴力和孕产妇死亡，并能够获得基本保健服务。在低收入和中等收入国家，青少年占人口的五分之一，但他们的性健康和生殖健康需求往往被忽视。少女和年轻妇女更有可能遭受性别暴力、性传播感染以及难以获得性健康和生殖健康服务。那些生活在贫民窟的人的结果更糟，但几乎没有证据表明贫民窟环境中的少女和年轻妇女在改善性健康和生殖健康方面存在机会和障碍。在这项研究中，我们对生活在乌干达两个贫民窟的21名少女和年轻妇女进行了焦点小组和访谈，其中10名在州一级发挥重要作用的个人，以及30名其他利益相关者，包括卫生保健工作者，教师，家长，地区领导人和与少女和年轻妇女一起工作的社区支助官员。结果表明，少女和年轻妇女缺乏关于其性健康、可获得哪些服务以及在遭受性侵犯等侵犯行为时向谁求助和向何处求助的信息。在性攻击事件中，恐惧和耻辱使少女和年轻妇女不敢报警，纠纷只能在家庭之间非正式地处理。我们的焦点小组和访谈的参与者认为，教育和培训是必要的，卫生服务需要改善。在这种情况下，有必要采取干预措施，改善少女和年轻妇女的性健康和生殖健康。在线版本包含补充材料，可通过10.1186/s12978-021-01174-z获得。
Sexual and reproductive health and rights are critical entitlements best supported through human rights-based approaches empowering rights-holders to claim their rights and duty bearers to fulfil their obligations. Implementing these requires information on the current needs and challenges faced by those seeking to claim their sexual and reproductive health and rights. We aimed to identify the underlying factors influencing the realisation of sexual and reproductive health and rights for adolescent girls and young women living Ugandan slums by: (1) exploring the role of relevant service providers and stakeholders; and (2) uncovering knowledge and gaps in protecting adolescent girls’ and young women’s sexual and reproductive health and rights. Qualitative data were collected through focus groups and interviews focused on current knowledge, behaviours and attitudes towards sexual and reproductive health and rights among adolescent girls and young women, service providers and stakeholders. Data were analysed thematically using NVivo software. Ten in-depth interviews were conducted with key informants; two focus groups were held with adolescent girls and young women living in two slums in Uganda (21 participants in total); and three focus groups were held with community leaders, service providers, teachers and parents (30 participants in total). Adolescent girls and young women lacked information regarding their sexual health, services available, and redress mechanisms for rights violations. Formal sources of information were frequently inaccessible. Family members were sometimes the source of rights violations, and informal methods of redressing rights were often sought. Stigma and fear were common features both in healthcare and in the pursuit of formal justice, with duty-bearers habitually breaking confidentiality. Education and training were the predominant suggestions offered for change. Adolescent girls and young women continue to face obstacles in achieving their full sexual and reproductive health and rights. Targeted interventions for the realisation of adolescent girls’ and young women’s sexual and reproductive health and rights can address underlying causes and positively shift attitudes to promote health. The online version contains supplementary material available at 10.1186/s12978-021-01174-z. Every woman is entitled to good sexual and reproductive health. This involves being free from sexually transmitted infections, gender-based violence and maternal mortality, and able to access essential health services. In low and middle-income countries, adolescents comprise a fifth of the population, yet their sexual and reproductive health needs are often overlooked. Adolescent girls and young women are more likely to experience gender-based violence, sexually transmitted infections and poor access to sexual and reproductive health services. Those living in slums have even worse outcomes, but little evidence exists regarding the opportunities and barriers to improving sexual and reproductive health among adolescent girls and young women in a slum setting. In this study, we conducted focus groups and interviews with 21 adolescent girls and young women living in two Ugandan slums, 10 individuals with an essential role, for example, at state level, as well as 30 other stakeholders including healthcare workers, teachers, parents, district leaders and community support officers working with adolescent girls and young women. Results indicate that adolescent girls and young women lack information regarding their sexual health, what services are available and who and where to go if they experience violations such as sexual assault. In instances of sexual assault, fear and stigma prevented adolescent girls and young women from going to the police, and instead disputes were handled informally between families. Participants in our focus groups and interviews felt that education and training were needed, and that health services need to improve. Interventions are necessary to improve adolescent girls’ and young women’s sexual and reproductive health in this setting. The online version contains supplementary material available at 10.1186/s12978-021-01174-z.
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影响因子：
3.7
作者：
McGranahan M;Nakyeyune J;Baguma C;Musisi NN;Nsibirwa D;Sekalala S;Oyebode O
通讯作者：
Oyebode O
DOI：
10.1016/s0140-6736(16)00579-1
发表时间：
2016-06-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
Patton GC;Sawyer SM;Santelli JS;Ross DA;Afifi R;Allen NB;Arora M;Azzopardi P;Baldwin W;Bonell C;Kakuma R;Kennedy E;Mahon J;McGovern T;Mokdad AH;Patel V;Petroni S;Reavley N;Taiwo K;Waldfogel J;Wickremarathne D;Barroso C;Bhutta Z;Fatusi AO;Mattoo A;Diers J;Fang J;Ferguson J;Ssewamala F;Viner RM
通讯作者：
Viner RM
影响因子：
3.4
作者：
Wado YD;Bangha M;Kabiru CW;Feyissa GT
通讯作者：
Feyissa GT
乌干达坎帕拉贫民区的年轻人的性，生殖健康需求和权利：一项横断面研究。
影响因子：
3.7
作者：
Renzaho AM;Kamara JK;Georgeou N;Kamanga G
通讯作者：
Kamanga G
影响因子：
3.7
作者：
George AS;Branchini C;Portela A
通讯作者：
Portela A