Academic literature on the topic 'Adolescent Friendly Health Facility'

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Journal articles on the topic "Adolescent Friendly Health Facility"

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Dixit, Grishma T., Shikha Jain, Farzana Mansuri, and Arjun Jakasania. "Adolescent friendly health services: where are we actually standing?" International Journal Of Community Medicine And Public Health 4, no. 3 (February 22, 2017): 820. http://dx.doi.org/10.18203/2394-6040.ijcmph20170765.

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Background: Services for adolescents are highly fragmented, poorly coordinated and uneven in quality. Adolescent-friendly services (AFHS) should be able to attract young people, meet their needs comfortably and with sensitivity, and retain young clients for continuing care. With this background, the present study was carried out to study the implementation status of Adolescent friendly health services and to determine compliance with quality standards.Methods: Present cross sectional study was carried out at 10 Urban Health Centers of Ahmedabad Municipal Corporation. Study population comprised of adolescents (10 to 19 years). All adolescents aged 10 to 19 years (n=99) and all health care providers present at the time of visit at the facility were interviewed. Data was collected using WHO quality measurement tools. Data was analyzed using WHO scoring sheet for data analysis.Results: Relative score for confidentiality, privacy, equitability, accessibility and knowledge gap in adolescent is 58.3%. Relative score for health care providers’ competencies to work with adolescents and to provide them with required services is 42.6%. Relative score for Observation tool used for facility inventory is 45.6%. Overall relative score is 47.3% of maximum possible score.Conclusions:As the score is near to the lower limit of class interval of 40% to 80%, it implies need of improvement.
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Pastrana-Sámano, Rosalila, Ileana Beatriz Heredia-Pi, Marisela Olvera-García, Midiam Ibáñez-Cuevas, Filipa De Castro, Aremis Villalobos Hernández, and Maria del Pilar Torres-Pereda. "Adolescent Friendly Services: quality assessment with simulated users." Revista de Saúde Pública 54 (April 24, 2020): 36. http://dx.doi.org/10.11606/s1518-8787.2020054001812.

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OBJECTIVE: To assess the quality of adolescent friendly health services. METHODS: Qualitative assessment using the simulated user technique in first level clinics of Health Services of Morelos, Mexico, during 2018. Ten out of 17 facilities with non-exclusive adolescent friendly services were randomly selected. An additional facility with exclusive adolescent friendly services was included as an intensive subsample. Four adolescents served as simulated users interpreting different cases in the clinics. The total of 43 semi-structured exit interviews were conducted, and two nominal groups were made to assess the perceived quality from the adolescents’ perception of friendliness and experience. Thematic analysis of the data obtained was performed. RESULTS: Staff attitude was highlighted as a key element in the adolescents’ experience. Failures were found, such as the existence of bureaucratic barriers to access, lack of signage in clinics, lack of privacy and confidentiality, failure of physical examination during the appointment and lack of monitoring of the reasons for appointment. The exclusive clinic for adolescents offered more appropriate friendly services compared with nonexclusive clinics. CONCLUSION: Although the service is accessible in most of the clinics visited, it is still far from being friendly according to international recommendations. The exclusive clinic for adolescents stood out for having better structured mechanisms that can be implemented in nonexclusive clinics to improve the care process.
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Kurebwa, Jeffrey. "Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe." International Journal of Patient-Centered Healthcare 9, no. 2 (July 2019): 1–20. http://dx.doi.org/10.4018/ijpch.2019070101.

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This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.
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Kristina, Yunita. "Faktor-faktor yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Reproduksi Remaja di Kota Jayapura." JURNAL BIOLOGI PAPUA 9, no. 2 (May 14, 2018): 63–73. http://dx.doi.org/10.31957/jbp.115.

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This research aimed to study the factors that affect of the adolescent reproductive health service in Jayapura Municipality. This research applied an explanatory research method with a cross-sectional approach. Data were collected by questionnaire, which were involving 393 adolescents aged 15 - 19 years-old at five senior high schools across Jayapura Municipality area. Results according to chi-square statistical test provided correlated variables to age (p value = 0.047), religion (p value = 0.048), pocket money (p value = 0.000), socio-culture (p value = 0.001), tariff (p value = 0.047), staff (p value = 0.043), facility (p value = 0.046), knowledge (p value = 0.002), attitude (p value = 0.006). Furthermore, the logistic regression test resulted in staff, need, and domicile status as the most affecting variables on the use of the adolescent reproductive health. This research recommended that service staff had to be friendly and take account for confidentiality, to understand the development of the adolescence, either physically, psychologically, or socially, to provide adolescent reproductive health service at schools, and to have an open communication between adolescents and their parents in order to monitor their development. Key words: health services, PKPR, Student High Schools, Jayapura
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Bwalya, Barbara N., and Thankian Kusanthan. "Gender Differential in Access to and Utilisation of Reproductive Health Services among Adolescents in Lusaka." International Journal of Contemporary Research and Review 9, no. 04 (April 7, 2018): 20416–29. http://dx.doi.org/10.15520/ijcrr/2018/9/04/492.

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Adolescent sexuality and reproductive health has become a global concern in the recent past. Many adolescents face sexual health risks of early sexual debut like sexually transmitted infections including HIV/AIDS, unplanned pregnancies and illegal abortions. The present study was undertaken to examine gender differential in access to and utilization of reproductive health services among adolescents in Lusaka, Zambia. Data was collected by carrying out structured face-to-face interviews with 180 adolescents. Interview guides were used to collect data from 3 focus group discussions comprising 6 adolescents each and 2 key informants (health service providers). This study has established that there are gender gaps in knowledge and utilisation of RHS among the adolescents. The study discovered that more girls than boys were aware of specific types of RHS including family planning methods. It was further discovered that more (23.9%) males than females (21.7%) had utilised family planning methods. The findings further revealed that more (26.4%) female than male (25.3%) adolescents had received RHS. At the same time, the study noted that despite the gender gaps, the level of access and utilisation of RHS among adolescents was low for both sexes. Reasons for low utilisation of RHS included shortage of health services providers, and lack of adolescent-friendly services, adolescents’ preference for service providers of the same sex, age difference between adolescents and the service providers, and distance to the health facility. The study recommended scaling up of adolescent-friendly services; use of brochures and youth magazines to increase awareness of available services for adolescents and sensitisation of health providers, parents, guardians, communities and key stakeholders about RHS for adolescents.
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Yunus, Samiha, Sabrina Sharmin, Nafisa Lira Huq, Fariha Haseen, Md Ali Imam, and Quamrun Nahar. "Expectations of adolescents to receive reproductive health information and services from health service system: A qualitative study in Bangladesh." South East Asia Journal of Public Health 7, no. 2 (November 28, 2018): 19–26. http://dx.doi.org/10.3329/seajph.v7i2.38852.

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Adolescents, aged 10-19 years, constitute one fifth of Bangladesh's total population of 158 million. Similar to adolescents elsewhere, Bangladeshi adolescents also have special sexual and reproductive health (SRH) information and service needs; however, these needs are not adequately addressed by the existing health service system. The present study was conducted to identify adolescents’ expectations of and preferences for receiving SRH information and services. This qualitative study was conducted in six purposively selected areas of Bangladesh using 20 Key Informant Interviews (KII) during September-November 2012. Key informants aged between 15 to 19 years were leaders of youth organizations or class monitors in school. Informants were unmarried and married, males and females, and from rural and urban areas. This study identified that there is a strong need for SRH services for adolescents. Irrespective of their residence and gender, adolescents preferred health service providers to be qualified medical doctors, who are experienced, well-trained and polite. Availability of doctors, maintaining privacy and treatment through counseling were mentioned as their priorities. Both urban and rural adolescents recommended establishing adolescent friendly environment in every government and NGO health service facility. They also asked for gender specific service provider for female and male adolescents. Urban adolescents expressed the need for school health program with provision of school health clinics. On the other hand, rural adolescents recommended for community health workers to raise awareness on adolescent sexual and reproductive health (ASRH) issues with parents and families. The adolescents also expected to receive SRH information through mass media, school curriculum, and booklets on adolescent SRH, and peer educator. Addressing the expectations of adolescents will open a new skylight to policy makers to design highly accessible health services for adolescents in BangladeshSouth East Asia Journal of Public Health Vol.7(2) 2017: 19-26
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Nwakamma, Ikenna J., Carol S. Talla, Stephanie E. Kei, Genevieve C. Okoro, Godwin Asuquo, and Kema A. Onu. "Adolescent and Young People's Utilization of HIV/Sexual and Reproductive Health Services: Comparing Health Facilities and Mobile Community Outreach Centers." International Journal of Translational Medical Research and Public Health 3, no. 2 (August 8, 2019): 66–74. http://dx.doi.org/10.21106/ijtmrph.74.

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Background/Objectives: Demand creation for uptake of HIV and sexual reproductive health (HIV/SRH) services among adolescents and young people (AYP) in Nigeria is challenging. This study compares the reach, and utilization patterns, and factors that drive the patterns of utilization of HIV/SRH services by AYP in mobile outreach service centers and health care facilities in Nigeria's capital city. Methods: Data were obtained from service exit surveys and HIV/SRH service utilization records in selected health facilities and mobile testing outreaches from January to April 2018. The service providers were provided a checklist to capture key information during their interaction with their AYP clients. Data were captured with Microsoft Excel, imported to and analysed with Statistical Package for Social Sciences, version 16. Results: Community-based mobile outreaches reached a significantly higher proportion of participants, with 88% of them from the community HIV testing points. Among the participants in the SRH service utilization assessment, 20 (15%) and 142 (19%) voluntarily asked for SRH-related information in the health facility and mobile outreach respectively; 53 (40%), and 224 (30%) accepted offer of SRH counselling in the health facility and mobile outreach respectively. There were significant differences in the waiting time for testing and waiting time for result collection at the mobile testing posts and the health facilities. Conclusion and Implications for Translation: AYP friendly mobile community outreach model shows more promise in terms of reach and also seems to encourage voluntary request for HIV/SRH services among AYP. The costs and waiting times favor the mobile outreach model; however, the quality in terms of personnel and environment was an issue of concern. Hospitals are not providing friendly environments that encourage voluntary uptake of HIV/SRH services by AYPs. A model for AYPs should prioritize community based and friendly services with well-trained personnel in order to build the confidence of AYPs for improved SRH seeking behaviors. Key words: • HIV • Sexual and reproductive Health • Adolescents and Young People • Preferences • Mobile outreaches services • Health facility testing • Abuja Nigeria Copyright © 2019 Nwakamma et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.affect economic and health promotion.
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Amakali-Nauiseb, Taimi, and Joan M. Kloppers. "Perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia." International Journal Of Community Medicine And Public Health 8, no. 4 (March 25, 2021): 1632. http://dx.doi.org/10.18203/2394-6040.ijcmph20211211.

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Background: The objective of this study was to determine the perceptions on adolescents’ friendly health services concepts and the use of health services by adolescents in Kavango region, Namibia.Methods: A cross-sectional analytical study was conducted using mixed methods - quantitative and qualitative approaches among 350 school learners and 150 school drop-out adolescents. In total a sample of 540 was utilized. The stratified random sampling techniques were used in the selections of the circuit and the schools. Structured questionnaires were used in face-to-face interviews, and in depth interviews were conducted among the key informants (25 teachers) and as well with 15 school learners.Results: Illustrated the following: there was a statistically highly significant association between adequate confidentiality, last visit at the health facility and both sexually transmitted infections and visited health facility (p=0.004 respectively). A statistically significant association was found between all visits to health facilities, pamphlets and talks on contraceptives; visit to health facilities, comfortable and contraceptives talks (p=0.001 respectively). Additionally, there was a statistically significant association respectively between both contraceptives used and number of times services sought and between services, pamphlets and contraceptives with a (p 0.010<0.05).Conclusions: The youth need health services that are sensitive to their unique stage of biological, cognitive, and psychosocial transition into adulthood. Health services that are more accessible and acceptable to adolescents and made more youth-friendly.
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Yunitasari, Esti, Praba Diyan Rachmawati, and Desy Indah Nur Lestari. "Effort to Prevent Anaemia during Menstruation among Female Adolescent in Islamic Boarding School." Jurnal Ners 14, no. 1 (April 1, 2019): 28. http://dx.doi.org/10.20473/jn.v13i2.9928.

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Introduction: Female adolescents are generally prone to be infected by anaemiadue to the growing menstruation cycle which causes the loss of bloods insignificant amount every month and the needs of ferrum substance can bedoubled. The aimed of the research was to analyse factors related to the effort ofanaemia prevention during menstruation among female adolescents in Islamicboarding school.Methods: This research applied correlational descriptive design through theapproach of cross-sectional study. Total samples were 214 female students in 3Islamic boarding schools with criteria of female students aged 11-20 years oldand had experienced menstruation. Sample obtained by random sampling.Independent variables were knowledge, attitude, friends support, health facility,health efforts, and dependent variables was the efforts to prevention anaemia.Data obtained by questionnaire and analyzed by Spearman Rho with significancelevel α,0.005Results: The result showed significant correlation between knowledge (p=0.000;r=0.318). attitude (p=0.001; r=0.232). friends support (p=0.003; r=0.203). health facility (p=0.000; r=0.260). and health efforts (p=0.001; r=0.227) on prevention effort of anaemia on adolescents female menstruation in Islamic boarding school.Conclusion: Level of knowledge, posstive attitude, friends support, health facility,and health efforts can prevent anemia during menstruation.
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Yunitasari, Esti, Praba Diyan Rachmawati, and Desy Indah Nur Lestari. "Effort to Prevent Anaemia during Menstruation among Female Adolescent in Islamic Boarding School." Jurnal Ners 14, no. 1 (April 1, 2019): 28. http://dx.doi.org/10.20473/jn.v14i1.9928.

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Introduction: Female adolescents are generally prone to be infected by anaemiadue to the growing menstruation cycle which causes the loss of bloods insignificant amount every month and the needs of ferrum substance can bedoubled. The aimed of the research was to analyse factors related to the effort ofanaemia prevention during menstruation among female adolescents in Islamicboarding school.Methods: This research applied correlational descriptive design through theapproach of cross-sectional study. Total samples were 214 female students in 3Islamic boarding schools with criteria of female students aged 11-20 years oldand had experienced menstruation. Sample obtained by random sampling.Independent variables were knowledge, attitude, friends support, health facility,health efforts, and dependent variables was the efforts to prevention anaemia.Data obtained by questionnaire and analyzed by Spearman Rho with significancelevel α,0.005Results: The result showed significant correlation between knowledge (p=0.000;r=0.318). attitude (p=0.001; r=0.232). friends support (p=0.003; r=0.203). health facility (p=0.000; r=0.260). and health efforts (p=0.001; r=0.227) on prevention effort of anaemia on adolescents female menstruation in Islamic boarding school.Conclusion: Level of knowledge, posstive attitude, friends support, health facility,and health efforts can prevent anemia during menstruation.
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Dissertations / Theses on the topic "Adolescent Friendly Health Facility"

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Chakare, Rejoice Sesedzai. "Attitudes towards adolescent friendly health service provision among health workers at a primary health care clinic in Windhoek, Namibia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79966.

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Thesis (MPhil)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Health statistics on adolescents in Namibia indaicate high incidences of teenage unwanted pregnancies, unsafe abortions, baby dumping, maternal ill health, early marriages and STIs including HIV. These are indicators of underutilisation of adolescent friendly health services (AFHS) by adolescents as education on these problems are covered in it. Although Government has made some strides to esure implementation starts, there is a recognisable lack of its adoption by health workers. The aim of this study was to establish the reasons for the slow adoption of AFHS practices by health workers at Katutura Health Centre. A quantitative non-experimental cross-sectional descriprive research approach was used in this study. Evidence using both primary data collected in the field through self-administered semi-structured questionnaires (with both open and closed questions) and secondary data collected in the literature review was employed . A census of the entire population of health workers was prefered over sampling. A total of 56 health workers accepted to participate in the study and the questionnaire, 46 of which returned it within a stipulated three weeks data collection period. Descriptive statistics was utilised together with frequencies, mean and basic collection. Eighty two percent of the sample participated in the study of which 67% respondents were female and 33% were male. The majority of the respondents (78.3%) had tertiary education. The results indicated: AFHS were not known to the majority of health workers; there is slow adoption of AFHS; and the programme introduction could have been done better. Factors significantly associated with adoption of AFHS are knowledge of such services, sex, level of education, job position, work experience and effective implementation of the programme. A probability value of p<0.05 was adopted. The programme is well appreciated despite concerns of lack of training and proper implementation. Key recommendations were on staff recruitment, retention and training of health workers; creation of space for implementing AFHS and marketing the programme. The system is in place, what is left is to tighten some loose ends and programme is up and running.
AFRIKAANSE OPSOMMING: Gesondheid statistieke oor die jeug in Namibië verwys na hoë voorkoms van ongewenste tiener swangerskappe en onveilige aborsies, weg gooi van babas, swak moederlike gesondheid, vroeë huwelike en seksueel oordraagbare siektes, insluitend MIV. Dit is aanwysers van die onderbenutting van jeug vriendelike gesondheidsdienste (AFHS) deur die jeug, as die onderwys op hierdie probleme gedek word. Hoewel die regering 'n paar implementerings begin het, is daar 'n beduidende gebrek van aanneming deur gesondheidswerkers. Die doel van hierdie studie was om die redes vas te stel vir die stadige aanvaarding van AFHS praktyke deur gesondheidswerkers by Katutura Gesondheids Sentrum. 'n Kwantitatiewe, nie-eksperimentele navorsingsbenadering is gebruik in hierdie studie. Bewyse uit beide primêre data wat ingesamel is in die veld deur middel van self-geadministreerde semi-gestruktureerde vraelyste (met beide oop en geslote vrae) en sekondêre data wat ingesamel is in die literatuuroorsig was gebruik. 'n Sensus van die hele bevolking van gesondheidswerkers is verkies in plaas van steekproefneming. 'n Totaal van 56 gesondheidswerkers het aanvaar om deel te neem aan die studie en die vraelys, waarvan 46 teruggedien is binne die vasgestelde tydperk van drie weke se data-invorderingstermyn. Beskrywende statistiek is gebruik saam met frekwensies, gemiddelde en basiese versameling. Tagtig en twee persent van die steekproef het deelgeneem aan die studie, waarvan 67% respondente vroulik en 33% manlik was. Die meerderheid van die respondente (78,3%) het tersiêre opleiding. Die resultate het aangedui: AFHS is nie bekend aan die meeste van gesondheidswerkers nie, en daar is stadige aanneming van AFHS; en die program inleiding kon beter gedoen gewees het. Faktore wat beduidend verband hou met die aanneming van AFHS is kennis van sodanige dienste, geslag, vlak van onderwys, werk posisie, werkervaring en doeltreffende implementering van die program. 'n Waarskynlikheid waarde van p <0,05 is aangeneem. Die program is goed waardeer ten spyte van kommer aan 'n gebrek van opleiding en behoorlike implementering. Belangrikste aanbevelings was op die personeel werwing, behoud en die opleiding van gesondheidswerkers; skepping van ruimte vir die implementering van AFHS en bemarking van die program. Die stelsel is in plek, wat oorbly om gedoen te word, is om 'n paar los punte te versterk en die program is aan die gang.
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Lawrence, Estelle. "School-based HIV counselling and testing: providing a youth friendly service." University of the Western Cape, 2012. http://hdl.handle.net/11394/2159.

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Philosophiae Doctor - PhD
HIV counselling and testing (HCT) is an essential element in the response to the HIV epidemic. Thereare still major gaps in research about the best ways to provide HCT, especially to young people. School-based HCT is a model which has been suggested for providing HCT to young people in a youth friendly manner. This study was aimed at producing recommendations for providing a youth friendly school-based HCT service using the World Health Organisation (WHO) framework for youth friendly health services. It was conducted in six secondary schools in Cape Town, where a mobile HCT service is provided by a nongovernmental organisation (NGO). It was an exploratory descriptive study, using a mixed-methods approach. Twelve focus group discussions (FGDs) were held with learners to explore their needs with regards to school-based HCT. An evaluation (which consisted of observation of the HCT site, service provider interviews and direct observation of the HCT counselling process) was done to determine whether the mobile school-based HCT service was youth friendly. A learner survey was conducted with 529 learners to investigate the factors that influence the uptake of HCT and to explore learners’ behaviours and experiences under test conditions. In the FGDs, learners said that they wanted HCT to be provided in schools on condition that their fears and expressed needs were taken into account. They wanted their concerns regarding privacy and confidentiality addressed; they wanted to be provided with information regarding the benefits and procedure of HCT before testing took place; they wanted service providers to be competent to work with young people, and they wanted to be assured that those who tested positive were followed up and supported. On evaluation of the mobile school-based HCT service, it was evident that the service did not meet all the needs of the learners nor did it have all the characteristics of a youth friendly health service. The model of ‘mass testing’ used by the NGO did not fulfil learners’ expressed need for privacy with regards to HCT. Service providers were friendly and on-judgemental but had not been trained to work with young people (especially marginalised groups e.g. young men who have sex with men). The information needs of learners were not addressed, and learners were not involved in the provision of the HCT service. Learners who tested positive were not assisted in accessing care and support. The learner survey revealed a high uptake of HCT (71% of learners) at schools with learners who do not identify themselves as Black, with female learners and older learners being more likely to have had an HIV test. Factors that influenced uptake of HCT were complex, with learners reporting many different motivators and barriers to testing. Of concern was the low risk perception of learners with regards to HIV infection and the fact that learners who tested HIV positive were not being linked up with treatment and care. Based on the findings of the study, recommendations were made for proving youth friendly school based HCT. A multisectoral approach, with learner and community involvement, was suggested in order to provide a service which is equitable, accessible, acceptable, appropriate and effective.
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Govender, Thashlin. "Factors that influence utilization of primary health facilities by adolescents in Tafelsig, Mitchells Plain." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/4032.

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Magister Public Health - MPH
Promoting positive and healthy decision-making practices and encouraging the utilization of health care facilities amongst adolescents is an important public health priority given that the period of adolescence is characterized by experimentation and risk taking behaviour. In the Tafelsig area of Mitchell‟s Plain, a poor socio-economic community within the Cape Town metropole, adolescents are exposed to a range of social problems (such as alcohol and substance abuse) that can potentially be harmful to their health. Given this context there was some concern raised by the sub-district health management team that adolescents are not making sufficient use of the local health facilities. The purpose of this study was to gain a greater understanding of the factors that contribute to, or hinder, the utilization by adolescents of the public health facilities in the Tafelsig area and in turn provide the Department of Health with information on adolescents‟ preferences concerning access to and use of the local primary-level health services in Mitchells Plain.An exploratory descriptive study was conducted to explore the topic using qualitative research methods. Permission to conduct the research was obtained from the Higher Degrees Committee of the University of the Western Cape and the School Principal. In-depth interviews were conducted with eight Grade 9 and seven Grade 10 male and female learners from the local secondary school - all of whom were randomly selected from a list of learners who indicated their willingness to participate in the study and who had obtained the written consent from their parents or guardian to do so. Interviews with the learners explored the positive and negative experiences, perceptions and opinions they have of using – or contemplating the use of – the local health facilities. The data from these interviews were analyzed using thematic content analysis.The study demonstrated that even when public health services are available, adolescents are often not in a position themselves to choose for themselves: their parents or guardians invariably make the choice for them. At times they are also reluctant to use public health facilities for fear of being judged by health personnel for being sexually active. The idea of waiting for long periods of time to see a health professional, or being observed at the health facility by other members of their community, are also considered to be disincentives.Many of the learners interviewed expressed a need for more information about sexual and reproductive health issues and matters that affect their health. The findings of this study also suggest that there is an urgent need for youth-friendly health services to be made available in the Mitchells Plain community. It is thus recommended that the Department of Health strategically assess whether an existing public health facility can be re-orientated to cater for the specific health needs of adolescents in Mitchells Plain.
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Geza, Gcobisa. "Evaluation of the effect of adolescent and youth friendly services implementation on HIV testing uptake among youth (aged 15 – 24 years) in health facilities of Amathole district, Eastern Cape." University of Western Cape, 2020. http://hdl.handle.net/11394/7642.

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Master of Public Health - MPH
Human Immunodeficiency Virus (HIV) prevalence and new infections rate among young people in Southern Africa is high despite various programmes implemented to address general population prevention and treatment. The youth has a low HIV testing uptake even though there seems to be high HIV prevalence among this age population group. Youth focused interventions have proven to be a success in encouraging young people to have an HIV test done as part of improved health-seeking behaviours. In South Africa, such an intervention was initially implemented by LoveLife and later adopted in 2006 by the government as Adolescent and Youth Friendly Services (AYFS) for a larger-scale implementation in Primary Health Care facilities as a strategy to improve youth Sexual and Reproductive Health.
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Ondrus, Coral Ann. "Outcomes of Aggression Replacement Training for U.S. Adolescents in Residential Facilities." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2372.

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A National Survey indicated that 1.6 million adolescents in the U.S. were arrested in 2010 and 1.5 million in 2011 for erratic aggressive behaviors, thus showing a decline from the 2.18 million adolescent arrests in 2007. Residential facilities in the state of Pennsylvania offer a group intervention called Aggression Replacement Training (ART) to help adjudicated adolescents regain control of erratic behaviors. The purpose of this study was to examine the extent to which level of group participation in ART and certain demographic factors (age, gender, ethnicity, family socioeconomic status, parental involvement, and education) predict decreased aggression and increased anger control among these youth. Cognitive theory and change theory were used to guide this causal-comparative investigation. The overarching research question was, does a youth's level of ART group participation (i.e., attentive, inattentive, and resistant) result in a subsequent reduction in risk assessment as measured by post Aggression Questionnaire score differences. Data were collected for the period of 2011-2014 from archival records from 5 residential facilities (n = 160) in Pennsylvania and were statistically analyzed. Findings from an analysis of variance indicate that ART group participation predict decreased erratic aggressive behaviors and increased anger control among adolescents. Findings from multiple regression analyses indicate that parental involvement predicts attentive participation level, whereas ART group participation, gender, and parental involvement predicted a reduction in risk assessment. Study findings may assist other treatment facilities and affiliated agencies in the U.S. with developing and implementing effective interventions for youth who exhibit erratic aggressive behaviors.
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Ngomi, Kayenda Bruce. "Utilisation of sexual and reproductive health services by secondary school adolescents in Mochudi." Diss., 2008. http://hdl.handle.net/10500/1356.

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The study sought to establish the utilisation of the available adolescent sexual and reproductive health services/facilities by Mochudi secondary school adolescents. The intent of the study was to determine the level of awareness among adolescents of the existing Adolescent Sexual and Reproductive Health Services/ Facilities in Mochudi and to determine those factors that affect utilisation of sexual and reproductive health services/facilities. A self administered questionnaire was used by the researcher to collect data from the respondents. Data analysis began with studying and coding of the responses from the questionnaires and was analysed using a copy of Excel software. The inferences made from this study are that secondary school adolescents in Mochudi indulge in pre-marital sex and most of them are aware of the presence of sexual and reproductive health services/facilities. However, the majority of the adolescents do not use the services/facilities either due to shyness, inaccessibility of clinics, lack of privacy, unfriendly staff, long waiting time or for others because they are not sexually active. The feedback from the adolescents is an indication of the inappropriateness of service delivery system pertaining to adolescent sexual and reproductive health in Mochudi.
Health Studies
M.A. (Health Studies)
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7

Guta, Janet Naomi. "Infant feeding practices, knowledge, attitudes, and beliefs of mothers with 0-6 month’s babies attending baby friendly accredited health facility and non-baby friendly accredited health facilities in Blantyre, Malawi." Thesis, 2009. http://hdl.handle.net/11394/3218.

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Magister Scientiae (Nutrition Management) - MSc(NM)
The Ministry of Health in Malawi promotes exclusive breastfeeding for the first six months of life and continued breastfeeding with appropriate complementary feeding up to two years or beyond. This policy applies to all children unless there are medical indications. Baby Friendly Hospital Initiative (BFHI) is a strategy that contributes to the attainment of this policy. BFHI is a strategy to increase early and exclusive breast feeding rates among mothers. This study is a pilot to evaluate the success of the BFHI initiative in Malawi.Study design. A cross- sectional cohort study of women and their infants, 0-5 months,attending BFHI and non-BFHI accredited health facilities in Blantyre district of Malawi ] between the period from 28th April to 30th September, 2008 was conducted.Data Collection: An in-depth face-to-face interview using an open-ended structured questionnaire was conducted among 202 mothers of infants within the first week of birth.A convenient sample of 102 mothers was selected from prima gravida mothers at a semiurban BFHI accredited facility while the other 100 were from semi-urban non-BFHI accredited facilities. This sample was used for the descriptive component of the study.From the 202 mothers, 30 from the BFHI and 30 from the non-BFHI Accredited health facility(s) were selected randomly as the sample for the longitudinal cohort of the study at 3 and 5 months respectively.Analysis of results: Data was analyzed using SPSS for Windows. Frequencies were tallied for categorical variables and mean standard deviations were computed for continuous variables. Chi-square p-values with health facility type as classification were computed to determine the difference between BFHI and non-BFHI accredited health facility groups for all relevant variables.Results Exclusive breastfeeding rates differed significantly (p- value, 0.0000) within one week after birth (99% for the BFHI versus 68% for the non-BFHI facilities).Thirty percent of the mothers from the BFHI accredited health facility practiced exclusive breastfeeding up to 5 months as compared to none of the mothers in non-BFHI accredited health facilities.All 202 mothers had ever breast feed in both facilities throughout the 5 months study period.Mothers and mothers-in-law were the significant source of complementing breast milk before 6 months of age,[ 25% more influence of mothers and mothers in-law in the non-BFHI accredited facility when compared to BFHI accredited facility].Conclusion:The BFHI strategy has the potential to successfully influence mothers to adhere to global and national recommendations on optimal breastfeeding practices. Special efforts should be made to continue support of and provide information to new mothers during the first week after delivery and unto few months after birth as mothers seem to introduce complementary foods early and prior to the recommended period of 6 months.
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Chetty, Ravani. "Maternity care in KwaZulu-Natal : towards a grounded theory of adolescent-friendly maternity services." Thesis, 2005. http://hdl.handle.net/10413/2715.

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The issue of adolescent health has steadily grown momentum with people realizing the vulnerability ofthis sector ofthe world's population. Within the South African context, the tide had also turned. However, most initiatives aimed at the prevention of problems, one of which was adolescent pregnancy. Extant literature revealed that despite efforts to reduce adolescent pregnancy, adolescent fertility rate in SubSaharan Africa remained on the rise. As such, the need for appropriate maternity services for this group became a concern, as extant literature also revealed the costly long term effects to pregnant and parenting adolescents, as well as society as a whole. Within KwaZulu-Natal pregnant and parenting adolescents use the same maternity services as their adult counterparts. It was not clear if these services were appropriate to the needs of these clients. As such, a Glaser Grounded Theory approach was used to explore the maternity services from the points of view of the various stakeholder groups. Data was collected, using theoretical sampling, by means of semi-structured interviews and focus group interviews. Constructs of adolescent-friendly maternity care were identified from the findings. The components of the constructs included aspects of (1) Structures and Resources, (2) Attitudes to AMCs, and (3) Services. The resources or structures that either need to exist and/or be improved included policies, the quality and quantity of HCps, formalized support for AMCs, a sensitized administration, community involvement and the educational preparation of HCps. The attitudes that service providers were expected to demonstrate in their interaction with AMCs included those of equality, empathy and respect. They were also expected to show understanding towards AMCs and provide them with reassurance and support. The third component identified specific services to be provided to AMCs during the antenatal, labour and delivery, and postnatal period. These constructs can be used by health care planners and providers to strengthen and improve service provision to and utilization by pregnant and parenting adolescents and form the foundation on which a theory of adolescent-friendly maternity care can be based. Recommendations were made with regards to future service and research endeavours.
Thesis (Ph.D.)-University of KwaZulu-Natal, 2005.
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Lawrence, Estelle. "School-based HIV counselling and testing: providing a youth friendly service." Thesis, 2013. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4377_1380711365.

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HIV counselling and testing (HCT) is an essential element in the response to the HIV epidemic. There are still major gaps in research about the best ways to provide HCT, especially to young people. School-based HCT is a model which has been suggested for providing HCT to young people in a youth friendly manner. This study was aimed at producing recommendations for providing a youth friendly school-based HCT service using the World Health Organisation (WHO) framework for youth friendly health services. It was conducted in six secondary schools in Cape Town, where a mobile HCT service is provided by a nongovernmental organisation (NGO). It was an exploratory descriptive study, using a mixed-methods approach. Twelve focus group discussions (FGDs) were held with learners to explore their needs with regards to school-based HCT. An evaluation (which consisted of observation of the HCT site, service provider interviews and direct observation of the HCT counselling process) was done to determine whether the mobile school-based HCT service was youth friendly. A learner survey was conducted with 529 learners to investigate the factors that influence the uptake of HCT and to explore learners&rsquo
behaviours and experiences under test conditions. In the FGDs, learners said that they wanted HCT to be provided in schools on condition that their fears and expressed needs were taken into account. They wanted their concerns regarding privacy and
confidentiality addressed
they wanted to be provided with information regarding the benefits and procedure of HCT before testing took place
they wanted service providers to be competent to work with young people, and they wanted to be assured that those who tested positive were followed up and supported. On evaluation of the mobile school-based HCT service, it was evident that the service did not meet all the needs of the learners nor did it have all the characteristics of a youth friendly health service. The model of &lsquo
mass testing&rsquo
used by the NGO did not fulfil learners&rsquo
expressed need for privacy with regards to HCT. Service providers were friendly and non-judgemental but had not been trained to work with young people (especially marginalised groups e.g. young men who have sex with men). The information needs of learners were not addressed, and learners were not involved in the provision of the HCT service. Learners who tested positive were not assisted in accessing care and support. The learner survey revealed a high uptake of HCT (71% of learners) at schools with learners who do not identify themselves as Black, with female learners and older learners being more likely to have had an HIV test. Factors that influenced uptake of HCT were complex, with learners reporting many different motivators and barriers to testing. Of concern was the low risk perception of leaners with regards to HIV infection and the fact that learners who tested HIV positive were not being linked up with treatment and care. Based on the findings of the study, recommendations were made for providing youth friendly schoolbased HCT. A multisectoral approach, with learner and community involvement, was suggested in order to provide a service which is equitable, accessible, acceptable, appropriate and effective.

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Baloyi, Gavaza Onica. "The evaluation of the National Adolescent-Friendly Clinic Initiative (NAFCI) programme in greater Tzaneen sub-district, Limpopo Province, South Africa." Diss., 2006. http://hdl.handle.net/10500/1640.

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A case study design was used to evaluate the National Adolescent-Friendly Clinic Initiative (NAFCI) programme in Greater Tzaneen Sub-District of the Limpopo Province, South Africa. An interview guide was used to collect data from adolescents who visited the health centre at Nkowankowa in Limpopo Province and from professional nurses who provided the services at the health centre. Records were also reviewed to check clinic attendance of adolescents for sexually transmitted infections (STIs), voluntary counselling and testing (VCT), teenage pregnancy and contraceptive services. According to the study, even though most adolescents made use of the NAFCI services especially those providing for contraception, pregnancy and STIs, the numbers of adolescents falling pregnant and contracting STIs did not decrease. Findings also indicated that VCT services were still not adequately used as indicated by the numbers in the registers. It is recommended that VCT, STI and pregnancy services be monitored and evaluated on a quarterly basis.
Health Studies
M.A. (Health Studies)
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Books on the topic "Adolescent Friendly Health Facility"

1

Ooms, Theodora. Promoting adolescent health and well-being through school-linked, multi-service, family-friendly programs: Background briefing report and meeting highlights. [Washington, D.C: Family Impact Seminar], 1991.

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Sciences, Montana Dept of Health and Environmental. A review of the need for services provided by the residential treatment facility: A report to the 52nd Legislative Assembly as required by the provisions of House Bill 304. Helena?, Mont.]: The Dept., 1991.

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Meeting the physical therapy needs of children. 2nd ed. Philadelphia: F.A. Davis Co., 2013.

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(WHO), World Health Organization. Making Health Services Adolescent Friendly: Developing National Quality Standards for Adolescent Friendly Health Services. World Health Organization, 2012.

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Namibia. Ministry of Health and Social Services., New Dimensions Consultancy, United Nations Population Fund, and UNICEF, eds. Joint rapid assessment on adolescent friendly health services in selected health districts: Final report. [Windhoek: NEDICO, 2005.

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Meeting the Physical Therapy Needs of Children. F. A. Davis Company, 2005.

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McDonagh, Janet E., and Helena Gleeson. Young people and transitional care in rheumatology. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0002.

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Young people are distinctly different from children and adults and as such require developmentally appropriate, youth-friendly rheumatology services to meet their medical and psychosocial needs. Adolescent development continues into the third decade of life and both influences and is affected by, health and illness (including rheumatic disease) during this time. Effective transitional care in rheumatology is underpinned by the core principles of adolescent medicine, self-management of long-term conditions, and a youth-friendly rheumatology service including staff trained in adolescent health.
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McDonagh, Janet E., and Helena Gleeson. Young people and transitional care in rheumatology. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642489.003.0002_update_003.

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Young people are distinctly different from children and adults and as such require developmentally appropriate, youth-friendly rheumatology services to meet their medical and psychosocial needs. Adolescent development continues into the third decade of life and both influences and is affected by, health and illness (including rheumatic disease) during this time. Effective transitional care in rheumatology is underpinned by the core principles of adolescent medicine, self-management of long-term conditions, and a youth-friendly rheumatology service including staff trained in adolescent health.
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McDonagh, Janet E., and Helena Gleeson. Young people and transitional care in rheumatology. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199642489.003.0002_update_004.

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Young people are distinctly different from children and adults and as such require developmentally appropriate, youth-friendly rheumatology services to meet their medical and psychosocial needs. Adolescent development continues into the third decade of life and both influences and is affected by, health and illness (including rheumatic disease) during this time. Effective transitional care in rheumatology is underpinned by the core principles of adolescent medicine, self-management of long-term conditions, and a youth-friendly rheumatology service including staff trained in adolescent health.
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Pettifor, Audrey, and Hamsa Subramaniam. HIV Prevention Among Adolescents. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190847128.003.0019.

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This chapter examines the latest information on HIV prevention among adolescents globally. An estimated 5.4 million young people aged 15–24 are living with HIV, accounting for 15% of the total burden of persons living with HIV worldwide. Adolescent girls and young women aged 15–24 years are at particularly high risk of HIV infection. This chapter reviews the latest evidence on HIV prevention interventions, including behavioral interventions; school-based sexuality education; adolescent-friendly health services; HIV testing, including the latest testing modalities; voluntary medical male circumcision; and antiretroviral therapy for prevention. Major challenges and success factors of successful prevention programs to date are reviewed. Also reviewed are key gaps in knowledge regarding HIV prevention and areas for improved prevention among adolescents.
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Book chapters on the topic "Adolescent Friendly Health Facility"

1

Sawyer, Susan M., and George C. Patton. "Platforms for Delivery of Adolescent-Friendly Health Care." In Health and Nutrition in Adolescents and Young Women: Preparing for the Next Generation, 71–85. Basel: S. KARGER AG, 2014. http://dx.doi.org/10.1159/000366142.

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Wienke, Chris, Rachel B. Whaley, and Rick Braatz. "Are “Gay” and “Queer-Friendly” Neighborhoods Healthy? Assessing How Areas with High Densities of Same-Sex Couples Impact the Mental Health of Sexual Minority and Majority Young Adults." In The Life and Afterlife of Gay Neighborhoods, 181–200. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-66073-4_8.

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AbstractNeighborhoods with large concentrations of gay men, lesbians, and other sexual minorities have long served as places where sexual minority young adults find self-enhancing resources. Yet, it is unclear whether such neighborhood environments also confer health benefits. Using data from the National Longitudinal Study of Adolescent Health, we explored the relationship between the proportion of same-sex couples in neighborhoods and the mental health of sexual minority and majority young adults, controlling for other neighborhood- and individual-level factors. Results indicate that for sexual minorities, neighborhoods with higher percentages of same-sex couples are associated with lower levels of depression symptoms and higher levels of self-esteem. Conversely, for heterosexuals, there are no differences in health outcomes across neighborhood contexts. Taken together, the findings highlight the importance of striving for neighborhood-level understandings of sexual minority young adults and their mental health problems.
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Olyai, Roza. "Adolescent Friendly Health Centers." In Recent Advances in Adolescent Health, 277. Jaypee Brothers Medical Publishers (P) Ltd., 2011. http://dx.doi.org/10.5005/jp/books/11303_32.

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Biniwale, Parag. "Setting up Adolescent Friendly Health Clinics." In Gynecological Manual on Adolescent Girls and Young Women, 375. Jaypee Brothers Medical Publishers (P) Ltd., 2009. http://dx.doi.org/10.5005/jp/books/11090_48.

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McDonagh, Janet E., and Helena Gleeson. "Young people and developmentally appropriate transitional care in rheumatology." In Oxford Textbook of Rheumatology, 11–21. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0002_update_005.

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Young people are distinctly different from children and adults and as such require developmentally appropriate, youth-friendly rheumatology services to meet their medical and psychosocial needs. Adolescent development continues into the third decade of life and both influences and is affected by, health and illness (including) during this time. Effective transitional care in rheumatology is underpinned by the core principles of adolescent medicine, self-management of long-term conditions, and a developmentally appropriate, youth-friendly rheumatology service including staff trained in adolescent and young adult (AYA) health.
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Kalina, Jan, and Jana Zvárová. "Decision Support Systems in the Process of Improving Patient Safety." In E-Health Technologies and Improving Patient Safety: Exploring Organizational Factors, 71–83. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-2657-7.ch005.

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The chapter presents decision support systems in medicine, their basic principles, and structure. From the point of view of patient safety, the decision support systems can bring new unexpected sources of errors, which must be anticipated at the design, implementation, and validation stages. Nevertheless, a safe and easy-to-use system can greatly improve the quality of determining the diagnosis, prognosis, and therapy in healthcare. The authors of this chapter concentrate on the contribution of decision support systems to patient safety and on their potential to future contributions. A decision support system requires a user-friendly interface with the electronic health record and information system within the healthcare facility. The authors also present two examples of decision support systems from the genetics research.
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Cinto, Tiago. "Towards an Inclusive Walk-in Customer Service Facility." In Handbook of Research on Human-Computer Interfaces, Developments, and Applications, 525–44. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-5225-0435-1.ch021.

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It is estimated that 15% of the world's population has some sort of physical or sensory disability, according to the World Health Organization (2011). In an era marked by the rising of new technological devices, the inclusion of this public in digital environments still faces many obstacles, what frequently lets it out of this informational society. In this sense, Companhia Energética de Minas Gerais – CEMIG, one of the biggest Brazilian electrical energy utility company, has started to design and deploy a high-tech, user-friendly, inclusive customer service facility aimed at rendering a wide range of services by means of several gadgets such as self-service kiosks, tablets, and interactive panels and tables to help address the digital divide. For doing so, the applications to be developed and run on those devices need to be carefully studied and previously tested in order to meet the needs and expectations of the target audience. This paper describes the process of designing these innovative solutions to meet the demands of this new service channel.
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Cheong-Clinch, Carmen. "My iPod, YouTube, and our playlists: Connections made in and beyond therapy." In Handbook of Music, Adolescents, and Wellbeing, 225–36. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198808992.003.0021.

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This chapter will outline young people’s music listening engagement, particularly those who have mental illness, who are often seen to be isolated and disengaged from school and everyday life. Their engagement with preferred music in music therapy during a stay in an acute adolescent mental health facility provides a rationale for the development of a music-based e-platform in a multimedia youth health portal. Technological advances and current trends in online engagement influence the ways young people engage with each other and mental health promotion. These will be discussed to highlight the importance of connecting in meaningful and relevant ways beyond therapy to improve youth mental health literacy and promote pathways to help-seeking and adolescent wellbeing.
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Conference papers on the topic "Adolescent Friendly Health Facility"

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Ariwinanti, Desi, Nurnaningsih Herya Ulfah, Febrita Paulina Heynoek, and Radita Alma Lucky. "The Knowledge of HIV Prevention and Sexual Reproductive Health among Papua Adolescent in a Health Promotion Counselling Using Friendly Module and Games." In Proceedings of the 2nd International Conference on Sports Sciences and Health 2018 (2nd ICSSH 2018). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/icssh-18.2019.11.

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Reports on the topic "Adolescent Friendly Health Facility"

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Santhya, K. G., Ravi Prakash, Shireen Jejeebhoy, and Santosh Singh. Accessing adolescent friendly health clinics in India: The perspectives of adolescents and youth. Population Council, 2014. http://dx.doi.org/10.31899/pgy10.1014.

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Ainul, Sigma, Iqbal Ehsan, Tasmiah Tanjeen, and Laura Reichenbach. Adolescent Friendly Health Corners (AFHCs) in selected government health facilities in Bangladesh: An early qualitative assessment. Population Council, 2017. http://dx.doi.org/10.31899/rh7.1002.

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Jain, Aparna, Hussein Ismail, Elizabeth Tobey, and Annabel Erulkar. Understanding adolescent and youth sexual and reproductive health-seeking behaviors in Ethiopia: Implications for youth friendly service programming. Population Council, 2017. http://dx.doi.org/10.31899/rh7.1054.

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Curriculum on adolescent-friendly health services and health voucher mechanisms: Facilitator's training manual. Population Council, 2015. http://dx.doi.org/10.31899/pgy9.1039.

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