Journal articles: 'Adolescent friendly health services'

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Richter, Magdalena S., and Vivian Mfolo. "The Perception of South African Adolescents Regarding Primary Health Care Services." Scientific World JOURNAL 6 (2006): 737–44. http://dx.doi.org/10.1100/tsw.2006.161.

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Most of the South African public health facilities fail to provide adolescent-friendly health services. A quantitative, descriptive research study was conducted at Stinkwater, a rural area in Hammanskraal, South Africa. The objective of the study was to describe the adolescent's preferences regarding primary health care services. A survey was conducted among 119 adolescents. It was found that adolescents wished to be involved in the planning of the activities of the adolescent health service, and that friendliness and respect for adolescents were seen as desirable characteristics of an adolescent-friendly health care service. Adolescents preferred services to be available throughout the week and to be located at the school, youth center, community center, hospital, or clinic. Health education was indicated as a priority and the health care team should include different members of a multidisciplinary team. Adolescents preferred that their health services be separated from adult services and that a male nurse be employed in the adolescent service in order to create a less feminine image. It was also recommended that all adolescents be educated about the types of services available. Understanding health care service preferences of adolescents is needed in order to deliver optimal health care to this group.

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Bhatta, Bharat Raj, Junko Kiriya, Akira Shibanuma, and Masamine Jimba. "Parent–adolescent communication on sexual and reproductive health and the utilization of adolescent-friendly health services in Kailali, Nepal." PLOS ONE 16, no. 2 (February 19, 2021): e0246917. http://dx.doi.org/10.1371/journal.pone.0246917.

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Background Adolescents are vulnerable to various sexual and reproductive health (SRH) problems such as unintended pregnancy, HIV or other sexually transmitted infections (STIs), and unsafe abortion. Adolescent-friendly health services offer SRH services such as SRH counseling, contraceptive services, STI and HIV services, and abortion-related services, which may help prevent these risks. Parent–adolescent communication about SRH prevents adolescents from adopting unhealthy SRH practices. However, its association with the utilization of SRH services is less known. Therefore, this study examined the association between parent–adolescent communication on SRH issues and the utilization of adolescent-friendly health services in Nepal. Methods This was a school-based, cross-sectional study conducted in Kailali district, Nepal, among students aged 15–19 years in Grade 11 and 12 from seven schools. We used multivariable logistic regression analysis to examine the association between parent–adolescent communication and service utilization. Results We analyzed the data from 594 students. Students with a higher score of parent–adolescent communication on SRH were significantly more likely to use adolescent-friendly health services (adjusted odds ratio, AOR: 1.70, 95% Confidence Interval, CI: 1.29–2.23, p<0.001). Those who reported having engaged in sexual intercourse in the past year were more likely to use services than those who did not (AOR: 29.11, 95% CI: 13.65–62.08, p<0.001). Those who belonged to the Janajati ethnic group were more likely to use these services than those from the Brahmin/Chhetri ethnic group (AOR: 2.86, 95% CI: 1.28–6.42, p = 0.01). Those living alone were less likely to use services than those living with both parents (AOR: 0.12, 95% CI: 0.02–0.66, p = 0.01). Conclusion Students with a higher score on parent–adolescent communication on SRH were more likely to use adolescent-friendly health services. Thus, parental involvement in SRH communication could contribute to the use of adolescent-friendly health services and ultimately prevent negative SRH outcomes among students in late adolescence.

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Giri, Niraj, Shushila Shrestha, Srijana Uprety, and Raj Kumar Sangroula. "Utilization of adolescent friendly health services and its associated factors in Dang district of Nepal." International Journal Of Community Medicine And Public Health 7, no. 8 (July 24, 2020): 2931. http://dx.doi.org/10.18203/2394-6040.ijcmph20203365.

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Background: Adolescence is a period of transition from childhood to adulthood. It is very crucial for adolescents to use the adolescent friendly health services in order to meet sexual and reproductive health needs. This study aimed to assess the factors associated with utilization of adolescent friendly health services in Dang district of Nepal.Methods: A community based analytical cross-sectional study was conducted in Dang district of Nepal. Five adolescent friendly health facilities were randomly selected and proportionate sampling was done to fulfill the required sample size. The adolescents were selected conveniently from the areas. Verbal informed consent was taken from the participants and their parents in case of age below 16 years. Approval was taken from Institutional Review Committee of Chitwan Medical College. Bivariate analysis was performed to detect the factors associated with utilization of adolescent friendly health services.Results: Nearly half (48.7%) of the adolescents had utilized adolescent friendly health services. Different socio-demographic factors like age of the participants, current educational status, mother’s education, ethnicity was significantly associated with utilization of adolescent friendly health services. Other factors like awareness about were services, convenient opening days and hour of health facilities and shyness to utilize the services were significantly associated with the utilization of the services.Conclusions: The utilization of the adolescent friendly services was found to be low among the adolescents of Dang district. In order to increase awareness among the adolescent regarding utilization of the services, there is need of coordination between schools, health institutions, communities etc. to conduct various awareness related program.

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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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Berg-Kelly, K. "Adolescent-friendly services." Acta Paediatrica 92, no. 11 (January 2, 2007): 1241–42. http://dx.doi.org/10.1111/j.1651-2227.2003.tb00490.x.

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Secor-Turner, Molly A., Brandy A. Randall, Alison L. Brennan, Melinda K. Anderson, and Dean A. Gross. "Rural Adolescents' Access to Adolescent Friendly Health Services." Journal of Pediatric Health Care 28, no. 6 (November 2014): 534–40. http://dx.doi.org/10.1016/j.pedhc.2014.05.004.

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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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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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Awang, Hafizuddin, Azriani Ab Rahman, Surianti Sukeri, Noran Hashim, and Nik Rubiah Nik Abdul Rashid. "Making Health Services Adolescent-Friendly in Northeastern Peninsular Malaysia: A Mixed-Methods Study." International Journal of Environmental Research and Public Health 17, no. 4 (February 19, 2020): 1341. http://dx.doi.org/10.3390/ijerph17041341.

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A mixed-methods study was conducted in a Malaysian state beginning with a cross-sectional quantitative study to determine the relationship between clinic characteristics and clinic score of adolescent-friendliness. Subsequently, perceptions of healthcare providers on the facilitating factors for the provision of adolescent-friendly health services were explored qualitatively to support the quantitative findings. Availability of trained healthcare providers, adequate privacy, dedicated adolescent health services team, and adolescent health promotional activities were the clinic characteristics that significantly (p < 0.05) related with clinics’ scores of adolescent-friendliness. The facilitating factors required for adolescent-friendly health services were (1) healthcare providers’ commitment and prioritization towards adolescent-friendly health services; (2) organizational supports; (3) appropriate clinic settings; and (4) external supports for adolescent health promotional activities. The qualitative findings reaffirmed those of the quantitative study on the significant clinic characteristics required for adolescent-friendly health services. This study provides valuable insight for the Ministry of Health to elicit the required facilitating factors to further improve the quality of adolescent health services in Malaysia.

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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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Secor-Turner, Molly A., Brandy A. Randall, Alison Brennan, Melinda Anderson, and Dean Gross. "162. How Adolescent-Friendly Are Rural Health Services?" Journal of Adolescent Health 52, no. 2 (February 2013): S98—S99. http://dx.doi.org/10.1016/j.jadohealth.2012.10.232.

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De, Arun Kumar, Souvik Mitra, Kollol Das, Sebanti Goswami, and Sukanta Chatterjee. "Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study." Asian Journal of Medical Sciences 2, no. 1 (May 14, 2011): 23–27. http://dx.doi.org/10.3126/ajms.v2i1.3537.

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Objective: Adolescent Reproductive and Sexual Health Issue is an important component of Youth Friendly Health Services. The objective of this study to compare the impact of sensitization on adolescent reproductive and sexual health issues of adolescent clients between clinic and school setting using the youth-friendly principles. Material & Methods: An urban–based prospective longitudinal study, conducted at adolescent health clinic and schools. The participants are adolescents in the age group of 14-18 years (both boys and girls). Intervention: Youth-friendly sensitization. Main outcome measures: Change in the knowledge on different ARSH issues among adolescent clients in both clinics and schools. Results: Statistically significant improvement (p values< 0.05) in knowledge on various aspects of ARSH issues among adolescent clients in both clinic and school setting. Conclusion: Youth-friendly sensitization makes positive change in the knowledge of adolescents on ARSH issues in both clinics and schools. Key Words: Adolescent; ARSH (adolescent reproductive and sexual health); Condom; Menstruation; Sensitization DOI: 10.3126/ajms.v2i1.3537 Asian Journal of Medical Sciences 2 (2011) 23-27

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Lim, Sylvia W., Rosy Chhabra, Ayelet Rosen, Andrew D. Racine, and Elizabeth M. Alderman. "Adolescents’ Views on Barriers to Health Care." Journal of Primary Care & Community Health 3, no. 2 (November 30, 2011): 99–103. http://dx.doi.org/10.1177/2150131911422533.

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Objectives: To determine from adolescents using health care their: 1) perceptions of barriers to obtaining health services, 2) views on how to overcome the barriers and 3) views on how to create an adolescent-friendly primary care practice. Design: Six focus group interviews. Methods: Adolescents 11-21 years old from three health centers in the Bronx were recruited. Main Outcome Measures: 1) barriers to accessing health care such as insurance, language barriers, transportation, making an appointment; 2) identifying barriers related to issues of consent and confidentiality; 3) exploring barriers to accessing mental health and related issues; and 4) their visions of an adolescent-friendly office. Results: Thirty-one adolescents, aged 11-21 years old, participated. The majority were Hispanic and 52% were female. Fifty percent of adolescents had a routine visit within the past month. Most adolescents reported experiencing barriers to making an appointment. Additionally, they complained about long waiting times to be seen by providers on the day of their scheduled appointment. Another key barrier was related to knowledge and perceptions about consent and confidentiality. Further, in regard to mental health, many adolescents from focus groups reported that they felt that their primary providers had little interest in this topic and limited knowledge about it. Most of the adolescents reported no barriers with insurance, language or transportation. Their visions of an adolescent-friendly office would include a separate adolescent waiting area equipped with entertainment units. Conclusion: In this study of adolescents who already have primary care providers and are seemingly well-connected to the health care system, there remained significant reported barriers to accessing necessary health services.

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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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Ramasubramaniam, Shanthi, and Dr Subhadra Iyengar. "Health promoting behaviour among Adolescents attending Adolescent friendly services at school campus." IOSR Journal of Nursing and Health Science 3, no. 2 (2014): 58–62. http://dx.doi.org/10.9790/1959-03215862.

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Muyenga, M., K. Amakali, and W. Wilkinson. "An Assessment of Utilization of the Adolescent Friendly Health Services by the respective clients in Otjozondjupa Region of Namibia." Global Journal of Health Science 10, no. 2 (December 28, 2017): 82. http://dx.doi.org/10.5539/gjhs.v10n2p82.

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Adolescents experience development related challenges more so related to the reproductive health. If they are not guided during this transitional stage, they may reap detrimental results including teenage pregnancy. Despite the existence of the national standards for Adolescent Friendly Health Services (AFHS) for the prevention of among others, teenage pregnancy, adolescent pregnancy continues to rise across the regions of Namibia.This article presents quantitative, descriptive findings of a cross-sectional study regarding the utilization of the Adolescent Active Participation component of the Adolescent Friendly Health Services standards by adolescent girls in Otjozondjupa region of Namibia.Quantitative data were collected (through structured questionnaire) from a sample of 540 (out of 4995 study population) school-going teenage girls as the potential users of the AFHS in Otjozondjupa Region.The findings indicated that, although the standards for the implementation of AFHS exist, adolescent girls do not utilize the services as demonstrated by high percentage (96%) of lack of awareness of the existence of the AFHS among the study participants, low (33%) use of condom among the sexually active study participants, non-participation (92%) of adolescent girls in health care committees as well as lack of participation (91%). in development and distributions of the Information Education Communication materials (IEC) Therefore, the study recommended the strategies which may accelerate active participations of the adolescents in the implementation of the AFHS standards, particularly in Otjozondjupa region and Namibia at large.

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Bali, Surya. "A Study of Quality and Proficiency of the Service Providers in Delivering the Adolescent and Youth Friendly Services under the Rashtriya Kishor Swasthya Karyakram Programme in Madhya Pradesh." Indian Journal of Youth & Adolescent Health 07, no. 03 (February 3, 2021): 1–9. http://dx.doi.org/10.24321/2349.2880.202011.

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Despite existing frameworks for the improvement of adolescent reproductive health, there is a lack in provision of the Adolescent Friendly Health Services (AFHS). The primary objective of this study was to assess the quality and proficiency of service providers to deliver Adolescent Friendly Health Services (AFHS) in central India. Data was gathered by visiting 30 secondary and tertiary level health facilities to assess their infrastructure and preparedness for providing AFHS using a pre-designed questionnaire based on WHO guidelines for assessing quality. Descriptive analysis was done using SPSS v21 and Microsoft Excel. Quality of AFHS services was found to be poor in non- RKSK facilities. However the knowledge level, training status and counseling skills of the service provider was found to be highly substandard in both RKSK and Non-RKSK facilities. The RKSK program has not been properly implemented and has failed to make an impact where it was required.

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Kaushik, Anjali. "Respectful Adolescent Care: A Right of Every Adolescent." Indian Journal of Youth & Adolescent Health 07, no. 03 (February 3, 2021): 16–19. http://dx.doi.org/10.24321/2349.2880.202013.

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Adolescence is a crucial period in the life of every individual. The significance of adolescence and young adulthood is highlighted in relation to the crucial developmental process of preparing and transitioning to adulthood. During this period, the important developmental milestones are reached, and the young person develops a greater understanding about who they are and form their self-identity as per the Erikson. Adolescents become more independent and autonomous during this time. Adolescence is marked by changes that are not only physical but also psychological, social and emotional. Sometimes due to lack of proper knowledge and guidance, they end up having health related issues like teen pregnancy, STDs and other mental health issues like breakups etc. To tackle all these issues the health professionals should be sensitive and non-judgmental and should provide unbiased care. Adolescents have their own experiences and point of view that should be respected and taken into account. It is important to trust adolescents and their sense of responsibility. Adolescents are often reluctant to visit health facilities. It is therefore important to reach out to them by providing adolescent friendly services. It is their right also to have access to health care whenever they need it. It is essential to have trained and sensitive staff in these health centers so that young people access services in these centers in a confidential and non-judgmental manner.

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Munasinghe, Sujeevani, and Nynke van den Broek. "Abortions in adolescents." Tropical Doctor 35, no. 3 (July 1, 2005): 133–36. http://dx.doi.org/10.1258/0049475054620752.

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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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Subedi, Ranjeeta, Israt Jahan, and Pam Baatsen. "Factors Influencing Modern Contraceptive Use among Adolescents in Nepal." Journal of Nepal Health Research Council 16, no. 3 (October 30, 2018): 251–56. http://dx.doi.org/10.33314/jnhrc.v16i3.1258.

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In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use.Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information.A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed. Keywords: Adolescent; barriers; contraceptive; Nepal; SRHR.

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Galagali, Preeti M., and Merrian J. Brooks. "Psychological care in low-resource settings for adolescents." Clinical Child Psychology and Psychiatry 25, no. 3 (June 20, 2020): 698–711. http://dx.doi.org/10.1177/1359104520929741.

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Adolescents living in low-resource settings lack access to adequate psychological care. The barriers to mental health care in low- and middle-income countries (LMIC) include high disease burden, low allocation of resources, lack of national mental health policy and child and adolescent mental health (CAMH) professionals and services, poverty, illiteracy and poor availability of adolescent friendly health services. WHO has recommended a stepped task shifting approach to mental health care in LMIC. Training of non-mental health specialists like peers, teachers, community health workers, paediatricians and primary care physicians by CAMH and framing country-specific evidence-based national mental health policies are vital in overcoming barriers to psychological care in LMIC. Digital technology and telemedicine can be used in providing economical and accessible mental health care services to adolescents.

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Arifah, Izzatul, Lenni Ayu Kusumawardani, Dwi Hendriyaningsih, Mukti Aji Wibisono, and Estu Puji Lestari. "THE DETERMINANTS OF ACCESS TO ADOLESCENT- FRIENDLY HEALTH SERVICE: A CASE CONTROL STUDY." Jurnal Administrasi Kesehatan Indonesia 8, no. 2 (September 21, 2020): 164. http://dx.doi.org/10.20473/jaki.v8i2.2020.164-174.

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Background: Adolescents need to access Adolescent-Friendly Health Service (AFHS) to get it’s benefit in order to improve adolescent health. However, the current adolescent access to that service remains low with the access prevalence under 50%).Aim: This study determined factors that affected adolescents’ access to AFHS.Methods: This school-based case control study was conducted in 9 junior and senior high schools in the area of Sangkrah and Kratonan in Surakarta District. There were 162 cases (who accessed the AFHS by guidance from health professionals and peer educators) and 162 controls (those who did not) who were chosen using total sampling and proportionate random sampling technique, respectively. A multiple logistic regression analysis was used to assess the determinant factors of AFHS access.Results: Access to AFHS was significantly determined by knowledge of the program and perceived demand. A probability of finding adolescents who had knowledge of the program was 6 times higher in the case group than in control group with the OR value of 6.1 (95% CI 3.3-11.1).Conclusion: Overall, the low adolescents’ access was mostly caused because of insufficient knowledge. Broadening information about the program and adolescents’ access to the program through electronic media and peer educators is required. Keywords: access, adolescent, Adolescent-Friendly Health service, AFHS.

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Ara Nasreen, Shaikh Zinnat, Sabereen Huq, Saleheen Huq, and Safinaz Shahreen. "Adolescent Contraceptives." International Journal of Innovative Research in Medical Science 6, no. 08 (August 2, 2021): 470–73. http://dx.doi.org/10.23958/ijirms/vol06-i08/1129.

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Adolescents contraceptive need to be the top most priority in the national policy to prevent the adolescent pregnancies and it’s adverse consequences. All the countries of the world should have their own national strategy liaison with global consensus regarding the Adolescent contraceptives. Global challenge is to tackle the adolescents Pregnancy. Contraceptives use is the answer. So adolescents should be the centrals to everything we want to achieve, and to the overall success of the 2030 SDG Agenda. Without Contraceptive “SDG achievement” is not possible. About 21 million 15-19 year old girls in developing countries become pregnant every year. Half of these pregnancies (49%) are unintended. If we are successful to implement contraceptives among the youngsters, adolescent’s pregnancy complications can be eliminated. But again this needs strong political motivation and hard work of health care providers. Health care team should design and deliver a Confidential, personalized, adolescent’s friendly service taking into account adolescent's psychosocial & sexual needs. Almost all methods of contraceptives are suitable for adolescents except few. After taking a comprehensive medical history & assessing risk factors counselling should be done for risks & benefits. Good & sensible communication with women, their husband or partner is important. It remains a critical aspect in empowering adolescents to make informed choices and only then adolescents will use contraceptives wholeheartedly.

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Vithana, P. V. S. C., C. J. Jayasundara, A. N. J. Barnasuriya, H. M. I. Handagiripathira, B. M. N. D. Batugedara, and A. Basnayaka. "Adolescents' Perspective on Need of E-Health and M-Health Interventions for Establishing Healthy Lifestyles in Sri Lanka." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 16s. http://dx.doi.org/10.1200/jgo.18.41400.

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Background: Adolescents accounts for 16% of Sri Lankan population of 20.4 million. Unhealthy lifestyles such as physical inactivity, unhealthy dietary habits, tobacco consumption, alcohol and other substance use are known risk factors for cancer and other noncommunicable diseases. Aim: Study assessed adolescents’ perception of the need, acceptability and suggestions on establishing healthy lifestyles among adolescents through e health and m health interventions using web-based platforms in Sri Lanka. Methods: Qualitative assessment using four focus group discussions (FGDs) among youth trainees of 15-19 years in Western Province of Sri Lanka in 2015. FGD guide was developed. Two facilitators conducted the discussions. Each focus group consisted of 9-10 trainees. Informed verbal-consent was obtained prior to the discussions. Privacy and confidentiality were ensured. Meetings were audio-recorded, transcribed and analyzed by identifying themes and categories using constant comparison. Results: All the trainees had a firm realization on the need of e health interventions including m health and Web-based platforms on adolescent health. FGDs revealed inadequacy skills and motivation on having healthy lifestyles among adolescents, lack of e sources with accurate information on healthy lifestyle and disease prevention in local languages and lack of awareness and motivation on available options for health promotion among adolescents. Suggested interventions were having adolescent health Website for promotion of healthy lifestyles in local languages, having interactive component incorporated into it, having computer games enabling healthy lifestyles, toll free hot lines and tele-medicine, raising awareness through social media and introduction of mobile apps on physical activity, healthy dietary habits and how to say no for tobacco, alcohol and other substances. They further highlighted to need of having mobile apps and Web based interventions for supporting cessations of tobacco, alcohol and other substances. They wanted to have free SMS and MMS services reminding them on healthy lifestyles, risk of cancer and other noncommunicable diseases due to unhealthy lifestyles and available services and facilities for having healthy lifestyles. Need of advertising about all available services for adolescents including e and m health interventions through targeting adolescents and youth in social media was pointed out. Need of adolescents participation in the whole process was highlighted. Conclusion: All the trainees perceived the need of having m health and e health interventions for establishing healthy lifestyles. Suggested interventions were: m health and e health interventions in adolescent friendly manner in all three languages, raising awareness on m and e health interventions, advertising on service availability, having hotlines and mobile apps and improving the quality of available services.

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Nath, Anita, and Suneela Garg. "Adolescent friendly health services in India: A need of the hour." Indian Journal of Medical Sciences 62, no. 11 (2008): 465. http://dx.doi.org/10.4103/0019-5359.48461.

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Subedi, Ranjeeta, Israt Jahan, and Pam Baatsen. "Factors Influencing Modern Contraceptive Use among Adolescents in Nepal." Journal of Nepal Health Research Council 16, no. 3 (November 2, 2018): 251–56. http://dx.doi.org/10.3126/jnhrc.v16i3.21419.

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In Nepal, contraceptive use among married adolescents is low and has remained nearly stagnant since 2006, while little information is available about contraceptive use among unmarried adolescents. Nepal is committed to improve sexual and reproductive health rights among all the adolescents. Promoting modern contraceptive use especially among married adolescents is one of the key approaches in practice, to prevent HIV or sexual transmitted infections, avoid unintended pregnancy and sub-sequent unsafe abortion. In spite of these efforts, modern contraceptive use among married adolescents is not increasing. In this study, we aimed to review the prevalence and trends as well as factors influencing modern contraceptive use among both married and unmarried adolescents in Nepal. A review of existing published and unpublished articles, documents, and reports were conducted. An adapted and modified socio-ecological model was used to explore the factors influencing contraceptive use. Contraceptive use is persistently low among adolescents. Various interrelated factors like socio-cultural norms and traditions, lack of comprehensive knowledge on contraceptive methods among adolescents, inadequate adolescent friendly Services and health workers not having the competencies to work with adolescents, are the major influential factors that limit adolescents to seek and use contraceptive services and information. A multilevel approach is required to address the interrelated factors and to create an enabling environment in which adolescent are fully informed and equipped to make use of contraceptives and related services. For this to happen, Government and NGOs working on sexual and reproductive health rights have to work towards translating the existing policies into practice. Involving adolescents, their families and communities; equipping teachers to provide comprehensive sex education within school and sex education programme for out of school and enhancing the competencies of health workers to provide adolescent friendly services – all in line with the written policy - is urgently needed.

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Muyenga, Marry, Kristofina Amakali, and Wilma Wilkinson. "Deliverance of the Adolescent Friendly Health Service Standards by Nurses in Otjozondjupa Region of Namibia." Global Journal of Health Science 9, no. 9 (August 27, 2017): 51. http://dx.doi.org/10.5539/gjhs.v9n10p51.

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Despite the implementation of the national standards for Adolescent Friendly Health Services (AFHS) towards the prevention among others teenage pregnancy the, problem continues to rise across the regions of Namibia. This article presents the findings of a quantitative, cross-sectional, descriptive, analytical study regarding the implementation of the components on Adolescent Friendly Health Care Providers and the Adolescent Friendly Environment of the Adolescent Friendly Health Services standards by nurses in Otjozondjupa Region of Namibia.Quantitative data were collected from 12 registered nurse midwives and 23 enrolled nurse-midwives who implement the AFHS at the health care facilities (through structured self-interview questionnaire) and 18 health care facilities that implement the AFHS in Otjozondjupa Region (through checklist) for triangulation of the data. The data were analysed using the SPSS Version 16 data base. Descriptive and inferential statistics were performed on selected variables to determine the relationship of variables.The findings indicated that only 30% of the registered nurse-midwives compared to 75% of the enrolled nurses who implement the AFHS were formally trained in adolescent reproductive and sexual health issues. The findings further indicated that although 75% and 87% of the respective categories of nurse respondents indicated that they conduct school outreach activities, the initiative seems not being implemented effectively as can be inferred from only 14% of the registered nurse who indicated that they do conduct health education at schools. In the same vein, 90% of the health facilities had no spaces that were designated for the adolescent health services. Therefore, the recommendations were made in respect of the implementation of these two components of the AFHS standards at the health care facilities in the region.

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Maimaznah, Maimaznah, and Iin Indrawati. "PENINGKATAN KESEHATAN PADA REMAJA TENTANG REPRODUKSI SEHAT MENUJU GENERASI HEBAT." Jurnal Abdimas Kesehatan (JAK) 1, no. 1 (January 26, 2019): 40. http://dx.doi.org/10.36565/jak.v1i1.17.

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Teenagers generally face problems about sexuality and reproductive health due to limited information and advocacy, no access to friendly services to adolescents, limited institutions in the government that handle adolescents in particular, there is no law that accommodates adolescent rights, and there is no health curriculum reproduction in adolescents. The results of the survey in Karang Kota Village found that there were still many adolescents who did not know about reproductive health, there were incidents of teenagers becoming pregnant outside of marriage and getting married at a young age (˂20 years). The target and outcome of this community service activity are adolescents who obtain appropriate information about reproductive health and understand and can carry out in their daily lives to improve adolescent health, especially reproductive health. The stages carried out in this activity include: 1). conduct a survey to the location (Kota Karang Village, Kumpeh Ulu District), 2). looking for information about adolescent health in Kota Karang Village, Kec. Kumpeh Ulu, 3). do health promotion in Kota Karang Village, Kec. Kumpeh Ulu, and 4). conduct an evaluation of the promotion carried out. Teenagers get the right information about reproductive health and understand and can carry out in daily life to improve adolescent health, especially reproductive health.

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Areemit, Rosawan, and Boonying Manaboriboon. "Adolescent health in Asia: insights from Thailand." International Journal of Adolescent Medicine and Health 28, no. 3 (August 1, 2016): 315–19. http://dx.doi.org/10.1515/ijamh-2016-5016.

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Abstract Background: Adolescence in an age of opportunity in Thailand. The main health issues of this age group are related to pregnancy, injuries and poisoning, all which should be preventable. Objective and methods: This article presents the experiences of Thai physicians, who received adolescent medicine fellowship training in North America and brought their experience, knowledge, skills, and adolescent health care principles and practice back to Thailand. The anticipations and the facts faced in everyday practice, training, research, and collaboration in a place with their own culture and societal norms are described. Results: Currently, there are six adolescent medicine specialists who work with experienced specialist in the subcommittee of adolescent health under the Royal College of Pediatricians of Thailand. There has been collaboration with both the public sector and health care sector, government and non-government organizations with regards to health care service and promotion. Many hospitals especially residency training institutes have increased the cut-off age of patients to be seen by pediatricians to 15 or 18 years of age. Since 2011, adolescent medicine was made one of the mandatory rotations in all pediatric resident training programs. Conclusion: There is still more work to be done – issues around policies for confidentiality and a lower age of consent, collaboration between other specialties to enable a large-scale youth-friendly one-stop services, and multicenter research opportunities are still awaiting.

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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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Karman, Elizabeth, Kate S. Wilson, Cyrus Mugo, Jennifer A. Slyker, Brandon L. Guthrie, David Bukusi, Irene Inwani, Grace C. John-Stewart, Dalton Wamalwa, and Pamela K. Kohler. "Training Exposure and Self-Rated Competence among HIV Care Providers Working with Adolescents in Kenya." Journal of the International Association of Providers of AIDS Care (JIAPAC) 19 (January 1, 2020): 232595822093526. http://dx.doi.org/10.1177/2325958220935264.

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Lack of health care worker (HCW) training is a barrier to implementing youth-friendly services. We examined training coverage and self-reported competence, defined as knowledge, abilities, and attitudes, of HCWs caring for adolescents living with HIV (ALWH) in Kenya. Surveys were conducted with 24 managers and 142 HCWs. Competence measures were guided by expert input and Kalamazoo II Consensus items. Health care workers had a median of 3 (interquartile range [IQR]: 1-6) years of experience working with ALWH, and 40.1% reported exposure to any ALWH training. Median overall competence was 78.1% (IQR: 68.8-84.4). In multivariable linear regression analyses, more years caring for ALWH and any prior training in adolescent HIV care were associated with significantly higher self-rated competence. Training coverage for adolescent HIV care remains suboptimal. Targeting HCWs with less work experience and training exposure may be a useful and efficient approach to improve quality of youth-friendly HIV services.

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Sogarwal, Ruchi, Sunil Mehra, and Murari Chandra. "Integrating adolescent-friendly health services into the public health system: an experience from rural India." WHO South-East Asia Journal of Public Health 2, no. 3 (2013): 165. http://dx.doi.org/10.4103/2224-3151.206763.

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Shrestha, Sunita, and Randi Wærdahl. "Girls' access to adolescent friendly sexual and reproductive health services in Kaski, Nepal." Asia & the Pacific Policy Studies 7, no. 3 (July 2020): 278–92. http://dx.doi.org/10.1002/app5.305.

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Sawyer, Susan M., Jenny Proimos, and Susan J. Towns. "Adolescent-friendly health services: What have children's hospitals got to do with it?" Journal of Paediatrics and Child Health 46, no. 5 (March 10, 2010): 214–16. http://dx.doi.org/10.1111/j.1440-1754.2010.01729.x.

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Mathews, Catherine, Sally J. Guttmacher, Alan J. Flisher, Yolisa Y. Mtshizana, Tobey Nelson, Jean McCarthy, and Vanessa Daries. "The Quality of HIV Testing Services for Adolescents in Cape Town, South Africa: Do Adolescent-Friendly Services Make a Difference?" Journal of Adolescent Health 44, no. 2 (February 2009): 188–90. http://dx.doi.org/10.1016/j.jadohealth.2008.05.009.

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Awang, Hafizuddin, Azriani Ab Rahman, Surianti Sukeri, Noran Hashim, and Nik Rubiah Nik Abdul Rashid. "Adolescent-friendly health services in primary healthcare facilities in Malaysia and its correlation with adolescent satisfaction level." International Journal of Adolescence and Youth 25, no. 1 (November 5, 2019): 551–61. http://dx.doi.org/10.1080/02673843.2019.1685556.

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Baidya, Subrata, Taranga Reang, Purvita Chowdhury, and Debosmita Paul. "Exploring the institutional sustainability of adolescent reproductive and sexual health program in Tripura." International Journal Of Community Medicine And Public Health 7, no. 1 (December 25, 2019): 164. http://dx.doi.org/10.18203/2394-6040.ijcmph20195848.

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Background: Adolescents are at the peak of growth velocity and warrant special consideration as they undergo enormous psychological, physical as well as cognitive changes. The Government of India implemented friendly adolescent reproductive and sexual health (ARSH) clinics to improve healthcare services all over the country. However, there is lack of information on the sustainability of the programme.Methods: Community workers and public health workers from randomly selected twenty sub centres for intervention from West Tripura district and control from the adjacent Khowai district were selected. Knowledge prior and post intervention at both sites of the health workers was assessed by a self-administered questionnaire on 0 day, at 3, 6 and 12 months. Difference of knowledge score was analysed by paired t-test.Results: The mean knowledge score significantly differed at pre-intervention and immediately post intervention (p<0.01). The knowledge score was sustained even after 12 months of intervention among public (14.63±3.01) and community health workers (12.53±2.91). However, at the control site, a gradual decrease was noted over duration of 12 months. Intervention also considerably increased the utilization of ARSH clinics by both male and females in comparison to previous year’s data.Conclusions: The intervention and increased sustainability of acquired knowledge over 12 months seem to enhance the capacity for the adolescent clinics. Therefore, training the health workers to manage various sexual and reproductive health issues along with creating a friendly environment for adolescents is indispensable in the present setting.

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Koneru, Geethika, N. S. Sanjeeva Rao, B. Swapna, and T. S. R. Sai. "Using qualitative research methods to identify problems faced by adolescent girls in rural Andhra Pradesh." International Journal Of Community Medicine And Public Health 7, no. 10 (September 25, 2020): 3968. http://dx.doi.org/10.18203/2394-6040.ijcmph20204362.

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Background: Adolescence lays the foundation for physical wellbeing, emotional stability and mental ability. Quantitative methods often lack depth of understanding on crucial issues and leave many lacunae in the information available about the problems faced by adolescent girls in India. Using qualitative methods, a researcher can go beyond the surface and gather hidden information and associated feelings. Objective of the research was to qualitatively assess the knowledge, attitude and practices of health among adolescent girls (15-19 years) living in a rural area.Methods: This qualitative study to explore issues surrounding the health of adolescent girls in a rural area was conducted from August 2018 to November 2018 in the rural field practice area of the NRI Medical College. The qualitative methods used to gather information were focus group discussions (FGDs) and in-depth interviews (IDIs). Triangulation of information was done through key informant interviews (KIIs) with professionals working with adolescents.Results: The themes identified were causes of stress, education & marriage, safe pregnancy, prevalent diseases, exercise and leisure, health seeking behaviour and domestic violence. In-depth interviews with girls having significant social and psychological risk factors revealed a sense of loss of freedom, decision making power and resignation to their fate. Key informants revealed the neglect of adolescents in health programmes.Conclusions: Adolescent girls have poor knowledge about important health issues. Interventions that focus both on the continuation of the girls’ education and creating options for generating income are necessary along with non-judgmental counseling services and adolescent friendly health care facilities.

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Goicolea, Isabel, Anna-Britt Coe, Miguel San Sebastián, and Anna-Karin Hurtig. "Developing and sustaining adolescent-friendly health services: A multiple case study from Ecuador and Peru." Global Public Health 12, no. 8 (January 8, 2016): 1004–17. http://dx.doi.org/10.1080/17441692.2015.1123752.

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Deogan, Charlotte, Jane Ferguson, and Karin Stenberg. "Resource Needs for Adolescent Friendly Health Services: Estimates for 74 Low- and Middle-Income Countries." PLoS ONE 7, no. 12 (December 27, 2012): e51420. http://dx.doi.org/10.1371/journal.pone.0051420.

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Chandra-Mouli, Venkatraman, Andrea J. Hoopes, and Asanthi Fernando. "Making Health Services in Low- and Middle-Income Countries More Adolescent-Friendly: A Scoping Review." Journal of Adolescent Health 58, no. 2 (February 2016): S50—S51. http://dx.doi.org/10.1016/j.jadohealth.2015.10.113.

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Kurniawati, Herlin Fitriana, and Andari Wuri Astuti. "STUDI KUALITATIF TENTANG PELAYANAN KESEHATAN REPRODUKSI REMAJA: PERSPEKTIF REMAJA, IBU MUDA DAN PETUGAS PELAYANAN." Midwifery Journal: Jurnal Kebidanan UM. Mataram 5, no. 2 (August 1, 2020): 110. http://dx.doi.org/10.31764/mj.v5i2.1167.

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Pemerintah Indonesia telah berupaya mengatasi masalah Kesehatan Reproduksi Remaja (KRR) salah satunya dengan Pelayanan Kesehatan Peduli Remaja (PKPR), namun data nasional menunjukkan remaja masih mempunyai tingkat kesadaran yang rendah terkait dengan pentingnya KRR. Gunungkidul, merupakan salah satu kabupaten yang mempunyai angka kehamilan remaja tinggi,tahun 2016 terjadi 310 kehamilan remaja dengan 220 diantaranya merupakan kehamilan sebelum menikah. Tujuan penelitian ini adalah untuk mengkaji pelayanan kesehatan reproduksi remaja di PKPR dari perspektif remaja, ibu muda dan pemberi pelayanan kesehatan.Penelitian ini adalah generic qualitative research dengan desain in-depth-study. Partisipan dalam penelitian ini adalah 10 remaja, 10 ibu muda dan 10 petugas pelayanan kesehatan. Pengambilan data dilakukan dengan one-to-one in depth interview, dengan waktu paling lama adalah 60 menit. Analisis data menggunakan thematik analisis dengan mengadopsi strategi Collaizi.PKPR telah menyediakan pelayanan KRR, namun pelayanan ini belum banyak diakses oleh remaja dikarenakan tekanan social yang membatasi akses pelayanan tersebut misalnya rasa enggan dan malu. Sumber yang sering diakses oleh remaja untuk mencari informasi terkait dengan KRR adalah internet dan teman sebayanya. Kehamilan remaja adalah akibat remaja melakukan hubungan seksual sebelum menikah dan sebelumnya mereka telah mempraktekkan tindakan mencegah kehamilan menggunakan metode kontrasepsi tradisional. Semua ibu muda juga menyatakan bahwa mereka telah melakukan upaya mengakhiri kehamilan dengan beberapa cara tradisional dan ilegal. Pelayanan KRR perlu didesain dengan prinsip youth friendly dan cultural sensitive sesuai konteks di Indonesia.Upaya meningkatkan KRR perlu melibatkan orang tua sehingga peningkatan kesadaran dan pengetahuan remaja bisa meningkat dimulai dari orang terdekat yaitu keluarga, yang selanjutnya secara potensial bisa menurukan angka kehamilan remaja.Adolescents Sexual and Reproductive Health (ASRH) is a global health concern. In order to address ASRH issues, Indonesian government initiated ASRH services, however, national data show that there is still low level of awareness related to ASRH and high number of adolescent pregnancy i.e. 48 per 1,000. Gunungkidul is one of municipality that has high number of adolescent pregnancy i.e. 303 adolescent pregnancy occurred in 2016 and 202 of them due to premarital sexual relationship. This study aimed to investigate ASRH service from the perspective of adolescents, young mother and health care providers. This study used generic qualitative research by using in-depth study. There were 10 adolescents, 10 young mothers and 10 healthcare providers participated within this study. Data were gathered by using one to one in depth interview, and the length of interview was length about 60 minutes. Data were analysed by using thematic analysis and Collaizi framework as a framework. Findings shows that although ASRH services have been provided within health facilities, there is low access of the services due to social constraint such as shame and reluctant. Adolescents preference of obtaining information related sexual and reproductive were internet and peers. Adolescent pregnancy was a consequence of premarital sexual relationship and adolescents were practicing traditional contraception methods to prevent pregnancy, as well as tried to terminating their pregnancy. There is a need of tailoring ASRH services which considered youth friendly and cultural sensitive within Indonesian context. Involving parents in the programme of campaigning and promoting SRH may be benefit to increase awareness of ASRH, and subsequently reduce adolescent pregnancy.

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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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Kurniawati, Evi, Nurwijayanti Nurwijayanti, and Agusta Dian Ellina. "Factors Affecting Interests of Adolescent Visit in Poly PKPR (Health Care Service) Public Health Gondang Legi Malang District." Journal for Quality in Public Health 4, no. 1 (November 26, 2020): 78–85. http://dx.doi.org/10.30994/jqph.v4i1.154.

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A person's interest in services is related to the ability of these service providers to provide care. Interest in adolescents to take advantage of adolescent health care services is influenced by several factors, including perceptions, peers and the role of health workers in the service at puskesmas. The purpose of this study was to analyze the factors that influence the interest of teenage return visits at the PKPR (Youth Caring Health Services) Gondang Legi Health Center in Malang Regency. The design of this study was an observational quantitative study with a cross sectional approach with the focus of the research directed to be analyzing perceptions, the role of peers and the role of health workers on the interest of teenage return visits at the PKPR (Youth Care Health Services) Gondang Legi Public Health Center Malang Regency with a population of 167 respondents and a sample of 113 respondents taken by accidental sampling technique. The findings found that the majority of respondents had less categories of perception as many as 57 respondents (50.4%). In addition, the majority of respondents had the role of less peer categories of 45 respondents (51.3%). In addition, most respondents had the role of health workers in the good category of 59 respondents (52.2%). While the majority of respondents had a high interest category of 62 respondents (54.9%). The results of the study using the Logistic Regression Test showed that a p-value of 0,000 <0.05 then H1 was accepted so it was concluded that there was simultaneously the influence of perception, the role of peers and the role of health workers on the interest of teenage returnees in the PKPR (Youth Care Health Services) ) Gondang Legi Health Center in Malang Regency. The perspective of the patient regarding the available health services raises their perceptions. All friends will make an impact on individuals. And the provision of special services to adolescents through special treatment tailored to the desires, tastes and needs of adolescents has not been implemented

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Pandey, Pushpa Lata, Holly Seale, and Husna Razee. "Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal." PLOS ONE 14, no. 8 (August 8, 2019): e0220855. http://dx.doi.org/10.1371/journal.pone.0220855.

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Persson, Stefan, Curt Hagquist, and Daniel Michelson. "Young voices in mental health care: Exploring children’s and adolescents’ service experiences and preferences." Clinical Child Psychology and Psychiatry 22, no. 1 (July 26, 2016): 140–51. http://dx.doi.org/10.1177/1359104516656722.

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The development of ‘youth-friendly’ services has become a priority across a wide range of health-care contexts. However, relatively few studies have specifically examined users’ experiences of, and preferences for, child and adolescent mental health care. The current study investigated young service users’ views of outpatient and community mental health clinics in Sweden, based on two data sources. First, focus group interviews were conducted with seven children and adolescents (aged 10–18 years) to explore both positive and negative experiences of mental health care. Second, written suggestions about specific service improvements were obtained from 106 children and adolescents. Qualitative content analysis revealed three overarching themes: ‘Accessibility’, ‘Being heard and seen’ and ‘Usefulness of sessions’. Young people’s recommendations for improving practice included more convenient appointment times, offered in welcoming settings; opportunities to communicate more openly with clinical staff, enabling sensitive discussion of mental health and wider personal issues; and more structured treatments that offer greater credibility and relevance to young people’s mental health and developmental needs. Young people also discussed being compelled by parents and school professionals to engage in treatment. Attending to young people’s preferences must be a priority in order to overcome ambivalence about session attendance, and enhance treatment participation and outcomes.

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Hailemariam, Shewangizaw, Lidiya Gutema, Wubetu Agegnehu, and Msganaw Derese. "Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia." Journal of Primary Care & Community Health 12 (January 2021): 215013272110189. http://dx.doi.org/10.1177/21501327211018936.

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Introduction Due to the limited access to sexual and reproductive health service, out-of-school-adolescents become at a higher risk for early marriage, early pregnancy early parenthood, and poor health outcomes over their life course. Hence, the aim of this study was to explore the challenges faced by female out-of-school adolescents in accessing sexual and reproductive health service in Bench-Sheko zone. Methods A community-based qualitative exploratory study was carried out from November 01/2020 to December 01/2020 among selected out-of-school adolescents residing in rural and urban districts of Bench-Sheko Zone, and healthcare professionals working in the local health centers. FGD participants and healthcare providers were purposely selected for this study. Eight focus group discussions and 8 in-depth interviews were conducted among female out-of-school adolescents, and health care professionals, respectively. Result The study revealed that out-of-school adolescents encounter several challenges in accessing sexual reproductive health service which includes socio-cultural barriers, health system barriers, perceived legal barrier, inadequate information regarding sexual reproductive health service, and low parent-adolescent communication. Conclusion The finding suggests the need to engage community influencers (religious leaders, community leaders, and elders) in overcoming the socio-cultural barriers. Program planners and policy makers have better make an effort to create adolescent friendly environments in SRH service areas. Furthermore, implementing community-based awareness raising programs, parental involvement in sexual reproductive health programs, and encouraging parent-adolescent communication on sexual reproductive health issues could improve sexual reproductive health service utilization by out-of-school adolescents in the study area.

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Mutua, Felix Mwendwa, Jane Karonjo, Jackline Mosinya Nyaberi, Peter Kamau Wanyoike, John Kausya, and Faith Mugai. "Socio-demographic and economic factors influencing utilization of youth friendly reproductive health services among youths in selected universities in Nairobi County, Kenya." International Journal Of Community Medicine And Public Health 7, no. 7 (June 26, 2020): 2437. http://dx.doi.org/10.18203/2394-6040.ijcmph20202962.

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Background: The reproductive and sexual health of the youth remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services and also the access and utilization of youth friendly reproductive health services (YFRHS) among the college youth are dependent on many factors.Methods: Descriptive cross-sectional design was used to study 421 youths in selected universities in Nairobi County. Systematic sampling technique was used. Data was collected using a researcher-administered structured questionnaire and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 24.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.Results: The results indicated that 67.9% of youths utilized counselling services, 42.0% utilized VCT, 24.7% utilized family planning and 12.6% reported having used antenatal or pregnancy services. Utilization for all the reproductive health services increased with age with gender greatly associated with utilization of ANC services (p=0.0001), FP services (p=0.001) and STDs treatment (p=0.002) while age of an individual was associated with VCT services (p=0.0001), FP services (p=0.008) and counselling (p=0.007).Conclusions: Socio-demographic factors influence utilization of YFRHS and therefore there is a need for the Government through the Ministry of Health and partners in health service provision to increase the number of YFRHS and ensure that the recommendations of Adolescent Health Policy guidelines are implemented fully with good evaluation strategies in place.

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Mbithi, Mutwii, Abuya Isaac, and Rambo Charles. "Adolescent Friendly Centre Service Provision Approach and Delivery of Health Information and Services for Peri- Urban Adolescents Enrolled in Reproductive Health Projects in Kisumu City, Kenya." Saudi Journal of Nursing and Health Care 03, no. 02 (February 29, 2020): 41–54. http://dx.doi.org/10.36348/sjnhc.2020.v03i02.003.

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Journal articles on the topic 'Adolescent friendly health services'

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