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Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? evidence from Lusaka, Zambia

Mmari, Kristin N ; Magnani, Robert J

Journal of adolescent health, 2003-10, Vol.33 (4), p.259-270 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? evidence from Lusaka, Zambia
Autor: Mmari, Kristin N ; Magnani, Robert J
Assuntos: Adolescent ; Adolescent Health Services - standards ; Adolescent Health Services - utilization ; Adolescents ; Adult ; Biological and medical sciences ; Female ; Focus Groups ; Health Knowledge, Attitudes, Practice ; Health services ; Health Services Accessibility ; Humans ; Male ; Medical sciences ; Nurses ; Patient Acceptance of Health Care ; Prevention and actions ; Professional-Patient Relations ; Program Evaluation ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality ; Quality of Health Care ; Reproductive health ; Reproductive health services ; Reproductive Health Services - standards ; Reproductive Health Services - utilization ; Service quality ; Specific populations (family, woman, child, elderly...) ; Young people ; Zambia
É parte de: Journal of adolescent health, 2003-10, Vol.33 (4), p.259-270
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: To report the findings of a study that evaluated the impact of three youth-friendly service (YFS) projects in Lusaka, Zambia. In 1994, the Lusaka District Health Management Team (LDHMT) identified adolescents as a priority underserved population with regard to reproductive health information and services. As part of its long-term goal to improve the health and well-being of Lusaka youth, the LDHMT, in collaboration with CARE, UNICEF/Zambia Family Life Movement, and John Snow International, implemented three separate YFS projects to increase service use among adolescents. Service statistics from 10 clinics (8 “treatment clinics” and 2 “non-YFS clinics”) were used to measure adolescent service use. Qualitative and quantitative data were collected to measure the degree of “youth-friendliness” at the clinics and the level of community acceptance of providing reproductive health services to youth. Specific indicators of youth-friendliness were developed that measured the attitudes of the clinic staff toward giving services to youth, whether clinic staff honored privacy and confidentiality, whether boys and young men were welcomed, whether the clinic policies supported providing services for youth, whether clinic staff promoted its services to youth in surrounding community, and whether youth, themselves, perceived that they would be welcomed and have their needs met at the clinics. Similarly, indicators of community acceptance were developed that measured whether parents and other adults supported the provision of reproductive health services to youth. Although the projects appear to have improved the clinic experience for adolescent clients and to have increased service use levels at some clinics, the findings suggest that community acceptance of reproductive health services for youth may have a larger impact on the health-seeking behaviors of adolescents.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Does making clinic-based reproductive health services more youth-friendly increase service use by adolescents? evidence from Lusaka, Zambia

Mmari, Kristin N ; Magnani, Robert J

New York, NY: Elsevier Inc

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