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Teenage girls' access to and utilization of adolescent reproductive health services in the Mpika District, ZambiaChoka, Constance Ndhlovu January 2011 (has links)
<p>Teenage pregnancy is one of the major public health problems facing teenage girls in Zambia (Webb, 2000 / Warenius, 2008). Teenage girlsâ access to and utilization of adolescent  / reproductive health (ARH) services is important for the prevention of teenage pregnancies and sexually transmitted infections (STIs) amongst teenagers.High incidence of teenage pregnancies has been noted in the district despite availability of ARHservices. Teenage pregnancy is a major contributing factor to the high school drop-out rate amongst the girls and is one of the challenges faced by non-governmental organizations (NGOs) that support girl child education, such as the campaign for female  / education (CAMFED) as well as for government agencies such as the Ministry of Education. The high incidence of teenage pregnancies could be an indication of poor access to  / and utilization of ARH services and therefore an assessment of the accessibility and utilization of the ARH services was done to explore the reasons for this.This research aimed to explore the factors affecting teenage girlsâ access to and utilization of ARH services in the Mpika district, Zambia. The research was a qualitative, descriptive and exploratory study using individual interviews with ten in-school teenage girls, four key informants rendering ARH services and a focus group discussion (FGD) with ten pregnant teenage girls. By exploring these particpantsâ perceptions and experiences, appropriate interventions to improve accessibility to and utilization of ARH services could be designed that would be appropriate for the local context in order for them to be effective. Thematic analysis with categorizing and coding methods was used to analyze the data. The study used the theory of planned behaviour (TPB) which stipulates that an individualâs attitude,subjective norms and perceived behavioural control influence behaviour as a framework to explain the findings of the results of the study. The findings of the study indicated that physical, psychological and social barriers hindered adolescents from accessing and utilizing ARH services. The findings also suggested that high levels of knowledge about RH services do not necessarily translate into accessibility and utilization of ARH services. Accessibility to and utilization of ARH services by adolescents can also be determined by an individualâs attitude, subjective norms, and perceived behavioural control as illustrated by the TPB. Adolescents need to feel comfortable using ARH services. Therefore the three variables of TPB should be taken into consideration when designing comprehensive ARH programmes in order to accommodate the unique reproductive health needs of the adolescents. There is need to encourage participation in and involvement of adolescents in planning and  /   / implementation of ARH programmes. The participants also made recommendations which included strengthening information and education on ARH, strengthening adolescent-friendly services, improving staffing levels and promotion of school health services.</p>
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Teenage girls' access to and utilization of adolescent reproductive health services in the Mpika District, ZambiaChoka, Constance Ndhlovu January 2011 (has links)
<p>Teenage pregnancy is one of the major public health problems facing teenage girls in Zambia (Webb, 2000 / Warenius, 2008). Teenage girlsâ access to and utilization of adolescent  / reproductive health (ARH) services is important for the prevention of teenage pregnancies and sexually transmitted infections (STIs) amongst teenagers.High incidence of teenage pregnancies has been noted in the district despite availability of ARHservices. Teenage pregnancy is a major contributing factor to the high school drop-out rate amongst the girls and is one of the challenges faced by non-governmental organizations (NGOs) that support girl child education, such as the campaign for female  / education (CAMFED) as well as for government agencies such as the Ministry of Education. The high incidence of teenage pregnancies could be an indication of poor access to  / and utilization of ARH services and therefore an assessment of the accessibility and utilization of the ARH services was done to explore the reasons for this.This research aimed to explore the factors affecting teenage girlsâ access to and utilization of ARH services in the Mpika district, Zambia. The research was a qualitative, descriptive and exploratory study using individual interviews with ten in-school teenage girls, four key informants rendering ARH services and a focus group discussion (FGD) with ten pregnant teenage girls. By exploring these particpantsâ perceptions and experiences, appropriate interventions to improve accessibility to and utilization of ARH services could be designed that would be appropriate for the local context in order for them to be effective. Thematic analysis with categorizing and coding methods was used to analyze the data. The study used the theory of planned behaviour (TPB) which stipulates that an individualâs attitude,subjective norms and perceived behavioural control influence behaviour as a framework to explain the findings of the results of the study. The findings of the study indicated that physical, psychological and social barriers hindered adolescents from accessing and utilizing ARH services. The findings also suggested that high levels of knowledge about RH services do not necessarily translate into accessibility and utilization of ARH services. Accessibility to and utilization of ARH services by adolescents can also be determined by an individualâs attitude, subjective norms, and perceived behavioural control as illustrated by the TPB. Adolescents need to feel comfortable using ARH services. Therefore the three variables of TPB should be taken into consideration when designing comprehensive ARH programmes in order to accommodate the unique reproductive health needs of the adolescents. There is need to encourage participation in and involvement of adolescents in planning and  /   / implementation of ARH programmes. The participants also made recommendations which included strengthening information and education on ARH, strengthening adolescent-friendly services, improving staffing levels and promotion of school health services.</p>
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Teenage girls' access to and utilization of adolescent reproductive health services in the Mpika District, ZambiaChoka, Constance Ndhlovu January 2011 (has links)
Magister Public Health - MPH / Teenage pregnancy is one of the major public health problems facing teenage girls in Zambia (Webb, 2000; Warenius, 2008). Teenage girls access to and utilization of adolescent reproductive health (ARH) services is important for the prevention of teenage pregnancies and sexually transmitted infections (STIs) amongst teenagers.High incidence of teenage pregnancies has been noted in the district despite availability of ARH services. Teenage pregnancy is a major contributing factor to the high school drop-out rate amongst the girls and is one of the challenges faced by non-governmental organizations (NGOs) that support girl child education, such as the campaign for female education (CAMFED) as well as for government agencies such as the Ministry of Education. The high incidence of teenage pregnancies could be an indication of poor access to and utilization of ARH services and therefore an assessment of the accessibility and utilization of the ARH services was done to explore the reasons for this.This research aimed to explore the factors affecting teenage girls access to and utilization of ARH services in the Mpika district, Zambia. The research was a qualitative, descriptive and exploratory study using individual interviews with ten in-school teenage girls, four key informants rendering ARH services and a focus group discussion (FGD) with ten pregnant teenage girls. By exploring these particpants perceptions and experiences, appropriate interventions to improve accessibility to and utilization of ARH services could be designed that would be appropriate for the local context in order for them to be effective. Thematic analysis with categorizing and coding methods was used to analyze the data. The study used the theory of planned behaviour (TPB) which stipulates that an individuals attitude,subjective norms and perceived behavioural control influence behaviour as a framework to explain the findings of the results of the study. The findings of the study indicated that physical, psychological and social barriers hindered adolescents from accessing and utilizing ARH services. The findings also suggested that high levels of knowledge about RH services do not necessarily translate into accessibility and utilization of ARH services. Accessibility to and utilization of ARH services by adolescents can also be determined by an individual attitude, subjective norms, and perceived behavioural control as illustrated by the TPB. Adolescents need to feel comfortable using ARH services. Therefore the three variables of TPB should be taken into consideration when designing comprehensive ARH programmes in order to accommodate the unique reproductive health needs of the adolescents. There is need to encourage participation in and involvement of adolescents in planning and implementation of ARH programmes. The participants also made recommendations which included strengthening information and education on ARH, strengthening adolescent-friendly services, improving staffing levels and promotion of school health services. / South Africa
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Critical analysis of adolescent reproductive health services in Gauteng ProvinceMagwentshu, Beatrice Makgoale 11 1900 (has links)
Adolescent reproductive health services (ARHS) in Gauteng Province are not meeting the reproductive health
needs of adolescents. There is also no formalised adolescent/youth policy laid down to assess the quality of
care given to adolescents attending these clinics although the policy is currently in the process of being
finalised.
The purpose of the study therefore was to critically analyse the ARHS in Gauteng Province to determine which
adolescents attended the clinics, whether the clinics were accessible and available and whether they provided
comprehensive care, gave information and counselling to the adolescent and whether the clinics \\·ere
adolescent-friendly.
Using the quality care model as the conceptual framework for the study, the following research questions were
asked to determine the quality of care in terms of the adolescent's needs at these clinics:
Who is the adolescent using ARHS in Gauteng Province')
Are the ARHS in Gauteng Province accessible and available to adolescents?
Do the ARHS in Gauteng Province provide comprehensive care to adolescents?
Are adolescents receiving information and counselling from the ARHS in Gauteng Province? Are the
ARHS in Gauteng Province adolescent-friendly?
A quantitative cross-sectional exploratory, descriptive research design using a
self-administered, researcher designed questionnaire was used to collect data from a 203
nonprobability convenient sample, at selected ARHS in Gauteng Province.
The analysed data indicated that females in the older age group. ie 18-19 years used the ARHS more
than the female adolescents in the younger age group and males. Findings also indicated that
the ARHS in Gauteng Province are geographically accessible and available to adolescents.
However, there appeared to be a need to
extend the days and hours of functioning of the ARHS so as to make them more accessible and
available to
adolescents. Comprehensive care is not given to adolescents attending ARHS. Adolescent gave
contradictory mformation especially with regard to the attitudes of service providers.
Recommendations made include management strategies that will attract the adolescent in the younger
age group and in particular the male adolescent. This necessitated that service providers at ARHS
be equipped with the appropriate information given in an outcome-based format in adolescent care. / Health Studies / D. Litt. et Phil. (Advanced Nursing Science)
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Critical analysis of adolescent reproductive health services in Gauteng ProvinceMagwentshu, Beatrice Makgoale 11 1900 (has links)
Adolescent reproductive health services (ARHS) in Gauteng Province are not meeting the reproductive health
needs of adolescents. There is also no formalised adolescent/youth policy laid down to assess the quality of
care given to adolescents attending these clinics although the policy is currently in the process of being
finalised.
The purpose of the study therefore was to critically analyse the ARHS in Gauteng Province to determine which
adolescents attended the clinics, whether the clinics were accessible and available and whether they provided
comprehensive care, gave information and counselling to the adolescent and whether the clinics \\·ere
adolescent-friendly.
Using the quality care model as the conceptual framework for the study, the following research questions were
asked to determine the quality of care in terms of the adolescent's needs at these clinics:
Who is the adolescent using ARHS in Gauteng Province')
Are the ARHS in Gauteng Province accessible and available to adolescents?
Do the ARHS in Gauteng Province provide comprehensive care to adolescents?
Are adolescents receiving information and counselling from the ARHS in Gauteng Province? Are the
ARHS in Gauteng Province adolescent-friendly?
A quantitative cross-sectional exploratory, descriptive research design using a
self-administered, researcher designed questionnaire was used to collect data from a 203
nonprobability convenient sample, at selected ARHS in Gauteng Province.
The analysed data indicated that females in the older age group. ie 18-19 years used the ARHS more
than the female adolescents in the younger age group and males. Findings also indicated that
the ARHS in Gauteng Province are geographically accessible and available to adolescents.
However, there appeared to be a need to
extend the days and hours of functioning of the ARHS so as to make them more accessible and
available to
adolescents. Comprehensive care is not given to adolescents attending ARHS. Adolescent gave
contradictory mformation especially with regard to the attitudes of service providers.
Recommendations made include management strategies that will attract the adolescent in the younger
age group and in particular the male adolescent. This necessitated that service providers at ARHS
be equipped with the appropriate information given in an outcome-based format in adolescent care. / Health Studies / D. Litt. et Phil. (Advanced Nursing Science)
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Factors which deter Swazi women from using family planning servicesZiyane, Isabella Simoyi 02 1900 (has links)
Deterrents to family planning practices were investigated among Swazi women between 1999-
2001. A total of 171 adolescents, women and men participated in focus group interviews.
Information obtained in this way served as a framework for designing structured interview
schedules. The views of 205 women were investigated, concerning factors deterring them
from using family planning practices by means of conducting face to face studied interviews.
Qualitative data were analysed using the NU*DIST and for the quantitative data the SPPS
computer programs were used respectively. The results revealed that socio-cultural deterrents
to family planning included high cultural value of children determining women's social status,
the lack of knowledge about contraceptives, women's dependence on their husbands'
decisions concerning reproductive issues and inefficient family planning services.
Recommendations included that specific adolescent reproductive health services should be
instituted and that the policy on reproductive health for Swaziland be revised. Reproductive
health issues should be addressed in the school curriculum. All Swazi men and women, both
adolescents and adults, should be educated about contraceptives. / Health Studies / D. Litt. et Phil. (Advanced Nursing Sciences)
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Factors which deter Swazi women from using family planning servicesZiyane, Isabella Simoyi 02 1900 (has links)
Deterrents to family planning practices were investigated among Swazi women between 1999-
2001. A total of 171 adolescents, women and men participated in focus group interviews.
Information obtained in this way served as a framework for designing structured interview
schedules. The views of 205 women were investigated, concerning factors deterring them
from using family planning practices by means of conducting face to face studied interviews.
Qualitative data were analysed using the NU*DIST and for the quantitative data the SPPS
computer programs were used respectively. The results revealed that socio-cultural deterrents
to family planning included high cultural value of children determining women's social status,
the lack of knowledge about contraceptives, women's dependence on their husbands'
decisions concerning reproductive issues and inefficient family planning services.
Recommendations included that specific adolescent reproductive health services should be
instituted and that the policy on reproductive health for Swaziland be revised. Reproductive
health issues should be addressed in the school curriculum. All Swazi men and women, both
adolescents and adults, should be educated about contraceptives. / Health Studies / D. Litt. et Phil. (Advanced Nursing Sciences)
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