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Critical analysis of adolescent reproductive health services in Gauteng Province

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)

Identiferoai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:unisa/oai:umkn-dsp01.int.unisa.ac.za:10500/17290
Date11 1900
CreatorsMagwentshu, Beatrice Makgoale
ContributorsBrink, Hilla, Lock, M. V. L. H.
Source SetsSouth African National ETD Portal
LanguageEnglish
Detected LanguageEnglish
TypeThesis
Format1 online resource (xii, 191 leaves)

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