Adolescents perception of reproductive health care services in Sri Lanka.

Medical officers of Health, Beruwala, Sri Lanka.
BMC Health Services Research (Impact Factor: 1.66). 02/2008; 8:98. DOI: 10.1186/1472-6963-8-98
Source: PubMed

ABSTRACT Adolescent health needs, behaviours and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems, health seeking behaviors, knowledge about available services and barriers to reach services among a group of adolescents in Sri Lanka in order to improve reproductive health service delivery.
This qualitative study was conducted in a semi urban setting in Sri Lanka. A convenient sample of 32 adolescents between 17-19 years of age participated in four focus group discussions. Participants were selected from four midwife areas. A pre-tested focus group guide was used for data collection. Male and female facilitators conducted discussions separately with young males and females. All tape-recorded data was fully transcribed and thematic analysis was done.
Psychological distresses due to various reasons and problems regarding menstrual cycle and masturbation were reported as the commonest health problems. Knowledge on existing services was very poor and boys were totally unaware of youth health services available through the public health system. On reproductive Health Matters, girls mainly sought help from friends whereas boys did not want to discuss their problems with anyone. Lack of availability of services was pointed out as the most important barrier in reaching the adolescent needs. Lack of access to reproductive health knowledge was an important reason for poor self-confidence among adolescents to discuss these matters. Lack of confidentiality, youth friendliness and accessibility of available services were other barriers discussed. Adolescents were happy to accept available services through public clinics and other health infrastructure for their services rather than other organizations. A demand was made for separate youth friendly services through medical practitioners.
Adolescent health services are inadequate and available services are not being delivered in an acceptable manner. Proper training of health care providers on youth friendly service provision is essential. A National level integrated health care program is needed for the adolescents.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study sought to assess the attitude of Healthcare Providers towards providing contraceptives for unmarried adolescents in four Local Government Areas in Ibadan, Nigeria.
    Journal of family & reproductive health. 03/2014; 8(1):33-40.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Previous research has indicated that adolescents and young people trying to get access to accessible, affordable and acceptable health services which may face many barriers such as psychosocial barriers; for instance, they prefer to provide contraceptive products from drugstores located in other neighborhoods rather than ones located nearby. [1] In addition, different researchers have found various barriers of accessibility of young people to health services. For example, Scheppers and colleagues [2] classified potential barriers into three levels including patient, provider and system levels. Demographic and structural variables, health beliefs and attitudes, personal enabling resources, community enabling resources, perceived illness and personal health practices could be classified as patient level items while provider level may consist of provider characteristics such as provider's skills and attitudes. System characteristics like the organization of the health care system could also be classified as barriers of system level. Moreover, while provider's attitude, practices and behaviors could classified as health care provider barriers, they could also act as related barriers to the providers' ability to take care of adolescents and young people. [2] Various factors such as inadequate time, flexibility, skills, and confidence in working with young people, and poor linkages with other relevant services can also be considered as major barriers to service provision among medical and community health center staff. [3] In addition, one of the most important barriers to get access to reproductive health services is the fear of being recognized by parents or people who may be familiar with them which has been shown in the study by Berhane and colleagues. [4] Another influencing factor may be the gender of health care provider because the young adults could have some problems in explaining genital issues to a provider of the opposite gender. [5] In fact, lack of confidentiality, youth friendliness and accessibility of available services could be main barriers which has been shown in the study conducted by Agampodi and colleagues. [6] Financial barriers are other significant factors which may affect health care of adolescents. [1] Uncomfortable health care service which may lead to a negative experience could also be considered as a barrier of seeking health care services. [7] Inadequate knowledge is another barrier which might hinder utilization of family planning services by adolescents and young people. [8] Finally, inconvenient working hours might prevent adolescents' access to health care facilities and their proper use of the offered services.
    International journal of preventive medicine 07/2014; 5.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: As teenagers have easy access to both radio programs and cell phones, the current study used these tools so that young people could anonymously identify questions about sex and other related concerns in the urban environment of the Democratic Republic of Congo. The purpose of this healthcare intervention was to identify and address concerns raised by young people, which are related to sexual health, and which promote youth health.
    01/2014; 72(1):21.

Full-text (2 Sources)

Available from
May 22, 2014