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Does Facility Based Sexual and Reproductive Health Services Meet the Needs of Young Persons? Views from Cross Section of Ghanaian Youth

DOI: 10.4236/asm.2015.53008, PP. 61-71

Keywords: Facility-Based, Sexual and Reproductive Health, Young Persons, Youth, Needs, Ghana

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Abstract:

The focus on facility based health setting to provide sexual and reproductive health to the youth has been tested in several settings and achieved varying results. This study examined whether facility based sexual and reproductive health services met the needs of Ghanaian youth. Adopting the descriptive cross sectional design, 170 youths between the ages of 10 and 24 were sampled. A three-stage stratified random sampling technique was adopted. The results of the study are presented using descriptive statistics. The study established that a total of 55.8% (95/170) of the youth had utilized at least one or more of a sexual and reproductive health service in life time. However, only 45.2% (43/95) of youth used or accessed sexual and reproductive health services from a facility based setting. Facility based sexual and reproductive health service provided specifically for the youth is very limited. This calls for the provision of out-of health facility services located within the communities and at strategic places while ensuring confidentiality to the youth. More rigorous research is recommended on a national scale to examine youth preference for the type of facility based and out-of-facility based sexual and reproductive health services to meet the needs of young people.

References

[1]  Hessburg, L., Awusabo-Asare, K., Kumi-Kyereme, A., Nerquaye-Tetteh, J.O., Yankey, F., Biddlecom, A. and Croce- Galis, M. (2007) Protecting the Next Generation in Ghana: New Evidence on Adolescent Sexual and Reproductive Health Needs. Guttmacher Institute, New York.
[2]  Katz, K. and Naré, C. (2002) Reproductive Health Knowledge and Use of Services among Young Adults in Dakar, Senegal. Journal of Biosocial Science, 34, 215-231.
http://dx.doi.org/10.1017/S0021932002002158
[3]  Erulkar, A.S., Ettyang, L.I., Onoka, C., Nyagah, F.K. and Muyonga, A. (2004) Behavior Change Evaluation of a Culturally Consistent Reproductive Health Program for Young Kenyans. International Family Planning Perspectives, 30, 58-67.
http://dx.doi.org/10.1363/3005804
[4]  Erulkar, A.S., Onoka, C.J. and Phiri, A. (2005) What Is Youth-Friendly? Adolescents’ Preferences for Reproductive Health Services in Kenya and Zimbabwe. African Journal of Reproductive Health, 9, 51-58.
http://dx.doi.org/10.2307/3583411
[5]  Pande, R., Kurz, K., Walia, S., MacQuarrie, K. and Jain, S. (2006) Improving the Reproductive Health of Married and Unmarried Youth in India: Evidence of Effectiveness and Costs from Community-Based Interventions. Final Report of the Adolescent Reproductive Health Program in India.
[6]  Foss, A.M., Hossain, M., Vickerman, P.T. and Watts, C.H. (2007) A Systematic Review of Published Evidence on Intervention Impact on Condom Use in Sub-Saharan Africa and Asia. Sexually Transmitted Infections, 83, 510-516.
http://dx.doi.org/10.1136/sti.2007.027144
[7]  Ross, D.A. (2010) Behavioural Interventions to Reduce HIV Risk: What Works? AIDS, 24, S4-S14.
http://dx.doi.org/10.1097/01.aids.0000390703.35642.89
[8]  Michielsen, K., Chersich, M., Temmerman, M., Dooms, T. and Van Rossem, R. (2012) Nothing as Practical as a Good Theory? The Theoretical Basis of HIV Prevention Interventions for Young People in Sub-Saharan Africa: A Systematic Review. AIDS Research and Treatment, 2012, Article ID: 345327.
http://dx.doi.org/10.1155/2012/345327
[9]  Chirwa, A.S. and Kudzala, A.C. (2001) Report on Assessment of Youth Friendly Health Services in Malawi National Youth Council of Malawi Lilongwe.
[10]  Bond, K. (2004) Key Issues in the Implementation of Programs for Adolescent Sexual and Reproductive Health. World Health Organization, Geneva.
[11]  Liu, Z., Zhu, M., Dib, H.H., Li, Z., Shi, S. and Wang, Z. (2011) RH Knowledge and Service Utilization among Unmarried Rural-to-Urban Migrants in Three Major Cities, China. BMC Public Health, 11, 74.
http://dx.doi.org/10.1186/1471-2458-11-74
[12]  Senderowitz, J. (1999) Making Reproductive Health Services Youth Friendly. A FOCUS on Young Adults 1201 Connecticut Avenue NW, Suite 501 Washington DC.
[13]  Johns Hopkins Center for Communication Programs (1998) Reaching Young People Worldwide: Lessons Learned from Communication Projects, 1986-1995. Working Paper No. 2, Johns Hopkins Center for Communication Programs/ Population Communication Services/Population Information Program, Baltimore.
[14]  Brindis, C. and Davis, L. (1998) Improving Contraceptive Access for Teens. Communities Responding to the Challenge of Adolescent Pregnancy Prevention, 4.
[15]  Townsend, J.W. (1987) Sex Education and Family Planning Services for Young Adults: Urban Strategies in Mexico. Studies in Family Planning, 18, 103-108.
http://dx.doi.org/10.2307/1966701
[16]  Zabin, L.S. and Clark, S.D. (1983) Institutional Factors Affecting Teenagers’ Choice and Reasons for Delay in Attending a Family Planning Clinic. Family Planning Perspectives, 15, 25-29.
http://dx.doi.org/10.2307/2134537
[17]  Vadies, E. and Clark, J. (1988) [Comprehensive Adolescent Fertility Project in Jamaica]. Boletin de la Oficina Sanitaria Panamericana, 105, 359-370.
[18]  Barker, G. (1994) Iniciativa de Evaluación de Programas de Salud Reproductiva de Adolescentes: ConfrontandoNuevos Desáfiospara el Siglo 21. Documento de discussion preparadopara la reunión de planeamiento en la Ciudad de Mexico, 20-21.
[19]  Senderowitz, J. and Kirby, D. (2006) Standards for Curriculum-Based Reproductive Health and HIV Education Programs. Family Health International/YouthNet, Arlington.
[20]  Appiah, S.C.Y., Badu, E., Dapaah, J.M., Harriet, T. and Abubakar, M. (2015) Youth Friendliness of Sexual and Reproductive Health Service Delivery and Reproductive Health Service Utilization in Ghana. International Journal of Innovation and Applied Studies, 10, 716-725.
[21]  Okonofua, F., Coplan, P., Collins, S., Oronsaye, F., Ogunsakin, D., Ogonor, J.T., Kaufman, K.J. and Heggenhougen, K. (2003) Impact of an Intervention to Improve Treatment-Seeking Behaviour and Prevent Sexually Transmitted Diseases among Nigerian Youths. International Journal of Infectious Disease, 7, 61-73.
http://dx.doi.org/10.1016/S1201-9712(03)90044-0
[22]  Magnani, R.J., Gaffikin, L., de Aquino, E.M., Seiber, W.E., Almeida, M.C. and Lipovsek, V. (2001) Impact of an Integrated Adolescent Reproductive Health Program in Brazil. Studies in Family Planning, 32, 230-243.
http://dx.doi.org/10.1111/j.1728-4465.2001.00230.x
[23]  Michielsen, K. (2013) Limited Effectiveness of HIV Prevention for Young People in Sub-Saharan Africa: Studying the Role of Intervention and Evaluation. Facts, Views & Vision in ObGyn, 5, 196-208.
[24]  Kirby, D., Short, L., Collins, J., Rugg, D., Kolbe, L., Howard, M., Miller, B., Sonenstein, F. and Zabin, L.S. (1994) School-Based Programs to Reduce Sexual Risk Behaviors: A Review of Effectiveness. Public Health Reports, 109, 339-360.
[25]  James, S., Reddy, S.P., Taylor, M. and Jinabhai, C.C. (2004) Young People, HIV/AIDS/STIs and Sexuality in South Africa: The Gap between Awareness and Behaviour. Acta Paediatrica, 93, 264-269.
http://dx.doi.org/10.1111/j.1651-2227.2004.tb00718.x
[26]  Odu, O.O., Asekun-Olarinmoye, E.O., Bamidele, J.O., Egbewale, B.E., Amusan, O.A. and Olowu, A.O. (2008) Knowledge, Attitudes to HIV/AIDS and Sexual Behaviour of Students in a Tertiary Institution in South-Western Nigeria. European Journal of Contraception and Reproductive Health Care, 13, 90-96.
[27]  Askew, I., Chege, J., Njue, C. and Radeny, C. (2004) A Multi-Sectoral Approach to Providing Reproductive Health Information and Services to Young People in Western Kenya: Kenya Adolescent Reproductive Health Project.
[28]  Deperthes, B.D., Meheus, A., O’Reilly, K. and Broutet, N. (2004) Maternal and Congenital Syphilis Programmes: Case Studies in Bolivia, Kenya and South Africa. Bulletin of the World Health Organization, 82, 410-416.
[29]  Mugisha, J.F., Nyombi, J., Obare, F., Evelia, H. and Nyinkavu, H. (2008) Sexual and Reproductive Health Needs of Adolescents Perinatally Infected with HIV in Uganda. Population Council.
[30]  Askew, I. and Berer, M. (2003) The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/AIDS: A Review. Reproductive Health Matters, 11, 51-73. http://dx.doi.org/10.1016/S0968-8080(03)22101-7
[31]  Bhuiya, I.U., Rob, A.H., Chowdhury, L., Rahman, N., Haque, S., Adamchak, R. and Khan, M.E. (2004) Improving Reproductive Health of Adolescents in Bangladesh. FRONTIERS Final Report, Population Council, Washington DC.
[32]  Diop, N.J. and Nafissatou, J. (2004) Improving Reproductive Health of Adolescents in Senegal. FRONTIERS Final Report, Population Council, Washington DC.
[33]  Vernon, R. and Dura, M. (2004) Improving the Reproductive Health of Youth in Mexico. FRONTIERS Final Report, Population Council, Washington DC.
[34]  Michielsen, K., Chersich, M., Temmerman, M., Dooms, T. and Van Rossem, R. (2012) Nothing as Practical as a Good Theory? The Theoretical Basis of HIV Prevention Interventions for Young People in Sub-Saharan Africa: A Systematic Review. AIDS Research and Treatment, 2012, Article ID: 345327.
http://dx.doi.org/10.1155/2012/345327
[35]  Neukom, J. and Ashford, L. (2003) Changing Youth Behavior through Social Marketing. Program Experiences and Research Findings from Cameroon, Madagascar, and Rwanda, Population Services International and Population Reference Bureau, Washington DC.
[36]  Moyo, I., Bond, K., Williams, T. and Mueller, L. (2000) Reproductive Health Antecedents, Attitudes, and Practices among Youth in Gweru, Zimbabwe. Pathfinder International, FOCUS on Young Adults, Washington DC.
[37]  Speizer, I.S., Magnani, R.J. and Colvin, C.E. (2003) The Effectiveness of Adolescent Reproductive Health Interventions in Developing Countries: A Review of the Evidence. Journal of Adolescent Health, 33, 324-348.
http://dx.doi.org/10.1016/S1054-139X(02)00535-9
[38]  Family Health International (2006) YouthNet End of Program Report. Taking Action: Recommendations and Resources. Arlington.
[39]  Ghana Statistical Services (2012) Population & Housing Census: Summary Report of Final Results 2010. Ghana Statistical Service Accra, Ghana.
[40]  Population Council (1999) Peer Education and HIV/AIDS: Past Experience and Future Direction. Horizons Project.
[41]  Godia, P. (2010) Youth Friendly Sexual and Reproductive Health Service Provision in Kenya: What Is the Best Model? MOH, Nairobi.
[42]  Pathfinder International (2005) Youth-Friendly Services: Ghana End of Program Evaluation Report. Pathfinder International, USA.

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