Balancing youth friendliness of sexual and reproductive health service delivery and service utilisation among Ghanaian youth


Book Description

Master's Thesis from the year 2015 in the subject Sociology - Miscellaneous, grade: A (70.0), Kwame Nkrumah University of Science and Technology (DEPARTMENT OF SOCIOLOGY AND SOCIAL WORK), course: SOCIOLOGY, language: English, abstract: Incidence and prevalence of reproductive health difficulties have been shown to be higher among younger people in the society. Preferences for youth friendly sexual and reproductive health services and facilities are very limited. This study examines youth assessment of youth friendliness of sexual reproductive health services and how it influences their services reproductive health services utilization. The study adopted both descriptive and analytical cross sectional survey designs. In all 170 youth aged 10-24 were sampled from the Kwadaso Sub Metro using multi-stage stratified random sampling techniques. Both Bivariate and Univariate analysis were conducted with Chi-square test of significance and Pearson moment correlation to establish relations and associations between and among variables of interest. The study found out that in 56.0% (84/150) of the 150 in-school youth had ever had a boyfriend/girlfriend with the majority 39.3%(33/84) not recalling the length of stay with partner whiles only 58% (87/150) have heard about sexual reproductive health services offered in the study area. In all 45.2% (77/170) of youth (10-24) had had sexual experience in life time. Among the in -school youth with sexual experience were 63(thus 42% of total) whiles out of school youth was 14(70%). A total of 69.9% (44/63) in-school youth had sexual intercourse in the last six months whiles only 35.7(5/14) out of school youth had sex in the last six months A total of 55.8% (95/170) of all categories of youth had used at least one or more reproductive health service in lifetime. However, a marginal 25.2% (43/170) of youth had used facility based sexual reproductive health services out of which 39% and 44% considered the services very friendly and friendly. There was statistically significant relationship between youth knowledge of the available sexual reproductive health service and reproductive health service utilization (X2=0.00, P≤0.05) and a strong positive correlation(r=0.5, R2=0.25). 25% of the relationship was explained by linear relationship. A stakeholder integrative and comprehensive approach is required scale up youth utilization of sexual reproductive health services especially facility based ones as friendliness is being improved upon and system barriers removed. This requires baseline survey of youth users of reproductive health services and the quality of services offered.
















Promoting Young People's Sexual Health


Book Description

Valuable contributions on different aspects of sexual and reproductive health among young people are presented in this book, with a focus on developing country contexts. Key discussions on issues relating to young people and their sexual activities are brought together in one volume, exploring how these issues are affected by the wider contexts in which they live. The interdisciplinary team of contributors examine the practical and ideological barriers that inhibit progress in the development of educational and service level improvement of young people’s sexual health as well as presenting examples of efforts made to overcome such difficulties. Promoting Young People's Sexual Health looks to the future, proposing ways forward in terms of policy and legislative changes necessary for long term improvements in young people’s sexual health.




Promoting Adolescent Sexual and Reproductive Health in East and Southern Africa


Book Description

In Africa, as in many parts of the world, adolescent reproductive health is a controversial issue for policy makers and programme planners. Adolescents are particularly vulnerable to HIV and AIDS and to a host of other problems such as sexually transmitted infection, unwanted pregnancy, unsafe abortions, sexual abuse, female genital mutilation and unsafe circumcision. Yet many countries do not have adolescent health policies in place and much remains to be done to ensure that adolescents can access appropriate sexual and reproductive health services. The authors of this volume present new perspectives and strategies to promote adolescent sexual and reproductive health. In particular, they make a unique attempt to bring together social and biomedical science and to disseminate concrete empirical evidence from existing programmes, carefully analysing what works and what does not at the local level.




An Assessment of the Capacity of Facility-based Youth Friendly Reproductive Health Services to Promote Sexual and Reproductive Health Among Unmarried Adolescents


Book Description

Despite the recognition of the influence of cultural norms on adolescent sexual behaviours in most societies (Kaler 2004; Chege 2005), less attention has been paid to the link between social norms and effectiveness of health facilities to promote adolescent sexual and reproductive health (ASRH). This thesis therefore examines the capacity of facilitybased youth-friendly reproductive health services (YFRHS) to promote ASRH in rural Malawian societies where culture strongly influences adolescent sexual behaviours. The study employs a social constructionist epistemology and a social interactionism theory to understand the capacity of YFRHS in ASRH promotion in rural Malawi. Qualitative and quantitative data were collected using a sequential exploratory design. Semi-structured in-depth interviews, participant observations, client exit interviews, survey, focus group discussions and review of health strategic and service utilisation documents/records were conducted. The results were generated by triangulating both qualitative and quantitative data. The findings of the study illuminate how social norms related to social identities influence adolescent sexual behaviours and ASRH promotion. An exploration of the cultural context reveals a major disjuncture between an ideal norm - no premarital sex - and a modelled norm where unmarried adolescents are expected to engage in unsafe sex. It also shows the conflicts between the cultural and scientific models of ASRH promotion. Structural gender asymmetry that emphasises subservience in females and hegemonic masculinity also reduces adolescents' rights and agency in SRH promotion. The health providers are cultural agents. They manage diverse roles both as 'moral guardians' and as 'health promoters' in a way that limits their effectiveness as health promoters. The thesis concludes that the way facility-based YFRHS is implemented has limited impact on SRH promotion among unmarried adolescents of rural Malawi. The study recommends that appropriate health promotion interventions based on conscientisationoriented empowerment theories directed at adolescents, community and health workers should be used in ASRH promotion in societies with strong cultural influence on sexual behaviours.