Youth Friendliness of Sexual and Reproductive Health Service Delivery and Service Utilization in the Kwadaso Sub-Metro of the Ashanti Region, Ghana


Book Description

Background: Incidence and prevalence of reproductive health difficulties have been shown to be higher among younger people. In Ghana, youth-friendly sexual and reproductive health services and facilities are very limited. The study aimed at examining the friendliness of sexual and reproductive health service delivery and utilization.Methods: Across sectional design with both qualitative and quantitative methods was conducted to examine the friendliness and utilization of reproductive health services among youth in the Kwadaso Sub-Metro of Ashanti Region, Ghana. A multistage stratified sampling was used to enroll 170 youth (150 in-school and 20 out of school youth) aged 10-24 years. Data analysis involved descriptive statistics using SPSS software version 20.Results: Findings demonstrated that out of the 150 in-school youth sampled, 56% ever had a boyfriend or girlfriend, however, about one third (39.3%) did not recall the length of stay with partner, 58% have heard about sexual reproductive health services offered in the study area. A total of 55.8% of all categories of youth had used at least one or more reproductive health service before. Findings again revealed that 37.2% and 44% respectively of youth who had used sexual reproductive health considered the services received at a facility to be very friendly and friendly, yet, a few 18.6% indicated unfriendliness with services received at the facility.Conclusion: An integrative and comprehensive approach is required to scale up youth utilization of sexual reproductive health services especially facility based. This requires baseline survey of youth users of reproductive health services and the quality of services offered.




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.










CEDEP Reproductive Health Programme


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Youth Reproductive and Sexual Health


Book Description

"The study provides information on key reproductive and sexual health indicators in young women and men age 15-24 in 38 developing countries"--P. xiii.




Adolescent Sexual and Reproductive Health Service Seeking Practices and Preference of Young People


Book Description

This research is about the sexual and reproductive health practices of young women and men in the age group of 18 -24 years in Nambale sub-county in Iganga district, Uganda. In this research I sought to understand the relevancy and responsiveness of current ASRH programs given the high rates of unsafe abortion, unwanted pregnancy, STI and HIV infection and poor maternal health practices observed by the Uganda Demographic and Health Survey -UDHS (2006) and reports by the Uganda National Adolescent Health Policy (2004). Most prior research related to this topic focuses on the adult population perceptions about young people0́9s service seeking practices. This focus undermines the participation of young people in matters that concern them and their preference. This inquiry therefore focused on the perspective of the young population of 18-24 years old, examining their ASRH service seeking practices, preference and media habits in order to explain reasons for low utilization of services from the perspective of young people and possible improvements in light of the client-provider oriented efficiency approach to 0́−unique0́+ public health services like ASRH. Learning their perceptions and attitudes about current service delivery arrangements and what they perceive as the most effective approach to improving accessibility and utilization of ASRH services to improve their health wellbeing. This research answers the question as to why utilization of ASRH is low and how ASRH programs could be packaged to benefit and to increase young people0́9 satisfaction if their priorities or thoughts were to be aligned with standard goals of quality assurance in ASRH. ASRH services as used in this research are those reproductive health services that are being used by young people from 10-24 years. Using the case study approach, I employed the Focus Group Discussion (FGD) techniques using the Participatory Rapid Appraisal methodology (PRA) for data collection and analysis. This approach allowed for shared learning between local community and myself to assess and analyze situations together to arrive at appropriate conclusions. Findings of this research imply that the process which should be used in developing appropriate communication and advocacy strategies should not be limited to NGO managers or district health officials of participating organizations but should engage local service providers, local media, local artists, representatives of parents, teachers, advocates of young people0́9s rights and young people themselves in order to get a well balanced content and process.




Sexual and Reproductive Health of Adolescents with Disabilities


Book Description

This book investigates various experiences of teaching sexual and reproductive health to adolescents with disabilities. Following the adoption of the UNCRPD, adolescents with disabilities still commonly suffer from widespread violation of their rights particularly concerning sexual and reproductive health – often being viewed as either asexual or hypersexual. Contemporary societies do not readily encourage the participation of these young people in conversations or decision making processes concerning their own sexual and reproductive health. This book delves into such complex issues, critically examining how global communities attempt to teach sexual and reproductive issues to adolescents with disabilities in the modern era.




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.