PERCEPTIONS, ATTITUDES AND BELIEFS OF YOUTH REGARDING THE USE OF SEXUAL AND REPRODUCTIVE HEALTH (SRH) SERVICES IN ASHAIMAN, GHANA


Book Description

This research explored the perceptions of young people regarding the use of Sexual and Reproductive Health (SRH) services in Ashaiman, Ghana. In particular, it explored their perceptions about contraceptives, SRH service providers as well as their access and use of SRH educational materials. The study also explored ways of improving service utilization by correcting the misconceptions of young people about SRH services. The health belief model was used to appraise how people’s perceptions of their susceptibility to a particular health condition, the severity, benefits, barriers, cues to action and self-efficacy impact their health behavior, more so reproductive health. Twelve people were recruited using purposive and convenience sampling. They were asked ten sets of open-ended questions concerning the study’s objectives. Using a thematic content analysis approach, it was found that most participants consider contraceptives, especially condoms, as preventing pregnancies and STIs. However, each person expressed concern over the side effects of hormonal contraceptives as this influences their decisions to use condoms and pills more. The findings also established that there is a negative perception about SRH service providers because they are considered unwelcoming to young people, charge higher fees or seek husbands’ consent before administering long-term contraceptives to married women. Participants, therefore, recommended stakeholders to work on improving health workers professionalism and include family planning services under the National Health Insurance. Sex education should also be included in the educational system to provide credible and timely information; government should commit resources to SRH services, and various services providers were encouraged to coordinate efforts towards achieving a common goal. Limitations of the study were noted, and recommendations for stakeholders and future studies were also made.




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.




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.




Perception of Students & Teachers on Reproductive Health Education


Book Description

Reproductive health education is critical in addressing the alarming rates of sexual infections and diseases among adolescents. The essence of educating youth on their reproductive health and sexuality is critical as it helps them in making informed decisions related to their sexuality and health aside reducing the rate of sexual risky behaviours. Such education is further aimed at enhancing sociocultural relations as well as encourage young people to seek relevant information to enhance their sexual development. In Ghana, teachers are the primary sources of information for students and the quality of such information churned out by educators to students depends on his/her confidence, perceptions, knowledge and skills. Most educators are adamant and reluctant in teaching students about their sexual and reproductive health systems. Globally, about 2.1 million adolescent girls get impregnated each year and more than 600,000 teenage pregnancies have been recorded in Ghana between 2016 and 2021 while between 2016 and 2021, Ghana has recorded more than 100,000 new HIV infection cases. The research aimed at exploring the perceptions of educators and students on reproductive health and its related issues in Ghana as well as understand why there is low rate of education on reproductive health in schools. In addition, the research examined what informs educators and students on the investigated matter. A sample of 85 respondents were interviewed. Results show that religious commitments and personal biases inform teachers and students when it relates to reproductive health issues. Most educators and students do not use contraceptives during sexual intercourse because they believe they are not prune to contracting diseases and infections. Condom usage amongst students stands at 28% and more females tend to have sex earlier than males. Furthermore, 69.4% of students don't believe in contracting infections and diseases with just a single unprotected sex. The best modality to encourage students to be educated about their reproductive health issues is by including it into the school curriculum, training teachers on the issue and making counselling sessions available to students and ensuring their privacy when they confide in educators.







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.




Youth Led-Action and Research for Demanding Adolescent Friendly Sexual and Reproductive Health Services


Book Description

The attention on sexual and reproductive health (SRH) needs of adolescents and youth by the Government of India (GoI) has resulted in the development of national programmes and policies in the last two decades. For example, Adolescent Reproductive and Sexual Health (ARSH) component was included as one of the strategies in the Reproductive and Child Health-II Programme (2005-2010), GoI, to reduce the Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR) and Total Fertility Rate (TFR) nationally. Moving beyond the instrumentalist approach of the ARSH programme which perceives adolescent girlsu2019 health concerns within the framework of u201cmaternal health of future mothersu201d, the Access Project argues that female adolescent sexual health issues cannot only be limited to their fertility and future maternity. The Access Project is a community and youth-led audit of SRH services in India in multiple health facilities including Adolescent Friendly Health Clinics (AFHC, a component of National Adolescent Health Programme, 2014). World Health Organisation (WHO) recognises provision of counselling services through AFHCs as an important component of adolescent health. The following study seeks to audit six SRH services, including Reproductive Tract Infection (RTI)/ Sexually Transmitted Infections (STI) testing, RTI/STI counselling, safe sex and contraceptive methods counselling, pregnancy test and information on abortion care. It identifies barriers within the health system in accessing counselling services on SRH like non-availability of the comprehensive IEC material, inadequate distribution of clinics and staff capacities, lack of measures for ensuring privacy and confidentiality in the AFHCs and conservative attitude of the service providers towards premarital sex. The programme uses the identified barriers as evidence from young researchers for advocacy. It adopts a two-point strategy which includes policy advocacy and public advocacy. Policy advocacy initiative focuses on improvement of service delivery with key stakeholders for an effective implementation of the programme and public advocacy focuses on uptake of SRH services with young people in the community.




Relationships Between Adolescents' Sexual and Reproductive Health Knowledge, Attitudes, and Beliefs and Intimate Partner Violence in Young Adulthood


Book Description

Although adolescents’ sexual and reproductive health (SRH) knowledge, attitudes, and beliefs (KAB) have been amply studied, most research on the topic focuses on examining contraceptive use and the risk of unintended pregnancy. Relatively little is known about the relationship between adolescents’ SRH awareness and young adult health and well-being outcomes, such as the perpetration and victimization of intimate partner violence (IPV). IPV represents a major public health crisis in the United States: Approximately one-third of both women and men report having experienced some type of violence at the hands of an intimate partner in their lifetime. I examine the relationship between adolescents’ SRH KAB and intimate partner violence using data from two waves of the National Longitudinal Study of Adolescent to Adult Health (Add Health). Add Health, which follows a nationally representative sample of individuals over more than a decade (1994–2008), is the largest and most comprehensive longitudinal survey of adolescents to date, and contains detailed information on the sexual and romantic experiences of adolescents and young adults. My study incorporates four key explanatory variables from Wave I—a reproductive and contraceptive knowledge score, a contraceptive attitudes index, a contraceptive confidence index, and a self-efficacy index—which were built using factor analysis. It also includes two dichotomous dependent variables—IPV perpetration and victimization—from Wave III. Multivariate logistic regression analyses reveal similar associations between sociodemographic variables and both IPV measures: Women are much more likely to experience both outcomes, while women who are older at sexual debut or who have high educational attainment are significantly less likely to experience either outcome than their respective counterparts. Surprisingly, adolescents with greater and more accurate SRH knowledge are more likely than those with less knowledge to later become victims of IPV, though knowledge has no bearing on the likelihood of perpetration. Notably, holding more favorable attitudes toward contraception as an adolescent is unambiguously related to a decreased likelihood of experiencing IPV perpetration or victimization as a young adult. These results demonstrate that while knowledge is important, attitudes developed during adolescence are moderately strong correlates of experiencing IPV in young adulthood, providing evidence in support of sexuality education programs that target SRH attitudes and incorporate violence prevention, healthy relationship, and conflict resolution modules.







Examining Barriers to Sexual and Reproductive Health Services for Adolescents and Young Adults in Nebraska


Book Description

Despite recent declines in unintended pregnancy rates among adolescent and young adult women, barriers to family planning services and contraception continue to exist for young women living in the United States. Various initiatives have been implemented over the years from programmatic interventions to enactment of policies around family planning, yet more work needs to be done to help adolescent and young adult women successfully prevent unintended pregnancy. The Contraceptive Access Project (CAP) is a multi-component initiative in Nebraska to reduce unintended pregnancy among women aged 15-24. This dissertation comprises three separate studies each of which contributes to the overall objective of examining and understanding barriers to sexual and reproductive health (SRH) services for adolescents and young adults aged 15-24 in Nebraska and the role of the CAP in reducing those barriers. Results from the first study showed that racial and ethnic background, rather than age, of young women receiving CAP services (e.g. no-cost contraception) were predictive of whether a Tier 1 method of contraception (e.g. intrauterine device or subdermal implant) were obtained. The second study found that barriers to the adoption and implementation of quality family planning best practices continue to exist for Title X organizations across the state. The final study found that despite high knowledge about long-acting reversible contraceptives (LARCs) among clinical staff in Title X organizations across Nebraska, misconceptions about LARCs, as well as attitudes and beliefs around LARCs for adolescents and young adults, continue to present as barriers to young people’s access of contraception, particularly in rural parts of the state. Overall there are several strengths to this dissertation. First, this work adds to the overall literature on barriers to SRH services for young women, not only in Nebraska but across the U.S. Second, results from these studies can help other communities in the U.S. to implement initiatives around reducing barriers to SRH services. Finally, we have expanded upon the literature comparing adolescent women aged 15-19 to young adult women aged 20-24. Future studies can use this work to reduce barriers to SRH services for young people throughout the United States.