加纳阿克拉的青少年获得性和生殖健康服务:一项探索性定性研究
Divya Parmar1, Semira Berhe1, Susan Bradley2
1Department of Population Health Sciences, King's College London, London, UK.
Global public health
|April 18, 2024
概括
由于复杂的社会,文化和经济因素,加纳的青少年在获得性生殖健康 (SRH) 服务方面面临挑战. 解决这些问题需要一种超越学校课程的多部门方法,以改善SRH结果.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 生殖健康 生殖健康
背景情况:
- 加纳的青少年有高比例的青少年怀孕和不安全的堕胎.
- 性和生殖健康 (SRH) 教育是学校课程的一部分,但挑战仍然存在.
研究的目的:
- 探讨影响青少年获得和体验到加纳阿克拉SRH服务的因素.
- 确定加纳青少年使用SRH服务的障碍和促进因素.
主要方法:
- 定性研究采用12个焦点小组讨论与青少年 (上学和非上学) 和13个关键信息人采访.
- 以达尔格伦-怀特黑德健康决定因素的彩虹模型为指导的主题分析.
主要成果:
- 在影响SRH获取的微,中和宏观层面出现了八个主题:家庭,社会网络,学校,卫生提供者,政策,性别规范,文化规范和贫困.
- 研究结果表明,结构因素显著影响青少年获得适当的SRH服务的能力.
结论:
- 青少年的SRH服务获取是由个人,社会和结构决定因素的复杂相互作用所塑造的.
- 一个多部门战略对于解决有害的性别规范和贫困至关重要,从而改善加纳青少年的SRH.
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