While there has been increased attention to youth-friendly reproductive health services, little research has been conducted among adolescents in developing countries to assess what characteristics of reproductive health services are most important to them. Large scale population-based surveys were carried out among youth in Kenya and Zimbabwe. A list of characteristics that programmers often think of as youth-friendly was read to respondents, after which they were asked to assess the importance of those characteristics in choosing their reproductive health services. Adolescents rated confidentiality, short waiting time, low cost and friendly staff as the most important characteristics. The least important characteristics included youth-only service, youth involvement and young staff, suggesting that adolescents do not prioritise stand-alone youth services such as youth centres, or necessarily need arrangements particular to youth such as youth involvement. RÉSUMÉQue signifie 'favorable à la jeunesse?' Préférence des adolescents pour les services de santé de reproduction au Kenya et au Zimbabwe Alors qu'il y a eu une augmentation par rapport à l'attention faite aux services de santé de reproduction favorables à la jeunesse, peu de recherche a été menée au sein des adolescents dans les pays en développement pour évaluer les caractéristiques de santé de reproduction qui leur soient les plus importantes. Nous avons mené des enquêtes à grande échelle basée sur la population au sein des jeunes gens au Kenya et au Zimbabwe. Une liste des caractéristiques que les programmeurs considèrent souvent comme étant favorables aux jeunes a été lu aux interrogés. Ensuite, ils ont été demandés d'evaluer l'importance de ces caractéristiques-là dans le choix de leurs services de santé de reproduction. Les adolescents ont signalé que la confidentialité, une attente de courte durée, le coût bas et le personnel accueillant, étaient les caractéristiques les plus importantes. Les caractéristiques les moins importantes comprenaient le service reservé à seuls les jeunes, la participation des jeunes et le personnel jeune. Ce qui montre que les jeunes ne prioritisent pas les services de jeunes isolés tels les centres de jeunes, ou bien qu'ils n'ont pas forcément besoin d'arrangements qui concernent en particulier les jeunes comme la participation de jeunes. L'étude laisse entendre que la plupart des services cliniques, même dans les milieux de maigre ressource, sont en mesure d'améliorer leur niveau de gentillesse envers les jeunes. (Rev Afr Santé Reprod 2005; 9[3]:51-58)
This study was conducted to assess providers' attitudes toward the provision of long-term methods of contraception, in particular the IUD, and provider concerns about human immunodeficiency virus (HIV) in the context of family planning (FP) services. The data were collected using self-administered structured questionnaires. Between 65% and 80% of the public and private providers thought that the IUD is a good contraceptive method for Zimbabwean women. In addition, the majority of these two provider groups felt that neither the IUD nor tubal sterilization (TL) posed much risk of HIV infection to the client. A significant number of providers (especially the public nurses), however, thought that the provision of TL put the provider at high risk of HIV infection and a significant proportion of public nurses were also concerned about provider risk associated with providing IUD and injectables. To address such concerns, future training interventions should emphasize appropriate infection prevention practices associated with surgical FP method provision. Nurses, in particular, should be informed about the magnitude of risk associated with FP service provision and ways to protect themselves. Logistic activities also need to be strengthened so that legitimate concerns among providers regarding lack of adequate infection prevention supplies (e.g. gloves) in the field can be addressed.
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