Barriers to Adolescents' Getting Emergency Contraception Through Pharmacy Access in California: Differences by Language and Region

Sampson, Olivia; Navarro, Sandy; Khan, Amna; Hearst, Norman; Raine, Tina; Gold, Marji; Miller, Suellen; Bocanegra, Heike Thiel de

doi:10.1363/4111009

Cited by 47 publications

(41 citation statements)

References 33 publications

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“…MCs also observed structural barriers including location, opening times, and staff shortages of health facilities in eight of the reviewed evaluations/studies (26.6%) [18,19,29,31,35,37,40,43]. Staff shortages and limitations in opening times were reported to impact accessibility to services in the reviewed assessments.…”

Section: Key Findingsmentioning

confidence: 90%

“…In these cases, MCs were asked to assess ease of access to health facilities, the environment of health facilities, staff and health provider behaviour, and service provision or specific aspects of care, such as quality of advice received [7,17,18,31,38,44]. Twenty-one of the reviewed evaluations/studies provided their MCs with specific scenarios, with either a script or a specific question or concern to ask during the medical visit [17,19,21–25,27,29,32–35]. Two of the reviewed evaluations/studies provided MCs with scripted scenarios, but failed to include information on what the scenarios or roles entailed [16,26,36].…”

Section: Key Findingsmentioning

confidence: 99%

“…Five evaluations/studies did not specify sex of the MCs in the description of the methods [28,31,38,40,43]. Eleven of the 30 evaluations/studies reviewed did not specify the ages of the MCs recruited for the study [17,19,20,30,32,33,35,38,40,41,43], while the rest recruited individuals who were 25 years old and under [16,18,21–29,31,34,36,37,39,44,45]. …”

Section: Key Findingsmentioning

confidence: 99%

“…Four of the reviewed evaluations/studies described that MCs filled out observation reports [17,27,31,35] and one study had them complete a survey [16]. Other data collection methods included reflection sessions [19,26] and a rating system completed by the MCs [43]. Seven of the reviewed studies did not elaborate on the method of debriefing used [18,21,22,24,25,38,40].…”

Section: Key Findingsmentioning

confidence: 99%

“…Five of the reviewed evaluations/studies used thematic analysis or coding [17,27,29,31,32]. Twelve of the reviewed evaluations/studies statistically analysed their quantitative data with a range of methods, such as regression analysis on platforms including SASS and Stata [19,21,22,24,25,33,34,36,42,44,45]. Four of the reviewed evaluations/studies used both statistical and thematic analysis methods [23,37,39,41].…”

Section: Key Findingsmentioning

confidence: 99%

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A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries

Chandra-Mouli

Lenz²,

Adebayo

et al. 2018

Global Health Action

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Background: Mystery client methodology is a form of participatory research that provides a unique opportunity to monitor and evaluate the performance of health care providers or health facilities from the perspective of the service user. However, there are no systematic reviews that analyse the use of mystery clients in adolescent sexual and reproductive health (ASRH) research and monitoring and evaluation of programmes. Objective: To assess the use of adolescent mystery clients in examining health care provider and facility performance in providing ASRH services in high, middle, and low-income countries. Methods: We carried out a systematic review of published journal articles and reports from the grey literature on this topic from 2000 to 2017 (inclusive). Thirty research evaluations/studies were identified and included in the analysis. We identified common themes through thematic analysis. Results: The findings reveal that researchers and evaluators used mystery client methodology to observe client-provider relationships, and to reduce observation bias, in government or private health facilities, NGOs, and pharmacies. The mystery clients in the evaluations/studies were young people who played varying roles; in most cases, they were trained for these roles. Most reported good experiences and friendly providers; however, some reported lack of privacy and confidentiality, lack of sufficient written/verbal information, and unfavourable experiences such as sexual harassment and judgmental comments. Female mystery clients were more likely than males to report unfavourable experiences. Generally, the methodology was considered useful in monitoring and evaluating the attitudes of health service providers and ASRH service provision. Conclusions: The research evaluations/studies in this review highlight the usefulness of mystery clients as a method to gain insight, from an adolescent perspective, on the quality of ASRH services for research and monitoring and evaluation of programmes.

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Section: Key Findingsmentioning

confidence: 90%

Section: Key Findingsmentioning

confidence: 99%

Section: Key Findingsmentioning

confidence: 99%

Section: Key Findingsmentioning

confidence: 99%

Section: Key Findingsmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries

Chandra-Mouli

Lenz²,

Adebayo

et al. 2018

Global Health Action

View full text Add to dashboard Cite

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Exploring Knowledge, Belief and Experiences in Sexual and Reproductive Health in Immigrant Hispanic Women

Quelopana

Alcalde

2013

J Immigrant Minority Health

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This study examined the transformation of immigrant women's knowledge, belief and experience with regard to sexual and reproductive health after living in the US. Four focus groups (N = 24) were held with Hispanic women ≥18 years old. We identified two main themes (Fertility/Knowledge and Gender power) with five subthemes (Sex education, Contraception and unintended pregnancy, Men versus women, Intimate partner violence, and Immigrating to the US). Most of these women were raised in a very restricted family context where talking about sex was viewed as sinful. In spite of their own experiences of sexual silence and the consequences to their lives, women valued the positive changes achieved by immigrating to the US; they felt empowered to make their own decisions regarding reproductive health.

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Conscientious Objection: A Talmudic Paradigm Shift

Weiner

2020

J Relig Health

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Conscientious objection remains a very heated topic with strong opinions arguing for and against its utilization in contemporary health care. This paper summarizes and analyzes various arguments in the bioethical literature, favoring and opposing conscientious objection, as well as some of the proposed solutions and compromises. I then present a paradigm shifting compromise approach that arises out of very recent Jewish bioethical thought that refocuses the discussion and can minimize the frequency with which conscientious objection is required.

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Barriers to Adolescents' Getting Emergency Contraception Through Pharmacy Access in California: Differences by Language and Region

Abstract: Adolescents face significant barriers to obtaining emergency contraception, but the expansion of Spanish-language services at pharmacies and greater collaboration between providers and pharmacists could improve access.

Cited by 47 publications

References 33 publications

A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries

A systematic review of the use of adolescent mystery clients in assessing the adolescent friendliness of health services in high, middle, and low-income countries

Exploring Knowledge, Belief and Experiences in Sexual and Reproductive Health in Immigrant Hispanic Women

Conscientious Objection: A Talmudic Paradigm Shift

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