Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial

Aninanya, Gifty Apiung; Debpuur, Cornelius; Awine, Timothy; Williams, John E.; Hodgson, Abraham; Howard, Natasha

doi:10.1371/journal.pone.0125267

Cited by 61 publications

(85 citation statements)

References 59 publications

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“…Studies evaluated interventions that targeted three broad groups of health topics: sexual and reproductive health (six studies), communicable diseases (three studies) and non‐communicable diseases (one study). In terms of outcomes, the majority of studies measured healthcare utilisation (six studies) , whilst three studies measured compliance to treatment , and one study measured immunisation uptake (Table ).…”

Section: Resultsmentioning

confidence: 99%

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Bright

Felix

Kuper

et al. 2018

Tropical Med Int Health

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This review provides evidence of the range of interventions that were used to increase healthcare access for children above 5 years old in LMIC. Nevertheless, further research is needed to examine each of the identified intervention types and the influence of contextual factors, with robust study designs. There is also a need to assess the cost-effectiveness of the interventions to inform decision-makers on which are suitable for scale-up in their particular contexts.

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Section: Resultsmentioning

confidence: 99%

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Bright

Felix

Kuper

et al. 2018

Tropical Med Int Health

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“…Integrating school-based educational activities, outof-school outreach, community mobilisation, and staff training in youth-friendly service provision was shown to enhance service uptake in Ghana in a formal comparison, with more limited intervention components of staff training or community mobilisation alone. 15 The views of young people themselves about what aspects of service provision are the most important and how these are valued can be ascertained through formal methods, such as discrete choice experiments. 16 In Ntcheu District, a discrete choice experiment carried out in 2012 suggested that the preferred service model was one that assured confidentiality as the first priority, also included HIV testing and treatment, and had a component of youth sports.…”

Section: Discussionmentioning

confidence: 99%

Quality of facility-based family planning services for adolescents in Malawi: Findings from a national census of health facilities

Jayachandran

Chapotera

Stones³

2016

Mal. Med. J

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BackgroundThe main objective of this study was to describe the quality, in terms of provision and experience of care, of facility-based family planning services for adolescents compared to older clients in Malawi. Methods Secondary data analysis was performed on data obtained from the Service Provision Assessment survey 2013-14, a census of all formal health facilities in the country. For the present study the inclusion criterion was that the client's age was recorded in the data set, which gave a weighted total of 1388 observations of consultations, reflecting provision of care, and client exit interviews, reflecting experience of care. ResultsThe youngest clients (age group 13 to 19 years) had twice the odds of reporting a better experience of care compared to clients aged 26 and older (odds ratio [OR] 2.03, 95% confidence interval [CI] 1.15 to 3.54, P = 0.013). The standard of observed provision was low, typically with half or more of the mandated elements of care omitted. Compared with clients aged over 25, provision of care was slightly better for adolescents, with a coefficient of 4.56 on a percentage scale (95% CI 0.90 to 8.23, P = 0.015) and a coefficient of 2.33 for those aged 20-25 (95% CI 0.21 to 4.44, P = 0.032). Clients seen in facilities under nongovernmental management had better provision of care compared to government facilities, with a coefficient of 12.35 (95% CI 6.70 to 18.01, P < 0.001); care was worse for clients seen in clinics compared to hospitals (coefficient −6.88, 95% CI −11.41 to −2.35, P = 0.003) and also for clients seen by health surveillance assistants compared to those seen by a clinician (coefficient −9.41, 95% CI −15.53 to −3.29, P = 0.003). Conclusions Quality of care for adolescents attending facility-based family planning services was slightly better than for older clients, but this is overshadowed by the finding of a low standard of care overall. Health system strengthening, especially at the clinic level, is a policy and programming priority that will contribute to adolescent reproductive health in Malawi.

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“…Only two studies report on this (Aninanya et al 2015;. While this could be due to the way provider service quality is measured, such as by asking adolescents their opinion on the services, or whether they had used services as proxies to directly measuring provider behaviour or service quality, which would then be coded into attitudes, self-efficacy and empowerment, very few of the studies even do this.…”

Section: Gaps In Impact Evaluationmentioning

confidence: 99%

Adolescent sexual and reproductive health: an evidence gap map

Rankin¹,

Jarvis-Thiebault²,

Pfeifer³

et al. 2016

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The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding and producing high-quality evidence of what works, how, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives. 3ie evidence gap map reports 3ie evidence gap maps are thematic collections of information about impact evaluations or systematic reviews that measure the effects of international development policies and programmes. The maps present a visual overview of existing and ongoing studies in a sector or sub-sector in terms of the types of programmes (or interventions) evaluated and the outcomes measured. The evidence gap map reports provide all the supporting documentation for the maps themselves, including the background information for the theme of the map, the methods and results, including the protocols, and the analysis of the results. About this evidence gap map reportThis report provides the supporting documentation for the 3ie evidence gap map on adolescent sexual and reproductive health, which was developed as part of a project funded by the William and Flora Hewlett Foundation. All of the content is the sole responsibility of the authors and does not represent the opinions of 3ie, its donors or its Board of Commissioners. Any errors and omissions are also the sole responsibility of the authors. Any comments or queries should be directed to the corresponding author, Kristen Rankin, at krankin@3ieimpact.org. Additionally, 3ie would like to thank the wide range of stakeholders who participated in consultative workshops and a roundtable event. A complete list of participants can be found in the accompanying scoping report (Rankin et al. 2016).ii Summary Adolescence (ages 10-19) is a critical time period in life during which people undergo extensive biological, psychological and social changes. Sexual and reproductive health (SRH) plays an integral role during adolescence and can affect many aspects of a person's life during and after this time. Adolescents face a multitude of risks and challenges related to SRH, including those related to early pregnancy and sexually transmitted infections (STIs) (Fatusi and Hindin 2010;Dick and Ferguson 2015). Programming that addresses this health area has the potential to greatly improve not only adolescents' SRH, but also their overall health and their ability to reach their full potential. This programming can range from clinical interventions such as STI treatment, to health systems strengthening, to community engagement approaches aimed at changing norms around gender, marriage and sexual health.To best invest finite resources in programming aimed at improving adolescent sexual and reproductive health (ASRH), decision-makers need to know what works and what does not, particularly within a low-and middle-income country (L&MIC) context. Impact evaluations -studies using experimental or quasi...

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Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial

Cited by 61 publications

References 59 publications

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Systematic review of strategies to increase access to health services among children over five in low‐ and middle‐income countries

Quality of facility-based family planning services for adolescents in Malawi: Findings from a national census of health facilities

Adolescent sexual and reproductive health: an evidence gap map

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