Hope, agency, and adolescents' sexual and reproductive health: A mini review

Groenewald, Candice; Isaacs, Nazeema; Qoza, Phiwokazi

doi:10.3389/frph.2023.1007005

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…En relación con la percepción de la experiencia, los tiempos de espera largos se encontraron como una de las razones para no asistir a los centros de salud. Pastrana et al, reportaron en su estudio que los tiempos de espera no se establecen como una barrera para la mayoría de adolescentes, pero en determinadas ocasiones causaron que los adolescentes y jóvenes no consultaran los SSA [23][24][25] .…”

Section: Discussionunclassified

Percepción de las juventudes sobre la calidad de atención en los Servicios de Salud Amigables

Granados Castro,

García Sura

2024

Alerta (San Salvador)

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Introducción: El incremento de problemas por conductas de riesgo en la adolescencia, expuso la necesidad de servicios de salud efectivos, adecuados y de calidad. Metodología: Mediante un estudio mixto, se captaron las percepciones de las juventudes sobre la calidad y calidez de atención en los Servicios de Salud Amigables y los establecimientos que consultan, con un cuestionario dirigido a personas usuarias de 7 municipios, que evaluó la calidad de atención y la experiencia del usuario. También, con entrevistas grupales e individuales que estimaron el nivel de satisfacción. Resultados: Las juventudes visitan los establecimientos de salud, para la consulta médica, aunque, desconocen los programas exclusivos para ellos o los Servicios de Salud Amigables. Los servicios mayormente consultados fueron Medicina general y Odontología, en menor proporción los preventivos (alcohol, drogas y violencia). El respeto, confianza y privacidad que brindan los profesionales de salud fueron los aspectos mejor evaluados, la señalización de servicios, los peores. La mayoría reportó tiempo de espera de 30 a 60 minutos, aunque, una minoría refirió esperar más de 2 horas. Para evaluar los servicios prefieren una encuesta al finalizar la consulta y la opinión grupal. Conclusión: Actualmente, existe necesidad de mejorar el acceso a los servicios para adolescentes y jóvenes mediante la socialización de la oferta para fomentar su uso. Asimismo, de incrementar la atención en educación sexual, anticonceptivos, embarazo e implementar la evaluación de estos, con métodos diferentes a los actuales.

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Section: Discussionunclassified

Percepción de las juventudes sobre la calidad de atención en los Servicios de Salud Amigables

Granados Castro,

García Sura

2024

Alerta (San Salvador)

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“…Our focus on modern contraceptive use in early adulthood reflects our understanding that young women’s ability to control if and when to have children is crucial for their ability to navigate early adulthood in a way that expands their agency and reflects empowerment [ 14 – 16 ]. The second outcome of interest is recent visit to a health facility, which is an important measure of healthcare accessibility and uptake.…”

Section: Introductionmentioning

confidence: 99%

How migration shapes modern contraceptive use among urban young women: Evidence from six African countries

Pinchoff,

Pike,

Austrian

et al. 2024

PLoS ONE

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Background Internal migration is an important part of the transition to adulthood for many young people in sub-Saharan Africa. This study examines how migration, in relation to marriage and parenthood, impacts modern contraceptive use and health facility visits amongst young urban women. Methods We draw on Performance Monitoring for Action (PMA) surveys conducted in Burkina Faso, Côte d’Ivoire, Democratic Republic of Congo, Kenya, Nigeria, and Uganda (2019–2022). Our analysis is unique in being able to adjust for whether women wanted to get pregnant soon. Our sample includes women ages 15–24 years currently residing in urban areas (n = 6,225). We conducted logistic regression models clustered by village level identifier to explore the sequence of life events and the timing of migration in relation to current modern contraceptive use and recent health facility visit, a proxy for engagement with formal health services. Results The timing of migration matters more than the sequence of these life events. Young urban women who experienced both migration and a birth, regardless of the order, had increased contraceptive use and recent health facility visit, compared to women who had only experienced one event or neither. Young women who migrated in the past year had 24% lower odds of using a modern method (Odds Ratio = 0.76; 95% confidence interval 0.63, 0.91), adjusting for demographic factors and adjusting for fertility preference (Wanting to get pregnant soon). Having had a birth was highly significant for health facility visit and among women who had had a birth, those who migrated in the last year had lower odds of a recent visit (OR = 0.68, 95% CI 0.41, 0.89). Results suggest an initially disruptive effect of migration. Discussion Our results suggest young women who recently migrated to urban areas may need additional support in accessing contraception and formal health services for themselves or their children.

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“I will find the best method that will work for me”: navigating contraceptive journeys amongst South African adolescent girls and young women

Duby,

Bergh,

Bunce

et al. 2024

Contracept Reprod Med

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Background Given that South Africa has one of the highest rates of pregnancy amongst adolescent girls and young women (AGYW) globally, the provision of contraceptives to this group has been a key focus in recent years. Pregnancy prevention involves an on-going continuum of decision-making around contraceptive method choice, uptake, use, experience, continuation, and discontinuation. Methods This paper presents analysis of data from a cross-sectional survey with 2376 AGYW, as well as qualitative in-depth interviews (IDIs) with 54 AGYW, inclusive of contraceptive journey narratives. We examine the preferences, valued characteristics, choices, beliefs, understandings and experiences of choosing and using contraceptives amongst AGYW in two South African communities characterised by high rates of pregnancy. Results These findings shed light on the preferences towards, beliefs about, and experiences of choosing, using and discontinuing contraceptive methods amongst this population, with survey data suggesting that the most popular methods were the injection, followed by the implant, and then the oral pill. Findings illustrate the complexity and dynamic nature of contraceptive decision-making and the varied embodied and lived experiences of contraceptive use, and how these are impacted by contraception service provision. Conclusions Our findings show that contraception experiences of each individual are cumulative, and comprise a continuum of method initiation, use, discontinuation, method switching and on-going circular decision-making influenced by multiple social, structural, contextual and interpersonal factors, combined with shifting preferences, values and needs. To maximise the use of contraceptives amongst South African AGYW, it is necessary to provide responsive contraception service provision to reflect the changing contexts and preferences of users, in order to ensure that pregnancy prevention needs are catered for throughout their reproductive life course.

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Hope, agency, and adolescents' sexual and reproductive health: A mini review

Cited by 3 publications

References 41 publications

Percepción de las juventudes sobre la calidad de atención en los Servicios de Salud Amigables

Percepción de las juventudes sobre la calidad de atención en los Servicios de Salud Amigables

How migration shapes modern contraceptive use among urban young women: Evidence from six African countries

“I will find the best method that will work for me”: navigating contraceptive journeys amongst South African adolescent girls and young women

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