Provision of adolescent reproductive and sexual health services in India: Provider perspectives

Jejeebhoy, Shireen J.; Santhya, K.G.; Singh, Santosh Kumar; Rampal, Sanjiv; Saxena, Komal

doi:10.31899/pgy10.1020

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Of 25 intervention studies, eight focused on intervention for female sex workers, two targeted injectable drug users and alcoholics and 1 targeted pregnant women. One study discussed the providers’ perspective on adolescent-friendly health services [ 61 ]. We found one study which examined the correlates of health-seeking behaviour [ 61 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study discussed the providers' perspective on adolescent-friendly health services [61]. We found one study which examined the correlates of health-seeking behaviour [61]. About ten were single intervention PLOS ONE studies, while the remaining 15 were multiple component intervention studies.…”

Section: Health-seeking Behaviour and Interventions To Prevent Sti/hivmentioning

confidence: 99%

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Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

Paul,

Sharma,

Dayal

et al. 2024

PLoS ONE

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Limited evidence is available on the vulnerability of Adolescent Girls and Young Women (AGYW) to sexual risk behaviour and STI/HIV. Though there are almost no statistics available on vulnerability, related literature suggests that AGYW have low awareness about sexual risk behaviour/ transmission and the prevalence of STI/HIV, making them vulnerable. We conducted a rapid review of peer-reviewed studies addressing transmission network, prevalence, incidence awareness, common determinants of sexual risk behaviour/STI/HIV, health-seeking behaviour and existing interventions addressing the situation among AGYW (age 15–24) to inform the evidence gap in this crucial area of research. We registered the study in PROSPERO (CRD42023403713). We developed detailed inclusion/exclusion criteria, searched JSTOR, PubMed, Google Scholar, Science Direct and Population Council Knowledge Commons databases and followed the guidance from Cochrane Rapid Review to develop the rapid review. We also searched the bibliography of the included studies. We included the English language peer-reviewed quantitative, qualitative, mixed method studies published from Jan 1 2000 to Mar 31 2023. Six reviewers extracted data, and the seventh reviewer independently assessed the quality. Ninety-six studies met the inclusion criteria. We used descriptive statistics and narrative synthesis methods for data analysis. We also conducted a Risk of Bias Assessment (RoB) to check the quality of the included studies. Inadequate literature was found on the transmission network. Prevalence and awareness of STI/HIV are low among AGYW. However, Female Sex Workers, sex-trafficked women or drug users in this age group suffer more. Age, education, income, relationship dynamics with spouses/partners, multiple partners, and substance use are crucial in determining STI/HIV. Traditional sources of health seeking are more popular than formal sources because of social stigma. Mass media campaigns, community mobilization programs, and life skills training programs increase awareness about HIV, condom use and self-efficacy. The inclusion of only English language studies and not conducting meta-analysis because of high heterogeneity are some of the limitations of the study.

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Section: Resultsmentioning

confidence: 99%

Section: Health-seeking Behaviour and Interventions To Prevent Sti/hivmentioning

confidence: 99%

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

Paul,

Sharma,

Dayal

et al. 2024

PLoS ONE

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“…Even programmes implemented in community settings tend to attract the richer and the more educated segments of girls in the communities (Acharya et al, 2009), suggesting the need for adopting measures to reach the most vulnerable girls. Similarly, although programmes that facilitate adolescents' access to sexual and reproductive health counselling and services-overwhelmingly conducted by the health department-are expected to meet the needs of different categories of adolescents, they tend to focus largely on females, exclude unmarried adolescent girls and reach out to married adolescent girls only after they have proven their fertility (Jejeebhoy et al, 2014;Santhya et al, 2014;Jejeebhoy and Santhya, 2011;Santhya et al, 2007). Clearly, there is a need to sensitise and build the skills of healthcare providers to respond to the needs of all categories of adolescents, including the unmarried.…”

Section: Background and Rationalementioning

confidence: 99%

“…Previous studies in India have shown that parents themselves are not fully informed about sexual and reproductive matters (Jejeebhoy and Santhya, 2011;Jejeebhoy et al, 2014). In our survey with mothers and fathers, we included several questions to assess their awareness of sexual and reproductive matters, including physical and behavioural changes associated with adolescence, sex-and pregnancy-related matters, legal minimum age at marriage, contraception, sexually transmitted infections, and HIV/AIDS.…”

Section: Parental Awareness Of Sexual and Reproductive Mattersmentioning

confidence: 99%

Addressing adolescent girls' vulnerability to HIV/AIDS: Lessons from the Meri Life Meri Choice project

Mehra¹,

Singh²,

Nair³

et al. 2016

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Chapter 2 Profile of adolescent girls and their families Chapter 3 Meri Life Meri Choice project Chapter 4 Effect of the intervention on protective assets of adolescent girls and their unmarried brothers and husbands Chapter 5 Effect of the intervention on sexual risk-taking and health-seeking behaviours and practices of adolescent girls and their unmarried brothers and husbands Chapter 6 Effect of the intervention on adolescent girls' access to a supportive and safe environment Chapter 7 Effect of the intervention on awareness and practices of mothers and fathers of adolescent girls Chapter 8 Changes in attitudes and practices among adolescent girls and their family members: self-assessments Chapter 9 Summary and recommendations Annex 1: Detailed description of the selection of intervention and comparison arms and sample size calculation Annex 2: Calculation of household wealth index Annex 3: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands, by treatment arms, baseline survey Annex 4: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands, baseline and endline surveys Annex 5: Items included in the summary measures related to agency and gender role attitudes and their baseline values Annex 6: Items included in the summary measure related to awareness of sexual and reproductive matters and their baseline values iv Annex 7: Items included in the summary measure related to financial literacy and their baseline values Annex 8: Items included in the summary measure related to parental awareness of sexual and reproductive matters and their baseline values Annex 9: Items included in the summary measure related to gender role attitudes of parents and their baseline values Annex 10: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands by their participation in the MLMC activities, endline survey References:

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What Do We Know About Sexual and Reproductive Health of Adolescents and Youth in India: A Synthesis of Literature

Sivakami

Rai

2019

Health and Wellbeing of India's Young People

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Provision of adolescent reproductive and sexual health services in India: Provider perspectives

Cited by 6 publications

References 3 publications

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review

Addressing adolescent girls' vulnerability to HIV/AIDS: Lessons from the Meri Life Meri Choice project

What Do We Know About Sexual and Reproductive Health of Adolescents and Youth in India: A Synthesis of Literature

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