Service integration and teen friendliness in practice: A program assessment of sexual and reproductive health services for adolescents

Brindis, Claire D.; Loo, Virginia; Adler, Nancy E.; Bolan, Gail; Wasserheit, Judith N.

doi:10.1016/j.jadohealth.2004.09.015

Cited by 21 publications

(30 citation statements)

References 6 publications

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“…[10] Other qualitative studies emphasize the importance of a youth-friendly environment including respectful and democratic relationships with adolescent healthcare users. [34,40] Extended operating hours and a space dedicated to counseling are both amenable to intervention and could help to increase the overall quality-of-care. In highly fragmented healthcare systems, which exist in many countries including Mexico, a clinical practice guideline for adolescent-friendly reproductive healthcare would support improving quality-of-care.…”

Section: Discussionmentioning

confidence: 99%

Quality of reproductive healthcare for adolescents: A nationally representative survey of providers in Mexico

Villalobos¹,

Allen‐Leigh²,

Salazar-Alberto³

et al. 2017

PLoS ONE

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ObjectiveAdolescents need sexual and reproductive health services but little is known about quality-of-care in lower- and middle-income countries where most of the world’s adolescents reside. Quality-of-care has important implications as lower quality may be linked to higher unplanned pregnancy and sexually transmitted infection rates. This study sought to generate evidence about quality-of-care in public sexual and reproductive health services for adolescents.MethodsThis cross-sectional study had a complex, probabilistic, stratified sampling design, representative at the national, regional and rural/urban level in Mexico, collecting provider questionnaires at 505 primary care units in 2012. A sexual and reproductive quality-of-healthcare index was defined and multinomial logistic regression was utilized in 2015.ResultsAt the national level 13.9% (95%CI: 6.9–26.0) of healthcare units provide low quality, 68.6% (95%CI: 58.4–77.3) medium quality and 17.5% (95%CI: 11.9–25.0) high quality reproductive healthcare services to adolescents. Urban or metropolitan primary care units were at least 10 times more likely to provide high quality care than those in rural areas. Units with a space specifically for counseling adolescents were at least 8 times more likely to provide high quality care. Ministry of Health clinics provided the lowest quality of service, while those from Social Security for the Underserved provided the best.ConclusionsThe study indicates higher quality sexual and reproductive healthcare services are needed. In Mexico and other middle- to low-income countries where quality-of-care has been shown to be a problem, incorporating adolescent-friendly, gender-equity and rights-based perspectives could contribute to improvement. Setting and disseminating standards for care in guidelines and providing tools such as algorithms could help healthcare personnel provide higher quality care.

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Section: Discussionmentioning

confidence: 99%

Quality of reproductive healthcare for adolescents: A nationally representative survey of providers in Mexico

Villalobos¹,

Allen‐Leigh²,

Salazar-Alberto³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…These perspectives have been elicited and used for health care services for the general pediatric age range, and for younger children specifically [13,29,[31][32][33][34], as well as for health service evaluation tools, and development of primary care interventions and systems of care [35][36][37][38][39][40]. Although our study focused on the perspectives of adolescents, we were able to augment our data with perspectives from parents.…”

Section: Discussionmentioning

confidence: 99%

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

Coker

Sareen

Chung

et al. 2010

Journal of Adolescent Health

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“…Client integration refers to clients' perceptions that their treatment is delivered as a 'one-stop shop', single location on a single day or they are receiving coordinated care rather than having to repeat historical information and receive separate care programs; how the client measures the integration of the services they receive (Brindis et al 2005;Mares et al 2008). The findings from the interviews conducted in this study suggest, however, that front-line workers and operational managers are acutely aware of the need to respond respectfully to clients' needs and not to impose their own framework of helping onto the client.…”

Section: Connectednessmentioning

confidence: 99%

How integrated are homelessness, mental health and drug and alcohol services in Australia?

Flatau¹,

Conroy²,

Thielking³

et al. 2013

AHURI Final Report

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Service integration and teen friendliness in practice: A program assessment of sexual and reproductive health services for adolescents

Cited by 21 publications

References 6 publications

Quality of reproductive healthcare for adolescents: A nationally representative survey of providers in Mexico

Quality of reproductive healthcare for adolescents: A nationally representative survey of providers in Mexico

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents and Parents

How integrated are homelessness, mental health and drug and alcohol services in Australia?

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