Social normative origins of the taboo gap and implications for adolescent risk for HIV infection in Zambia

Nesamoney, Sophia N; Mejía‐Guevara, Iván; Cislaghi, Benjamino; Weber, Ann M.; Mbizvo, Michael T.

doi:10.1016/j.socscimed.2022.115391

Cited by 3 publications

(3 citation statements)

References 44 publications

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“…Emodules provide a high chance of being read compared to printed modules. (39)(40)(41)(42)(43). The deployment of printed modules is relatively limited compared to electronic modules.…”

Section: Perceived Usefulness Preconception Health Servicementioning

confidence: 99%

“…This taboo perception problem is associated with gender norms, cultural in uences, development programs, and health systems. (40) Other reasons are low awareness, feelings of discomfort, and embarrassment when talking about reproductive health topics including preconceptions. (32) Referring to the acceptance model theory, it is found that the use of PHS is in uenced by intention, perceived ease of use and perceived usefulness of using e-modules.…”

Section: Perceived Usefulness Preconception Health Servicementioning

confidence: 99%

See 1 more Smart Citation

Use of e-modules to increase awareness and utilization of preconception care services in adolescents: a study Implementation of the technology acceptance model theory

Ani,

Utami,

Darmay

et al. 2023

Preprint

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Education about PHS with online methods through e-modules is known to be more flexible than face-to-face methods. However, the use of e-modules in raising awareness and utilization of PHS in adolescents has not been proven. This study aims to explore the role of e-modules in increasing awareness and utilization of PHS in adolescents. An exploratory qualitative study was conducted in Sidemen Karangasem District, Bali, Indonesia. Exploration of the use of e-modules in adolescents using the concept of acceptance model theory. The informants in this study were selected by a purposive method consisting of adolescents, parents of adolescents, heads of community health centers, obstetrics and gynecology specialists, and information technology experts. The criteria for included informants are willing to be interviewed and coordinated when collecting data. Data were collected by in-depth interview method at the residence of each informant. The interview was conducted for ± 30 minutes/informant. The interview data were analyzed by thematic methods. Based on the results of interviews, it was found that adolescents' perceptions of PHS are by the technology acceptance model theory. Adolescent perceptions are grouped into 4 themes, namely adolescent awareness of preconception health, intention of use, perception of use, and perceived usefulness towards the use of PHS. The sub-themes of the results of this study consist of new information, preparation for healthy pregnancy from adolescents, embarrassment to visit, negative stigma, easy service procedures, available online services, and perceptions of the benefits of prevention efforts. The preconception health e-module increases awareness and utilization of PHS for adolescents. This study suggests using e-modules to expand the reach of education about PHS in adolescents.

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“…Emodules provide a high chance of being read compared to printed modules. (39)(40)(41)(42)(43). The deployment of printed modules is relatively limited compared to electronic modules.…”

Section: Perceived Usefulness Preconception Health Servicementioning

confidence: 99%

Section: Perceived Usefulness Preconception Health Servicementioning

confidence: 99%

Use of e-modules to increase awareness and utilization of preconception care services in adolescents: a study Implementation of the technology acceptance model theory

Ani,

Utami,

Darmay

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“… 5 , 6 The Lancet Series on gender equality norms and health, for example, explores the ways in which restrictive gender norms can influence all facets of an individual's wellbeing, providing innovative viewpoints and evidence on the effects of gender inequalities and norms on health, along with strategies to address these disparities. 7 , 8 , 9 , 10 Additionally, studies have also applied a gendered approach to both quantitative and qualitative data analysis for various specific health risks and outcomes, including BMI and obesity, 11 , 12 mood disorders and depression, 13 HIV, 14 , 15 and non-communicable diseases. 16 Identifying where important differences between females and males currently exist, across ages and geographies, is an important first step to enhancing this evidence base and to inform future research and policy making that advances health equity.…”

Section: Introductionmentioning

confidence: 99%

Differences across the lifespan between females and males in the top 20 causes of disease burden globally: a systematic analysis of the Global Burden of Disease Study 2021

Patwardhan,

Gil,

Arrieta

et al. 2024

The Lancet Public Health

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Understanding inequalities in the coverage of adolescent sexual and reproductive health services: a qualitative case study of the selected regions of Zambia

Munakampe,

Ngoma-Hazemba,

Sampa

et al. 2024

Front. Reprod. Health

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IntroductionDespite substantial investment in improving healthcare among adolescents in low- and middle-income countries, barriers to access and utilization of services persist, especially to sexual and reproductive health (SRH) services. In response to adolescents' health service needs due to their vulnerability, interventions aimed at improving access and utilization of sexual and reproductive health services have been implemented in specific regions of Zambia. To highlight progress in the access and the overall delivery of services in Zambia, in the wake of a system-level funding mechanism, this paper aims to understand the accessibility, availability, acceptability and quality (AAAQ) of health services provided to young people.Materials and methodsIn a qualitative case study, 48 discussions- 32 individual interviews with stakeholders and 16 focus group discussions, consisting of 128 male and female adolescents were conducted in six districts from Eastern, Southern and Muchinga provinces of Zambia. Interviews were audio-recorded, recordings transcribed verbatim, and transcripts were analysed using deductive thematic analysis, using the AAAQ framework and Atun's framework on integration, as a guide to reporting the findings.ResultsWe found that adolescents knew of and had access to common commodities and services- male condoms, health education and HIV counselling and testing. However, availability was affected by access-related barriers such as frequent stock-outs and insufficiently trained healthcare providers. In addition, accessibility was more restricted during the COVID-19 pandemic lockdown and compounded by the low acceptability of SRH service among adolescents across all contexts. This led to the use of alternatives such as herbal medicine and maintained common myths and misconceptions. The overall quality was marred by the lack of dedicated spaces for adolescent health services and the lack of information, education and communication (IEC) materials in some spaces.ConclusionWhile it was noted that some services were available for adolescents in all the study sites, numerous barriers inhibited access to these services and had an impact on the quality-of-service provision. With the added restriction to SRH service asses for young people, due to the low acceptability of adolescent SRH service use, the overall integration of adolescent SRH interventions into routine service provision was low and can be improved by targeting contextual barriers and maintaining best practices.

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Social normative origins of the taboo gap and implications for adolescent risk for HIV infection in Zambia

Cited by 3 publications

References 44 publications

Use of e-modules to increase awareness and utilization of preconception care services in adolescents: a study Implementation of the technology acceptance model theory

Use of e-modules to increase awareness and utilization of preconception care services in adolescents: a study Implementation of the technology acceptance model theory

Differences across the lifespan between females and males in the top 20 causes of disease burden globally: a systematic analysis of the Global Burden of Disease Study 2021

Understanding inequalities in the coverage of adolescent sexual and reproductive health services: a qualitative case study of the selected regions of Zambia

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