The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services but the focus is often health sector specific. Few research studies have explored the views and experiences of health workers and teachers and examined how ASRH services and information are provided by professionals across the education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents. Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers, teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and training that were said to affect student access to appropriate health services. ASRH Collaborative practices were noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional education and training may provide opportunities to enhance collaboration supported and guided by appropriate policy, supervision and job descriptions (i.e. roles and responsibilities). Eighty eight per cent of the world's 1.2 billion adolescents live in developing countries and their sexual and reproductive health (ASRH) outcomes are disproportionately poorer than other groups.
Keywords:1 The complex nature of adolescent health determinants demands a multidisciplinary and intersectoral collaborative approach beyond the health sector.2 Building and supporting collaboration is therefore necessary across health, education, media and social services to realize large, sustained impacts on ASRH outcomes.3 Despite this, little is known about how collaboration occurs between professionals across sectors and how these professionals can be best supported to improve adolescent health.
Workforce collaboration for healthSuccessful collaborations have been characterized by clear communication, true dialogue, active listening, an awareness, respect and appreciation for differences, and an ability to negotiate options. 4,5 These findings however have been derived from research that focuses on collaboration with health professionals from different health disciplines rather than health professionals collaborating