Regmi Pramod R, van Teijlingen Edwin, Simkhada Padam, Acharya Dev Raj
Section of Population Health, University of Aberdeen, UK.
J Health Popul Nutr. 2010 Dec;28(6):619-27. doi: 10.3329/jhpn.v28i6.6611.
Although sexual and reproductive health education and services are provided to young people, current rates of HIV infection and pregnancy are increasing in Nepal, indicating that young people do not always use sexual health services. Health facilities have apparently failed to provide young people with specialized sexual health education and services. This study explored the barriers to using sexual health services, including condom-use among young people in Nepal. Participants from 10 focus groups and 31 in-depth interviews, carried out by a same-sex researcher, reported many socioeconomic, cultural and physical norms that impose barriers to accessing information on sexual health and relevant services. It is concluded that the establishment of youth-friendly service centres in convenient places might help encourage young people to use sexual health services.
尽管尼泊尔为年轻人提供了性与生殖健康教育及服务，但该国目前的艾滋病毒感染率和怀孕率却在上升，这表明年轻人并非总能利用性健康服务。卫生机构显然未能为年轻人提供专门的性健康教育及服务。本研究探讨了包括尼泊尔年轻人使用避孕套在内的利用性健康服务的障碍。由一名同性研究人员开展的10个焦点小组和31次深入访谈的参与者报告了许多社会经济、文化和身体方面的规范，这些规范对获取性健康信息及相关服务构成了障碍。研究得出结论，在便利地点设立青年友好型服务中心可能有助于鼓励年轻人利用性健康服务。
