Department of Family Medicine, Lithuanian University of Health Sciences (LUHS), Kaunas, Lithuania.
Glob Health Action. 2013 May 15;6:20444. doi: 10.3402/gha.v6i0.20444.
To elicit the views of primary healthcare providers from Bolivia, Ecuador, and Nicaragua on how adolescent sexual and reproductive health (ASRH) care in their communities can be improved.
Overall, 126 healthcare providers (46 from Bolivia, 39 from Ecuador, and 41 from Nicaragua) took part in this qualitative study. During a series of moderated discussions, they provided written opinions about the accessibility and appropriateness of ASRH services and suggestions for its improvement. The data were analyzed by employing a content analysis methodology.
Study participants emphasized managerial issues such as the prioritization of adolescents as a patient group and increased healthcare providers' awareness about adolescent-friendly approaches. They noted that such an approach needs to be extended beyond primary healthcare centers. Schools, parents, and the community in general should be encouraged to integrate issues related to ASRH in the everyday life of adolescents and become 'gate-openers' to ASRH services. To ensure the success of such measures, action at the policy level would be required. For example, decision-makers could call for developing clinical guidelines for this population group and coordinate multisectoral efforts.
To improve ASRH services within primary healthcare institutions in three Latin American countries, primary healthcare providers call for focusing on improving the youth-friendliness of health settings. To facilitate this, they suggested engaging with key stakeholders, such as parents, schools, and decision-makers at the policy level.
了解玻利维亚、厄瓜多尔和尼加拉瓜的基层医疗服务提供者对如何改善社区青少年性与生殖健康（ASRH）护理的看法。
共有 126 名医疗服务提供者（46 名来自玻利维亚、39 名来自厄瓜多尔、41 名来自尼加拉瓜）参与了这项定性研究。在一系列的小组讨论中，他们对 ASRH 服务的可及性和适宜性提供了书面意见，并提出了改进建议。采用内容分析法对数据进行分析。
研究参与者强调了管理问题，例如将青少年作为一个患者群体进行优先排序，以及提高医疗服务提供者对青少年友好方法的认识。他们指出，这种方法需要超越基层医疗中心。应鼓励学校、家长和整个社区将与 ASRH 相关的问题纳入青少年的日常生活中，并成为 ASRH 服务的“门户”。为了确保这些措施取得成功，需要在政策层面采取行动。例如，决策者可以呼吁为这一人群制定临床指南，并协调多部门的努力。
为了改善三个拉丁美洲国家基层医疗机构的 ASRH 服务，基层医疗服务提供者呼吁关注改善卫生环境对青少年的友好程度。为了促进这一点，他们建议与关键利益相关者合作，如家长、学校和政策层面的决策者。
