Nkosi Busisiwe, Seeley Janet, Ngwenya Nothando, Mchunu S Lerato, Gumede Dumile, Ferguson Jane, Doyle Aoife M
Africa Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.
London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
BMC Health Serv Res. 2019 Mar 28;19(1):195. doi: 10.1186/s12913-019-3960-1.
We use the 'candidacy framework' to describe adolescents' and young people's (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.
A qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (n = 70), community leaders (n = 15), school health teams (n = 10), and health service providers (n = 6).
Findings indicate tacit understanding among AYP that they are candidates for general health services. However, HIV stigma, apprehensions and misconceptions about sexual and reproductive health, and socio-cultural views which disapprove of AYP pre-marital sex undermine their candidacy for sexual and reproductive services.
Consideration and understanding of the vulnerabilities and reasons AYP exclude themselves will inform interventions to address their health needs. AYP's participation in the design of health services will increase their acceptability and encourage uptake of services.
我们使用“候选资格框架”来描述南非夸祖鲁 - 纳塔尔省一个农村地区青少年和年轻人（AYP）获得卫生服务的经历。
采用定性研究方法，包括小组讨论、对有目的抽样的青少年和年轻人（n = 70）、社区领袖（n = 15）、学校卫生团队（n = 10）以及卫生服务提供者（n = 6）进行深入访谈和关键信息人访谈。
研究结果表明，青少年和年轻人之间存在一种默契，即他们是一般卫生服务的候选对象。然而，对艾滋病毒的污名化、对性健康和生殖健康的担忧及误解，以及不赞成青少年和年轻人婚前性行为的社会文化观念，削弱了他们获得性健康和生殖服务的候选资格。
考虑并理解青少年和年轻人自我排除在外的脆弱性及原因，将为满足他们健康需求的干预措施提供依据。青少年和年轻人参与卫生服务设计将提高其可接受性，并鼓励他们使用这些服务。
