Onukwugha Franklin I, Hayter Mark, Magadi Monica A
Institute for Clinical and Applied Health Research University of Hull, Hull; HU6 7RX United Kingdom.
Faculty of Health Sciences, University of Hull, Hull; HU6 7RX United Kingdom.
Afr J Reprod Health. 2019 Jun;23(2):134-147. doi: 10.29063/ajrh2019/v23i2.13.
This review examines the literature on adolescents' and providers' views on access and use of Sexual and Reproductive Health (SRH) information and services. The SRH services referred to in this study were predominantly family planning services, STI treatment including HIV testing and counselling services. The study design was a systematic review of empirical studies. Twenty-five databases were searched using a well-defined search strategy and Boolean operators. A total of 45 studies were included in the review, and the findings were reported thematically under four emerging themes. The review showed that adolescents and sexual health service providers had differing views on barriers and enablers to adolescent access to SRH services and often had contradictory views on key markers of youth-friendly services, service preferences, barriers and enablers of service use. While service providers perceived physical and financial barriers as fundamental, adolescents identified barriers emanating from providers' attitude as the key hindrance to their access and use of services. The review also revealed that the unprofessional attitudes of some service providers limit adolescents' access to SRH services. These findings serve as evidence to policy actors at all levels to consider attitudinal qualities of service providers when planning and designing sexual health services for adolescents.
本综述考察了关于青少年及服务提供者对性与生殖健康（SRH）信息及服务的获取与使用的观点的文献。本研究中所提及的SRH服务主要是计划生育服务、包括艾滋病毒检测与咨询服务在内的性传播感染治疗。研究设计为对实证研究的系统综述。使用明确的检索策略和布尔运算符检索了25个数据库。本综述共纳入45项研究，并根据四个新出现的主题对研究结果进行了专题报道。综述表明，青少年和性健康服务提供者对青少年获取SRH服务的障碍和促进因素有不同看法，并且在青少年友好型服务的关键指标、服务偏好、服务使用的障碍和促进因素方面往往存在相互矛盾的观点。虽然服务提供者认为身体和经济障碍是根本问题，但青少年认为提供者的态度所产生的障碍是他们获取和使用服务的主要阻碍。综述还揭示，一些服务提供者的不专业态度限制了青少年获取SRH服务。这些研究结果为各级政策制定者在为青少年规划和设计性健康服务时考虑服务提供者的态度素质提供了证据。
