Kulliyyah of Nursing, International Islamic University Malaysia, Kuantan, Malaysia.
Division of Nursing, Midwifery and Social Works, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Compr Child Adolesc Nurs. 2021 Jun;44(2):144-160. doi: 10.1080/24694193.2020.1756983. Epub 2020 May 22.
Safer sex provision, including contraception information and services, should be made available to adolescents regardless of their marital status in strategies to reduce the incidence of unintended teenage pregnancies and the spread of STIs. In Malaysia, this information is still not being delivered formally to adolescents even though unintended teenage pregnancies and the practice of "baby dumping" are serious public health issues. The aims of this article are to describe the Malaysian context in terms of the need for comprehensive sexual and reproductive health information and treatment for unmarried adolescents. The article presents the key aspects of Malaysian society and the potential influence on the provision and delivery of sexual and reproductive health information and treatment to unmarried Malaysian adolescents that can be a reference for healthcare professionals especially school health nurses. The article also describes the establishment of sheltered homes, baby hatches and unregulated adoption processes as the initiatives being taken to address the issue of unintended teenage pregnancies. This article suggests that the policy and laws that require parental consent for accessing the services need to be reviewed and revised to ensure that specific services are available to adolescents in a safe environment that maintains confidentiality.
安全性行为的提供,包括避孕信息和服务,应该向青少年提供,无论他们的婚姻状况如何,这是减少意外怀孕和性传播感染发生率的策略之一。在马来西亚,尽管意外怀孕和“弃婴”行为是严重的公共卫生问题,但仍未向青少年正式提供这些信息。本文的目的是描述马来西亚在提供全面的性健康和生殖健康信息和治疗方面的需求,针对未婚青少年。本文介绍了马来西亚社会的关键方面及其对向未婚马来西亚青少年提供性健康和生殖健康信息和治疗的潜在影响,可供医疗保健专业人员(特别是学校保健护士)参考。本文还介绍了为解决意外怀孕问题而采取的庇护所、婴儿收容所和不受监管的收养程序等举措。本文建议,需要审查和修订要求父母同意才能获得服务的政策和法律,以确保在保密的安全环境中为青少年提供特定的服务。