Society for the Study of Women's Health (SSWH), Old Yundum, Coastal Road, The Gambia.
Directorate of Health Research, Ministry of Health, Old Yundum, Coastal Road, The Gambia.
Pan Afr Med J. 2021 Dec 13;40:221. doi: 10.11604/pamj.2021.40.221.25774. eCollection 2021.
in the Gambia, adolescents and young people make up 32% of the national population. Observations indicate that this population group lack access to quality information and services on sexual and reproductive health. This systematic review explored some sexual and reproductive health indicators relevant to adolescents and young people in the Gambia.
published studies on some sexual and reproductive health indicators were searched in PubMed, Google Scholar and African Journals Online. Moreover, national reference documents containing relevant in-country data on adolescents and young people's sexual and reproductive health were also collected and reviewed. Search terms for published studies focused on modern contraceptives, sexually transmitted infections (STIs) prevalence rates, availability and accessibility to sexual and reproductive health (SRH) services and adolescents and young people's satisfaction with SRH services among adolescents and young people (aged 10-24 years).
the review showed that contraceptive prevalence rates among adolescents and young people in Gambia ranged from 7% to 9%. Reasons for low contraceptive prevalence among adolescents and young people included limited knowledge and access to sexual and reproductive health information and services, provider attitudes, stigma, shame, lack of money, cultural and religious misconceptions associated with contraception. Overall, the review found limited information on STI prevalence among adolescents and young people, with a single published study reporting a prevalence rate of 8.4%. In addition, inadequate counseling, complaints related to physical environment as well as the process of providing sexual and reproductive health services and information were significant factors associated with satisfaction with SRH services among adolescents and young people.
this review provides important baseline data that may be useful for policymakers and program managers to improve adolescents and young people's sexual and reproductive health in Gambia.
在冈比亚，青少年和年轻人占全国人口的 32%。观察表明，这一人群缺乏获得性健康和生殖健康的优质信息和服务。本系统评价探讨了冈比亚青少年和年轻人的一些性健康和生殖健康指标。
在 PubMed、Google Scholar 和 African Journals Online 上搜索了一些关于性健康和生殖健康指标的已发表研究。此外，还收集和审查了载有冈比亚国内关于青少年和年轻人性健康和生殖健康数据的国家参考文件。已发表研究的搜索词集中在现代避孕药具、性传播感染（STIs）流行率、性健康和生殖健康（SRH）服务的提供和可及性以及青少年和年轻人对 SRH 服务的满意度上。
审查结果表明，冈比亚青少年和年轻人的避孕药具使用率在 7%至 9%之间。青少年和年轻人避孕药具使用率低的原因包括性健康和生殖健康知识有限、获取信息和服务的机会有限、提供者的态度、耻辱感、缺乏资金、与避孕相关的文化和宗教误解。总体而言，审查发现关于青少年和年轻人 STI 流行率的信息有限，仅有一项已发表的研究报告称流行率为 8.4%。此外，咨询不足、与物理环境有关的投诉以及提供性健康和生殖健康服务和信息的过程都是与青少年和年轻人对 SRH 服务满意度相关的重要因素。
本综述提供了重要的基线数据，可能对冈比亚的政策制定者和项目管理者改善青少年和年轻人的性健康和生殖健康有用。
