医护人员提供青少年响应式性健康和生殖健康服务：在尼日利亚高原州的评估。

Healthcare workers' delivery of adolescent responsive sexual and reproductive healthcare services: an assessment in Plateau state, Nigeria.

机构信息

Department of Community Medicine, College of Health Sciences, University of Jos, Jos, P.M.B 2084, Nigeria.

Department of Interdisciplinary Social Science, Utrecht University, P.O. Box 80140, Utrecht, 3508, The Netherlands.

出版信息

BMC Womens Health. 2023 Mar 25;23(1):132. doi: 10.1186/s12905-023-02288-1.

DOI:10.1186/s12905-023-02288-1

PMID:36966291

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10040103/

Abstract

BACKGROUND

Adolescents should have access to high quality and responsive sexual and reproductive health, however, it is unclear to what extent the national policy on health and development of adolescent is implemented by health care workers in Plateau State. This study assessed the general availability of sexual and reproductive health services, the delivery of responsive adolescent sexual and reproductive health services and health care worker?s understanding of what constitutes adolescent responsive sexual and reproductive health services.

METHODS

Using a cross sectional design, we interviewed 409 health care workers selected through a multistage sampling technique, across six Local Government Areas of Plateau State, Nigeria using an interviewer-administered survey questionnaire.

RESULTS

The most available sexual and reproductive health services was antenatal and delivery care (69.2%), contraception 25.9% and 14.9% reported post abortion care. Only 1.2% indicated the availability of the four recommended essential sexual and reproductive health services (counselling/information provision, provision of contraceptives, testing/treatment for sexually transmitted infection (STI) /HIV and post abortion care) in their facilities. Little over half (58.4%) felt their facilities were adequate in meeting the sexual and reproductive health needs of adolescent and this was associated with delivery of post abortion care (AOR=3.612; CI=1.886-6.917; p = .001) and providing sexual and reproductive health services to adolescents without parental consent (AOR=3.612; CI=1.886-6.917; p = .001). Most health care workers had poor understanding of adolescent responsiveness of sexual and reproductive health services, understanding better among health workers who provided services without parental consent and in a separate room for privacy and confidentiality.

CONCLUSION

We conclude that adolescent sexual and reproductive health services is not yet as stipulated in the national policy in Plateau State, Nigeria and in general, health workers have poor understanding of what it means to provide adolescent-responsive services.

摘要

背景

青少年应该能够获得高质量且有回应性的性健康和生殖健康服务，但尚不清楚医疗保健工作者在多大程度上实施了国家青少年健康和发展政策。本研究评估了性健康和生殖健康服务的总体可及性、提供有回应性的青少年性健康和生殖健康服务的情况以及卫生保健工作者对构成有回应性的青少年性健康和生殖健康服务的理解。

方法

采用横断面设计，我们通过多阶段抽样技术在尼日利亚高原州的六个地方政府区对 409 名卫生保健工作者进行了访谈，使用访谈者管理的调查问卷调查。

结果

最常见的性健康和生殖健康服务是产前和分娩护理（69.2%）、避孕（25.9%）和 14.9%的人报告了流产后护理。只有 1.2%的人表示他们的设施提供了四项推荐的基本性健康和生殖健康服务（咨询/信息提供、提供避孕药具、性传播感染/艾滋病毒检测/治疗和流产后护理）。略多于一半（58.4%）的人认为他们的设施能够充分满足青少年的性健康和生殖健康需求，这与提供流产后护理（AOR=3.612；CI=1.886-6.917；p=0.001）和在没有父母同意的情况下为青少年提供性健康和生殖健康服务有关（AOR=3.612；CI=1.886-6.917；p=0.001）。大多数卫生保健工作者对有回应性的青少年性健康和生殖健康服务理解较差，那些在没有父母同意的情况下提供服务且在单独的房间中提供隐私和保密性的卫生保健工作者对其理解较好。