Boku Gobena Godana, Abeya Sileshi Garoma, Ayers Nicola, Abera Muluembet
Department of Population and Family Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Department of Nursing, BPP University, London, UK.
J Healthc Leadersh. 2024 Feb 12;16:53-66. doi: 10.2147/JHL.S441951. eCollection 2024.
Accessible and high-quality sexual and reproductive health services are essential for adolescents. However, there is a need for more knowledge about the role of leadership and the quality of these services in Ethiopia, where a significant proportion of the population consists of adolescents. Inadequate quality of friendly health services may lead to underutilization and higher rates of unintended pregnancies and sexually transmitted infections. This study aimed to evaluate the leadership role and quality of friendly health services in the pastoral community of East Guji Zone, Ethiopia.
We implemented in-depth interviews and focus group discussions with eight key informants and fifty participants. Study design: We used a programmatic qualitative research design. Data were collected using 22 semi-structured questions and analyzed using ATLAS.ti7.
The findings indicate significantly less commitment to health sector leadership and substandard quality of adolescent-friendly sexual and reproductive health services. Inadequate achievement of the quality of care frameworks, including accessibility, equitability, availability, acceptability, and appropriateness, contributed to the insufficient quality of friendly health services.
Poor commitment of health facility leaders influenced the quality of adolescent-friendly sexual and reproductive health services in the pastoral community of the East Guji Zone, according to the study. We recommend enhancing organizational and provider readiness, ensuring equitability, and redesigning services through improving leadership commitment, which is crucial to improving the quality of adolescent-friendly health services. The Ministry of Health Ethiopia and relevant stakeholders should consider these recommendations to improve the quality of friendly health services for adolescents in Ethiopia.
可获得且高质量的性与生殖健康服务对青少年至关重要。然而，在埃塞俄比亚，需要更多关于领导力的作用以及这些服务质量的知识，该国很大一部分人口为青少年。友好型健康服务质量不足可能导致利用不足以及意外怀孕和性传播感染率升高。本研究旨在评估埃塞俄比亚东古吉地区牧区社区中友好型健康服务的领导力作用和质量。
我们对8名关键信息提供者和50名参与者进行了深入访谈和焦点小组讨论。研究设计：我们采用了项目性定性研究设计。使用22个半结构化问题收集数据，并使用ATLAS.ti7进行分析。
研究结果表明，对卫生部门领导力的承诺明显不足，且青少年友好型性与生殖健康服务质量不达标准。护理质量框架在可及性、公平性、可获得性、可接受性和适宜性方面的实现不足，导致了友好型健康服务质量不高。
根据该研究，卫生机构领导者的不良承诺影响了东古吉地区牧区社区中青少年友好型性与生殖健康服务的质量。我们建议通过提高领导力承诺来增强组织和提供者的准备程度，确保公平性，并重新设计服务，这对于提高青少年友好型健康服务质量至关重要。埃塞俄比亚卫生部和相关利益攸关方应考虑这些建议，以提高埃塞俄比亚青少年友好型健康服务的质量。
