加纳特马都会区少女生殖健康服务利用问题：一项定性研究。
Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana.
机构信息
Department of Maternal and Child Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana.
Department of Public Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Accra, Ghana.
出版信息
PLoS One. 2024 Feb 23;19(2):e0292103. doi: 10.1371/journal.pone.0292103. eCollection 2024.
BACKGROUND
Evidence globally indicates that female adolescents face numerous sexual and reproductive health (SRH) risks. Utilization of sexual reproductive health services among adolescents is of global health importance and plays a crucial role in adolescent sexual reproductive health outcomes and their quality of life.
AIM
The current study explored sexual reproductive health service utilization concerns among female adolescents in the Tema Metropolis in Southern Ghana using the Anderson and Newman Behavioural model of Health Service Utilization as a guiding framework.
METHODS
The study utilized a qualitative exploratory descriptive design. Purposive sampling was used to recruit female adolescents. In-depth face-to-face interviews were conducted using a semi-structured interview guide. In all, 12 interviews were conducted. Each interview lasted between 45 and 60 minutes. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. Thematic analysis was guided by the constructs of the Anderson and Newman Behavioural model of health service utilization.
RESULTS
Utilization of sexual reproductive health services among female adolescents is low in the Tema metropolis. Factors such as unprotected non-consensual sexual activity or an unwanted pregnancy sometimes triggered the use of these services. Barriers to utilization identified include lack of awareness on sexual reproductive health services, unreliable sources of SRH information, underestimation of the severity of sexual reproductive health problems faced, unmet expectations and poor experiences with service providers.
CONCLUSION
The current study identified poor utilization of sexual reproductive health services among female adolescents within the Tema metropolis of Ghana. There is the need to increase the number of adolescent health corners, increase awareness about SRH services among adolescents, improve parent-child SRH communication and provide adequate training for healthcare providers to improve provider attitude towards adolescent SRH service delivery in order to increase utilization of sexual reproductive health services among female adolescents in the Metropolis.
背景
全球证据表明，少女面临着众多性健康和生殖健康（SRH）风险。青少年利用性生殖健康服务对于全球健康至关重要，对于青少年性生殖健康结果及其生活质量起着关键作用。
目的
本研究利用安德森和纽曼健康服务利用行为模型作为指导框架，探讨加纳南部特马都会区少女的性生殖健康服务利用问题。
方法
该研究采用定性探索性描述设计。采用目的抽样法招募少女。使用半结构式访谈指南进行深入的面对面访谈。共进行了 12 次访谈。每次访谈持续 45 至 60 分钟。访谈进行录音、逐字记录，并使用主题内容分析进行分析。主题分析以安德森和纽曼健康服务利用行为模型的结构为指导。
结果
特马都会区少女利用性生殖健康服务的比例较低。有时，无保护的非自愿性行为或意外怀孕等因素会触发这些服务的使用。确定的利用障碍包括对性生殖健康服务缺乏认识、性生殖健康信息来源不可靠、低估所面临性生殖健康问题的严重程度、对服务提供者的期望和经验不佳。
结论
本研究在加纳特马都会区发现少女对性生殖健康服务的利用率较低。需要增加青少年健康角落的数量，提高青少年对性生殖健康服务的认识，改善亲子性生殖健康沟通，并为医疗保健提供者提供足够的培训，以改善提供者对青少年性生殖健康服务提供的态度，从而提高都会区少女对性生殖健康服务的利用。
Zotero 插件