Muchanga Vasco A, Huo Luisa, Kampa Kathryn T, Chilundo Baltazar, Munguambe Khátia R, Moon Troy D
Department of Community Health, Faculty of Medicine, Eduardo Mondlane University, Maputo City, Mozambique.
Department of Tropical Medicine and Infectious Diseases, School of Public Health and Tropical Medicine, Tulane University, New Orleans, The United States of America.
medRxiv. 2024 Sep 15:2024.09.14.24313688. doi: 10.1101/2024.09.14.24313688.
Knowledge and use of sexual reproductive health and human immunodeficiency virus (SRH and HIV) services are crucial for the prevention of pregnancy and sexually transmitted infections (STIs) among adolescent girls and young women (AGYW). This study aims to assess the knowledge and perceptions of AGYW about the SRH and HIV services offered in health facilities in Maputo, Mozambique.
A cross-sectional descriptive study was conducted based on exit surveys with AGYW held at Zimpeto and 1° de Junho Health Facilities in Maputo City, between May 1, and June 9, 2023. Data were analyzed through descriptive statistics, t-test and ANOVA, using SPSS version 20.
590 AGYW, aged 15-24 years of age, were included in the study. In general, knowledge of SRH and HIV services was fairly high, with knowledge of each specific service offered ranging between 38% and 97%. Knowledge about SRH and HIV services differed depending on the health facility where the AGYW sought SRH and HIV services; the participant's age; their occupation; their religion, and who they lived with. Counseling services were the most commonly reported services attended, with >90% of participants reporting having received counseling for each of the following: STI and HIV and pregnancy prevention, sexuality, and safer sex practices. The quality of SRH and HIV services, and attitudes of the providers were considered good by >90% of AGYW. Roughly 95% of AGYW at Zimpeto Health Facility were either "satisfied" or "very satisfied". Whereas at 1° de Junho Health Facility, only roughly 75% of AGYW were either "satisfied" or "very satisfied", and roughly 20% of AGYW were "little satisfied that their needs had been met that day.
Among AGYW there is high levels of knowledge about counseling services in contrast to diagnostics, treatment and clinical care. Specific attention should be given to ensuring appropriate physical infrastructure, such as dedicated adolescent friendly spaces and comfortable seating, and targeted interventions designed and implemented for those health facilities's identified. Targeted interventions should be designed and implemented for those HF's identified with lower AGYW perceived quality of service delivery.
性与生殖健康及人类免疫缺陷病毒（SRH和HIV）服务的知识与利用对于预防青春期女孩和年轻女性（AGYW）意外怀孕和性传播感染（STIs）至关重要。本研究旨在评估莫桑比克马普托AGYW对卫生机构提供的SRH和HIV服务的了解及看法。
2023年5月1日至6月9日期间，在马普托市的津佩托和6月1日卫生机构对AGYW进行了基于离场调查的横断面描述性研究。使用SPSS 20版通过描述性统计、t检验和方差分析对数据进行分析。
590名年龄在15至24岁之间的AGYW纳入了研究。总体而言，对SRH和HIV服务的了解程度较高，对每项具体服务的了解率在38%至97%之间。关于SRH和HIV服务的了解因AGYW寻求SRH和HIV服务的卫生机构、参与者年龄、职业、宗教信仰以及与之同住的人而异。咨询服务是最常被报告参加的服务，超过90%的参与者报告接受了以下各项咨询：性传播感染、HIV和预防怀孕、性健康以及更安全的性行为。超过90%的AGYW认为SRH和HIV服务的质量以及提供者的态度良好。在津佩托卫生机构，约95%的AGYW表示“满意”或“非常满意”。而在6月1日卫生机构，只有约75%的AGYW表示“满意”或“非常满意”，约20%的AGYW表示“对当天需求得到满足不太满意”。
与诊断、治疗和临床护理相比，AGYW对咨询服务的了解程度较高。应特别关注确保适当的物理基础设施，如专门的青少年友好空间和舒适的座位，并为已确定的卫生机构设计和实施有针对性的干预措施。应为那些AGYW认为服务质量较低的卫生机构设计和实施有针对性的干预措施。
