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菲律宾东维萨亚斯地区青少年性与生殖健康项目实施的障碍:基于定性研究的国家政策主题综合分析

Barriers to the implementation of sexual and reproductive health programs for adolescents in Eastern Visayas, Philippines: a thematic synthesis of national policies using a qualitative study.

作者信息

Dela Luna Kim Leonard G, Sy Alvin Duke R, Malimban Rowel C, Estadilla John Oliver H, Maglinab Jasper M, Ji Heyeon, Jeon Jihwan, Babasoro Carl Mark Vincent B

机构信息

Department of Nutrition, College of Public Health, University of the Philippines Manila, Philippines.

Department of Epidemiology and Biostatistics, College of Public Health, University of the Philippines Manila, Philippines.

出版信息

J Rural Med. 2024 Oct;19(4):250-263. doi: 10.2185/jrm.2023-040. Epub 2024 Oct 1.

Abstract

OBJECTIVE

To review the implementation of essential reproductive health services in Eastern Visayas, Philippines.

MATERIALS AND METHODS

We reviewed four national policies through a qualitative research design using a series of key informant interviews conducted with service providers and focus group discussions with service beneficiaries.

RESULTS

There was a gap between the policies and the implementation of reproductive health services in the Eastern Visayas region. This gap is mainly due to the refusal of service providers to cater to teenagers' needs regarding reproductive health services. This has resulted in teenagers hesitating to seek reproductive health services and related support from primary healthcare facilities. Service beneficiaries have also reported on the unavailability of several reproductive health services in primary healthcare facilities.

CONCLUSION

The gap between national policies and program implementation must be bridged. This can be achieved by creating culturally-specific policies that can improve the implementation of reproductive health programs in the study areas.

摘要

目的

回顾菲律宾东维萨亚斯地区基本生殖健康服务的实施情况。

材料与方法

我们通过定性研究设计,对四项国家政策进行了回顾,采用了一系列与服务提供者进行的关键信息访谈以及与服务受益者进行的焦点小组讨论。

结果

东维萨亚斯地区生殖健康服务的政策与实施之间存在差距。这一差距主要是由于服务提供者拒绝满足青少年对生殖健康服务的需求。这导致青少年在寻求初级医疗保健机构的生殖健康服务及相关支持时犹豫不决。服务受益者还报告称,初级医疗保健机构中几种生殖健康服务无法获得。

结论

必须弥合国家政策与项目实施之间的差距。这可以通过制定符合当地文化的政策来实现,这些政策能够改善研究地区生殖健康项目的实施情况。

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