评估林波波省韦姆贝区选定的初级医疗保健机构中青少年友好服务的实施情况。

Evaluating the Implementation of Adolescent- and Youth-Friendly Services in the Selected Primary Healthcare Facilities in Vhembe District, Limpopo Province.

作者信息

Rammela Mukovhe, Makhado Lufuno

机构信息

Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, Limpopo, South Africa.

出版信息

Int J Environ Res Public Health. 2024 Nov 21;21(12):1543. doi: 10.3390/ijerph21121543.

DOI:10.3390/ijerph21121543

PMID:39767385

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11675424/

Abstract

BACKGROUND

The adolescent- and youth-friendly services (AYFS) programme has the potential to address several diverse problems within adolescents' healthcare systems by improving the quality, accessibility, efficiency, and effectiveness of healthcare services. The country continues to suffer from structural and systemic factors that hinder the effective provision and implementation of AYFS despite its comprehensive legal and policy framework and commitment to enhancing young people's health. Vhembe District has not been evaluated regarding the implementation of AYFS based on WHO global standards. Therefore, the objective of this study was to evaluate the implementation of AYFS against the World Health Organization (WHO) global standards for quality healthcare services for adolescents to strengthen these services in Vhembe District, Limpopo.

METHODS

A cross-sectional study was used to evaluate the implementation of AYFS against the WHO global standards for quality healthcare services for adolescents in Vhembe District, Limpopo. Evaluating the implementation of AYFS was conducted through questionnaires distributed to healthcare providers in the selected primary healthcare facilities in Vhembe District. For descriptive statistical analysis, research data were analysed using Statistical Package for the Social Sciences (SPSS).

RESULTS

The AYFS have been evaluated in depth across eight WHO global standards for quality health-care services for adolescents, with areas of success and areas for improvement identified. Provider competency reveals a disparity, with a majority (67.0%) of healthcare providers trained in effective communication with adolescents. In comparison, significantly fewer have received specific training in AYFS (16%) or on Pre-Exposure Prophylaxis (PrEP) (25.9%), underscoring the need for a more balanced approach to training focus.

CONCLUSION

Research findings highlight the strengths and gaps of AYFS in Vhembe District, aligned with government and WHO priorities for adolescent health. Addressing the identified gaps is vital to ensuring that healthcare facilities are adolescent- and youth-friendly, easily accessible, and can be implemented effectively to address adolescent and youth health challenges in Vhembe District.

摘要

背景

青少年友好服务（AYFS）项目有潜力通过提高医疗服务的质量、可及性、效率和效果，解决青少年医疗系统中的多种不同问题。尽管该国拥有全面的法律和政策框架，并致力于改善年轻人的健康状况，但仍然受到阻碍AYFS有效提供和实施的结构和系统因素的困扰。基于世界卫生组织（WHO）全球标准，尚未对Vhembe区的AYFS实施情况进行评估。因此，本研究的目的是根据世界卫生组织（WHO）青少年优质医疗服务全球标准，评估Vhembe区AYFS的实施情况，以加强林波波省Vhembe区的这些服务。

方法

采用横断面研究，根据世界卫生组织（WHO）青少年优质医疗服务全球标准，评估林波波省Vhembe区AYFS的实施情况。通过向Vhembe区选定的初级医疗设施中的医疗服务提供者发放问卷，对AYFS的实施情况进行评估。对于描述性统计分析，使用社会科学统计软件包（SPSS）对研究数据进行分析。

结果

已根据世界卫生组织（WHO）青少年优质医疗服务的八项全球标准，对AYFS进行了深入评估，确定了成功领域和改进领域。提供者的能力存在差异，大多数（67.0%）医疗服务提供者接受过与青少年有效沟通的培训。相比之下，接受AYFS特定培训（16%）或暴露前预防（PrEP）培训（25.9%）的人明显较少，这突出表明需要采取更平衡的培训重点方法。