Ozughalu Joy Nkeiruka, Nwankpa Ozioma Patricia, Mbachu Chinyere Ojiugo, Onwujekwe Obinna
Health Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
BMC Health Serv Res. 2025 Aug 11;25(1):1061. doi: 10.1186/s12913-025-13208-4.
Adolescents and young people represent a significant portion of the population in Nigeria. Thus, addressing their unique sexual and reproductive health (SRH) needs is imperative for overall national health outcomes, especially given the limited availability of youth friendly services. This study aimed to identify the factors that influence availability and provision of SRH services to young persons in Ebonyi State, Southeast Nigeria.
A cross-sectional quantitative study was used to explore the patterns of health service availability and provision among healthcare providers in primary healthcare centers. Descriptive analysis was used to examine respondents’ socio-demographic characteristics and their provision of differential treatment based on gender and age. Rao-Scott chi-squared test assessed the relationship between the two outcome variables-health service availability and provision. Multiple logistic regression, adjusted for clustering at the facility level, was used to examine associations between dependent variables and independent variables, including age, gender, location, years of formal education, and training in providing youth-friendly sexual and reproductive health services.
Rural areas reported higher service availability than urban areas, likely due to targeted national health programs. However, service provision remained inconsistent, especially for post-abortion care and support for survivors. Higher provider education was positively linked to both availability and provision. Youth-friendly training improved reported availability but did not enhance actual service delivery.
While targeted interventions have improved service availability in rural areas, significant gaps remain in actual service provision, particularly for sensitive SRH services. Enhancing provider education and addressing systemic barriers to youth-friendly care are essential to translating availability into meaningful access and quality service delivery.
The online version contains supplementary material available at 10.1186/s12913-025-13208-4.
青少年在尼日利亚人口中占很大比例。因此，满足他们独特的性与生殖健康（SRH）需求对于国家整体健康结果至关重要，特别是考虑到青年友好服务的可及性有限。本研究旨在确定影响尼日利亚东南部埃邦伊州向年轻人提供SRH服务的因素。
采用横断面定量研究来探索初级卫生保健中心医疗服务提供者提供卫生服务的模式。描述性分析用于检查受访者的社会人口特征以及他们基于性别和年龄的差别对待情况。Rao-Scott卡方检验评估两个结果变量——卫生服务的可及性和提供情况之间的关系。使用在机构层面进行聚类调整的多重逻辑回归来检验因变量和自变量之间的关联，自变量包括年龄、性别、地点、正规教育年限以及提供青年友好型性与生殖健康服务的培训。
农村地区报告的服务可及性高于城市地区，这可能归因于有针对性的国家卫生项目。然而，服务提供仍然不一致，尤其是堕胎后护理和对幸存者的支持。提供者受教育程度较高与服务的可及性和提供情况均呈正相关。青年友好型培训提高了报告的服务可及性，但并未改善实际服务提供情况。
虽然有针对性的干预措施提高了农村地区的服务可及性，但在实际服务提供方面仍存在重大差距，特别是对于敏感的SRH服务。加强提供者教育并消除青年友好型护理的系统性障碍对于将可及性转化为有意义的获取机会和高质量服务提供至关重要。
在线版本包含可在10.1186/s12913 - 025 - 13208 - 4获取的补充材料。
