Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal

PloS One
Pushpa Lata PandeyHusna Razee

Abstract

Adolescent-friendly health programs have been in place in Nepal since 2008, yet uptake of the services for sexual and reproductive health remains suboptimal. For uptake of these services to improve, a rich understanding is needed of the factors impacting their acceptance and utilization from the perspectives of adolescents, health care staff, and key community informants. This study applied a qualitative research design involving six focus groups with 52 adolescents and in-depth interviews with 16 adolescents, 13 key informants, and 9 health care providers from six adolescent-friendly health facilities in Nepal. Thematic analysis was conducted for data analysis. The key themes identified as barriers include access issues due to travel, institutional health care barriers, perceived lack of privacy and confidentiality, and the unprofessional attitudes of staff towards the sexual health needs of adolescents. These themes are underpinned by gendered ideology and a moral framework around the sexual behavior of adolescents. Interview responses suggested that health care providers take a policing role in prescribing adolescents' conformity to this moral framework in their delivery of reproductive health care and services. While physic...Continue Reading

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Citations

Aug 23, 2019·Journal of Paediatrics and Child Health·Rachel L Buckley
Feb 6, 2020·BMC Public Health·Edward Kwabena Ameyaw, Kwamena Sekyi Dickson
Oct 18, 2020·International Journal of Public Health·Varduhi HayrumyanArusyak Harutyunyan
Feb 13, 2021·International Journal of Environmental Research and Public Health·Virpi MesiäislehtoRichard Sambaiga
Mar 25, 2021·Risk Management and Healthcare Policy·Yohannes Ayanaw HabituKassahun Alemu Gelaye

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BETA
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