Meeting the contraceptive needs of unmarried young people: attitudes of formal and informal sector providers in Vientiane Municipality, Lao PDR

Reproductive Health Matters
Vanphanom Sychareun

Abstract

In Lao PDR, evidence is emerging of considerable sexual activity among unmarried youth, but contraceptive services remain inadequate to meet their needs. This study explored the attitudes of formal and informal sector providers in serving the contraceptive needs of unmarried youth in Vientiane Municipality, their perceptions of quality of care, confidentiality and privacy, level of comfort in discussing sexual matters, and any differences between providers in the two sectors. In-depth interviews were carried out with 56 key informants, followed by a quantitative survey of 150 formal sector and 100 informal sector providers. We found ambivalence and discomfort among providers in communicating with unmarried youth and providing contraceptives to them, and low priority placed on their right to privacy and confidentiality. Providers tended to attribute difficulties almost entirely to young people's inhibitions and unwillingness to listen. Less than 60% of formal sector providers would supply contraceptives to unmarried youth, compared to 80% of informal providers, but the latter were more likely to charge a fee for supplies. Both formal and informal sector providers need training in communication and counselling skills for serving ...Continue Reading

Citations

Jul 23, 2005·Reproductive Health Matters·Landon MyerUNKNOWN Columbia University MTCT-Plus Initiative
Feb 5, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Sohail Agha, Mai Do
Aug 28, 2013·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Catherine M d'ArcanguesLale Say
Jun 2, 2016·Iranian Red Crescent Medical Journal·Fatemeh MohammadiAli Gholami
Jan 15, 2011·BMC Public Health·Vanphanom SychareunElisabeth Faxelid
Sep 10, 2014·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Amanda CleeveElisabeth Faxelid
Jun 11, 2016·Reproductive Health·Steven J HoffmanUNKNOWN Research to Policy & Practice Study Team
Jan 17, 2019·PloS One·Viengnakhone VongxayDirk Rombout Essink
Aug 16, 2017·International Journal of Health Policy and Management·Shahnaz KohanAli Gholami
Sep 1, 2021·BMC Psychology·Shakiba Pourasad ShahrakZiba Taghizadeh

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