Health care for adolescent girls.

1999 ◽  
pp. 301-325 ◽  
Author(s):  
Denise M. Dougherty
Keyword(s):  
Health Care ◽  
Adolescent Girls

EFFECTIVE OF INTERVENTION SOLUTIONS TO IMPROVE SITUATION OF REPRODUCTIVE HEALTH CARE AMONG ADOLESCENT GIRLS IN A LUOI DISTRICT, THUA THIEN HUE PROVINCE

2020 ◽  
pp. 32-44
Author(s):  
Trang Dao Nguyen Dieu ◽  
Huy Nguyen Vu Quoc ◽  
Thanh Cao Ngoc ◽  
Ngoc Phan Thi Bich
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Adolescent Girls ◽  
Study Design ◽  
Good Practice ◽  
Education Level ◽  
Control Group ◽  
Health Staff ◽  
Reproductive Health Care ◽  
Adolescent Reproductive Health

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and to identify the related factors to reproductive health care in adolescent girls. To assess the results of intervention solutions of reproductive health care in adolescent girls. Methods: A cross-sectional study design. A study design for community intervention comparision with control group. Results: The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 72.9%. There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p < 0.05). There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p < 0.05). There is a relationship between knowledge, attitude, education level, adolescent stage, economic condition, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p < 0.05). The effective of intervention: Good knowlegde increase from 10% to 24.1%. Good attitude increase from 16.7% to 61.4%. Good practice increase from 27.1% to 42.9%. The effective of intervention: change knowlegde: 21.6%, change attitude: 54.2%, change practice: 34.6%. Conclusion: There is need to enhance the communication and education reproductive health for aldolescent girls and to enhance communication knowlegde and skills for reproductive health staff. Keywords: adolescents, get married early, reproductive health.

scholarly journals Health care consumption among adolescent girls prior to diagnoses of sexual abuse, a case–control study in the Stockholm Region

2019 ◽  
Vol 29 (10) ◽  
pp. 1363-1369 ◽  
Author(s):  
Gita Rajan ◽  
Gunnar Ljunggren ◽  
Per Wändell ◽  
Lars Wahlström ◽  
Carl Göran Svedin ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Abuse ◽  
Adolescent Girls ◽  
Economic Status ◽  
Mean Value ◽  
Consumption Patterns ◽  
Administrative Database ◽  
Health Care Consumption ◽  
Care Clinic ◽  
Sleeping Pills

AbstractVictims of sexual abuse have more co-morbidities than other persons in the same age and the most affected group are adolescent girls. Little is known about how this is reflected in health care consumption patterns prior to the registered diagnosis. The aim of this investigation was to study health care consumption patterns among girls, 12–17 years old, 1 and 2 years prior to their diagnoses of sexual abuse. Through the Stockholm Region administrative database (VAL), data of co-morbidities, number of health care visits, and prescribed drugs were collected for cases (girls age 12–17 with diagnoses of sexual abuse, n = 519) and controls matched for age and socio-economic status (n = 4920) between 2011–2018. Health care consumption and co-morbidities were significantly higher for the cases compared to controls, with a rise 1 year before the diagnoses: the total number of health care visits (including no shows) 1 year prior to the first recording of the diagnosis was 20.4 (18.1–22.7) for the cases and 6.2 (5.8–6.6) for the controls. The most frequent visits 1 year prior to the diagnosis were to outdoor clinics, with a mean value of 19.1 (16.9–21.3) visits for the cases and 5.7 (5.3–6.1) for the controls, followed by psychiatric clinics with a mean value of 12.7 (10.6–14.8) visits for the cases and 2.0 (1.7–2.3) visits for the controls. The least visited health care clinic 1 year prior to the diagnosis was the emergency ward with a mean value of 1.3 (1.1–1.5) visits for the cases and 0.5 (0.4–0.5) visits for the controls. The most common psychiatric co-morbidities registered among the cases during the first year before the diagnosis of sexual abuse were stress, suicide attempt, and psychosis. Neuroleptics, sleeping pills, antidepressants, and tranquilizers were more frequently dispensed in cases than in controls. Similar patterns were found 2 years prior to the diagnosis. We encourage clinicians to actively ask for exposure of sexual abuse in girls with high health care consumption, making early detection and treatment of sexual abuse available as soon as possible.

scholarly journals Maternal health care-seeking behaviour of married adolescent girls: A prospective qualitative study in Banke District, Nepal

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0217968
Author(s):  
ASM Shahabuddin ◽  
Therèse Delvaux ◽  
Christiana Nöstlinger ◽  
Malabika Sarker ◽  
Azucena Bardají ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Maternal Health Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Care Seeking Behaviour ◽  
Care Seeking Behaviour

Indigent Adolescents' Concerns about Health Care Reform

1996 ◽  
Vol 78 (1) ◽  
pp. 306-306
Author(s):  
Maxine L. Weinman ◽  
Peggy B. Smith
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Adolescent Girls ◽  
Maternity Care ◽  
Health Needs ◽  
Sexually Transmitted ◽  
Current Health ◽  
Planning Treatment ◽  
Important Health ◽  
The Media

This study assessed the knowledge and concerns of 348 indigent adolescent girls on health care reform. Most knew little about current health care reform and most of the information they received came from the media. They listed family planning, treatment for sexually transmitted diseases, and maternity care as their most important health needs.

Preparation for sexual and reproductive self-care in Iranian adolescent girls: a qualitative study

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Zainab Alimoradi ◽  
Nourossadat Kariman ◽  
Fazlollah Ahmadi ◽  
Masoumeh Simbar
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Reproductive Health ◽  
Data Collection ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Sexual Behaviors ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Main Theme

AbstractBackgroundAdolescence is one of the most important stages in every individual’s life. Pubertal changes and acquiring reproduction capability require adolescents to perform special health care processes. Also the possibility of involvement in high-risk sexual behaviors endangers adolescent girls’ sexual and reproductive health.ObjectiveIncrease and deepen the understanding and knowledge of the factors affecting Iranian adolescent girls’ readiness to take care of their sexual and reproductive health.Materials and methodsThe present qualitative study was conducted using conventional content analysis method. The participants included 18 adolescents who were aged 13–19 years old, single, studying at high school, art school, or university and had no history of chronic medical or psychological diseases; further, most of them had the experience of menstruation. Purposive sampling was initiated and continued until data saturation. Data collection were performed using in-depth and unstructured interviews. Qualitative content analysis of the interviews was conducted simultaneously with data collection using the Graneheim and Lundman approach .MAXQDA 2010 software was used for storage, retrieval, and management of the data.FindingsPreparation for care was the main theme that emerged in this study along with 19 subcategories and four main categories, including desirable interaction between families and adolescents, readiness for puberty and menstruation, life skills and spiritual self-monitoring.ConclusionThe education and health care systems’ authorities of the country can exploit the results of this study for making policies and interventions expedient to the society’s cultural conditions in order to improve the reproductive and sexual self-care status of adolescents’ girls.

scholarly journals Assessment of knowledge and health care seeking behaviour for menstrual health among adolescent school girls in urban slums of Bengaluru: a cross sectional study

2019 ◽  
Vol 6 (11) ◽  
pp. 4881
Author(s):  
Mouna H. S. ◽  
Hamsa L. ◽  
Ranganath T. S. ◽  
Vishwanath N.
Keyword(s):  
Health Care ◽  
Adolescent Girls ◽  
Cross Sectional Study ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Cross Sectional ◽  
Menstrual Health ◽  
Health Care Seeking Behaviour ◽  
School Girls ◽  
Care Seeking Behaviour

Background: Adolescent girls are often less informed and less comfortable in accessing reproductive health care and information. Due to taboos and socio-cultural restrictions associated with menstruation and its issues, a culture of silence surrounds it. Every stage of women’s life influences next stage, thus present menstrual health will help the girls to have good reproductive, sexual and maternal health later. Good knowledge and better health care seeking behaviour will help in managing menstruation hygienically and with dignity. Hence the present study was undertaken with the objectives, to assess knowledge about menstruation and to determine health care seeking behaviour for menstrual health among adolescent girls in urban slums.Methods: A cross sectional study was conducted to assess knowledge about menstruation and determine health seeking behaviour for menstrual health among 150 adolescent school girls. Multi stage random sampling with probability proportionate to size sampling technique was used. A pre-tested, semi-structured questionnaire was self administered to assess socio-demographic factors, knowledge and health care seeking behaviour for menstrual health.Results: Among 150 adolescent girls, 102(68.0%) of them had good knowledge. Among girls who had excessive bleeding and irregular menses only half of them sought medical treatment (p<0.05) and though 59.5% had more than one symptoms in a cycle, only 37.3% sought treatment.Conclusions: Health care seeking behaviour for menstrual health among adolescent girls was marginally low, only 34(37.4%) sought treatment.

scholarly journals Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

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