scholarly journals EXPLORING BARRIERS TO REPRODUCTIVE HEALTH SERVICES UTILIZATION AMONG YOUTH, A QUALITATIVE STUDY IN DISTRICT RAWALPINDI, PUNJAB, PAKISTAN

1970 ◽  
Vol 7 (3) ◽  
pp. 132-136
Author(s):  
Shakila Bangash ◽  
Saima Hamid ◽  
Nasreen Hassan Niazi
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Cultural Context ◽  
System Level ◽  
P Value ◽  
Public Facility ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Qualitative Part

Background: Reproductive health services are vital to health and survival of young women. Pakistan has 35% of young population and according to PDHS 48% births takes place in health facility in which only15 % in public facility and 52% takes place at home. Youth faces barriers to utilization are related to accessibility, acceptability, how appropriate the services are and equity of reproductive health services. Methods: Cross sectional Qualitative method was used. Quantitative part of study consisted of 130 females of 15 - 24 years of age and qualitative part comprised of five in depth interviews with HCP including Doctors and Nursing staff from five clinics providing reproductive health services in BBH, Rawalpindi, Punjab.. Results: The barriers that HCP considered were married women centered reproductive health services, no separate place for youth, timings were not convenient to youth, and cultural context was barrier to confidentiality. The factors youth consider to be hindering utilization of health services were behavior of health care provider, treatment of reception and support staff, cost of health services, knowledge regarding available services, confidentiality, interruptions during service delivery, lack of privacy as the p value is less than 0.05 Conclusion: For enhancing the utilization of reproductive health services in public facility by youth these barriers needs to be addressed at policy level and at health system level.

scholarly journals Level and Predictors of Knowledge of Reproductive Rights Among Haramaya University Students, Eastern Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 3 ◽  
Author(s):  
Mohammed Yuya ◽  
Hassen Abdi Adem ◽  
Nega Assefa ◽  
Addisu Alemu ◽  
Abdurezak Adem Umer ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
University Students ◽  
Health Services Utilization ◽  
Reproductive Rights ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Services Utilization

Background: Globally, two-thirds of pre-mature deaths and one-third of the total disease burden in adults are associated with problems that began in adolescent and youth. Global and national acting educational and health policies, strategies, and programs designed to promote, implement, and improve adolescent and youth sexual and reproductive health services utilization should be responsive, consider the knowledge of reproductive rights and risk factors. This study assessed the level and predictors of knowledge of reproductive rights among Haramaya University students in Ethiopia.Methods: An institution-based cross-sectional study was conducted among randomly selected Haramaya University students from March 1 to 24, 2018. A self-administered pre-tested structured questionnaire was used to collect data from participants. Data were entered using EpiData version 3.1 and analyzed using SPSS version 24. Bivariable and multivariable logistic regression analyses were conducted to identify factors associated with knowledge of reproductive rights. Adjusted odds ratio (AOR) with 95% CI was used to report association and significance was declared at P-value < 0.05.Results: Of 822 total students invited to the study, 812 (98.8%) respondents participated in the study. A total of 424 students (52.2%, 95% CI: 48.8, 55.4%) had an above-average level of knowledge on reproductive rights. Participants who were in the fourth and above year of the study [AOR = 2.37 (1.58, 3.54)], whose father's had higher education [AOR = 1.89 (1.27, 2.80)], who came from rich families [AOR = 1.54 (1.07, 2.21)], in the health faculty [AOR = 3.37 (2.17, 5.23)], utilized reproductive health services [AOR = 2.81 (2.21, 4.98)] and participated in reproductive health club [AOR = 1.77 (1.27, 2.47)] were significantly associated with knowledge of reproductive rights.Conclusion: Around half of the participants knew reproductive rights. In this study, lack of awareness (information) on reproductive health issues and absence of reproductive health services utilization were strong independent predictors of knowledge of reproductive rights.

scholarly journals Cost saving in primary versus tertiary level of reproductive health services in Sana'a, Yemen

2021 ◽  
Author(s):  
Abdulkareem Ali Hussien Nassar ◽  
Yahia Ahmed Rajaa ◽  
Najia Saleh Bahubaishi
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Cost Saving ◽  
Financial Burden ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
P Value ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Health Level

Abstract Introduction: In Yemen, women tend to bypass the nearby primary health level facilities (PHLF) for using vaginal delivery (VD), antenatal care (ANC) and intrauterine device (IUD) services. This study aimed to estimate the cost saving for utilization of VD, ANC and IUD services at PHLF instead of tertiary health level facilities (THLF) in Sana'a. Methods: A comparative cross sectional study design was conducted in 2013. It was used to estimate the costs from the patients perspective. A structured questionnaire was used to collect data. Descriptive analyses were performed. P value <0.05 was considered as the cut point for significance. The SPSS version 17 was used. Results: A total of 180 women were found. The median of DMC of VD, ANC and IUD services were US$43.9, US$14.8 and US$9.1 at THLF compared with US$19.5, US$0.9 and US$11.2 at PHLF, respectively. The DMC difference of VD, ANC and IUD services between THLF and PHLF was US$24.4, US$13.9 and US$-2.1, respectively. Regarding the DNMC, the median of VD, ANC and IUD services were US$43.1, US$19.1 and US$17.3 at THLF compared with US$14.0, US$0.0 and US$0.0 at PHLF, respectively. The DNMC difference of VD, ANC and IUD service between THLF and PHLF was US$29.1, US$19.1 and US$17.3, respectively. Moreover, the median of INDC for VD, ANC and IUD services were US$23.9, US$9.5 and US$10.4 at THLF compared with US$7.9, US$1.6 and US$1.1 at PHLF, respectively. The INDC difference of VD, ANC and IUD service between THLF and PHLF was US$16.0, US$7.9 and US$9.3. Conclusion: The study found the utilization of VD, ANC and IUD services at PHLF instead of THLF is a considerable cost saving for families. Therefore, shifting the utilization of services from THLF to PHLF reduces the financial burden affecting individuals, families and their productivity. Implementation of the health referral system is recommended. Keywords: Reproductive health services, bypassing, Direct cost, Indirect cost, Cost saving, Yemen,

Multi-level Barriers for Utilization of Youth Friendly Reproductive Health Services (YFRHS) among Youths

2020 ◽  
Vol 8 ◽  
pp. 95-108
Author(s):  
Shanti Prasad Khanal
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
System Level ◽  
Mixed Method Research ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Personal Level ◽  
Multi Level ◽  
Youth Friendly

 The present study aims to examine the multi-level barriers to utilize by the youth-friendly reproductive health services (YFRHS) among the school-going youths of the Surkhet valley of Nepal. This study is based on the sequential explanatory research design under mixed-method research. The quantitative data were collected using the self- administered questionnaire from the 249 youths, aged between the 15-24 years, those selected by using random sampling. The qualitative data were collected using the Focus Group Discussions (FGDs) from the 12 participants who were selected purposively. The study confirmed that school-going youths do not have appropriate utilization of YFHS due to multi-layered barriers. However, the utilization of the service was higher among females, those the older age group, studying in the upper classes, the upper castes, and married youths. The key findings and themes are recognized as multi-layered barriers including personal-level, health system-level, community-level, and policy-level on the entire socio-ecological field. Among them, the existing health system is the foremost barrier. Multi-level interventions are, therefore, required to increase the YFRHS utilization and improve concerns for school-going-youths.  

scholarly journals Reproductive health service utilization and associated factors among adolescents at public school in Adama town east Shewa Ethiopia; 2018

2020 ◽  
Author(s):  
Abenet Menene Gurara ◽  
Admasu Belay Gizaw ◽  
Awoke Koyachew Ayalew ◽  
Aliye Kediro Adem
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Services ◽  
Health Service Utilization ◽  
Associated Factors ◽  
Health Services Utilization ◽  
Reproductive Health Service ◽  
Reproductive Health Services ◽  
Services Utilization ◽  
Factors Associated

Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia. Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service. Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important.

Knowledge, attitude and practices regarding implants among women of childbearing age

2021 ◽  
pp. 1-9
Author(s):  
Irshad Begum Shaikh ◽  
Syed Imtiaz Ahmed Jafry ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Syeda Nadia Firdous ◽  
Admin
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Contraceptive Method ◽  
Women Of Childbearing Age ◽  
Reproductive Health Services ◽  
Childbearing Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Child Bearing

Abstract A cross-sectional survey was conducted from February 2016 to September 2016 to assess knowledge, attitude and practices regarding implants among women of childbearing age visiting Reproductive Health Services Center, Civil Hospital,Karachi. A total of 396 adult non-pregnant married females of child bearing age, from 18 to 49 years old, were interviewed using a structured questionnaire.Only153 (38.6%) of therespondentshad knowledge about implants whereas out of them 122 (79.7%) acquired it from family planning clinics. Almost two third of them (n=267, 67.4%) were in favor of using implants as a contraceptive method. Moreover, 244 (61.6%) of them were of the opinion that if given the choice, they will use implanon though out of total 316 (79.8%) respondents who ever used contraceptives, only 3 (0.9%) used implants.Despiteafavorable attitude, limited knowledge and poor practices of the respondents highlighted the study findings. Keywords: Knowledge, Attitude, Contraception, Progestins, Continuous...

Sign in / Sign up

Export Citation Format

Share Document