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首页> 外文期刊>Advances in Sexual Medicine >Socio-Cultural Barriers Influencing Utilization of Sexual and Reproductive Health (SRH) Information and Services among Adolescents and Youth 10 - 24 Years in Pastoral Communities in Kenya
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Socio-Cultural Barriers Influencing Utilization of Sexual and Reproductive Health (SRH) Information and Services among Adolescents and Youth 10 - 24 Years in Pastoral Communities in Kenya

机译：影响肯尼亚牧民社区10-24岁青少年使用性与生殖健康（SRH）信息和服务的社会文化障碍

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Background : As in other developing countries, sexual and reproductive ill-health continues to mostly affect adolescents and youths. Samburu and Turkana counties in Kenya have some of the highest levels of total fertility rates (TFR) at 6.3 and 6.9 respectively placing them well above the national TFR of 3.9. Establishing factors that influence utilization of SRH services among adolescent and youth aged 10 - 24 years is critical in developing an effective program. Method : We used primary data from qualitative and purposeful study design. Data collection used Focus group discussions (FGD), In-depth interviews (IDIs) and Key informant interviews (IDIs). The target groups were adolescents and youth aged 10 - 24 years, health care providers, community health volunteers (CHVs), chemist assistants, parents of adolescents and youth, teachers, spiritual leaders and traditional activists. Findings and Conclusion : Socio-cultural factors were found to influence utilization of SRH services and information. Early marriage, being youth, male only decisions on sexuality matters and fear of family contribute to unprotected sex while myths and misconceptions on contraceptives affected utilization. The findings revealed that youth need s to know sources, how contraceptives work and how to use them. The findings suggest capacity building of health care providers, CHVs, teachers, parents and community leaders on adolescence, sexuality needs of adolescents and disadvantages of female genital mutilation (FGM) including early marriage.
机译：背景：与其他发展中国家一样，性健康和生殖健康不良仍然主要影响青少年。肯尼亚的桑布鲁县和图尔卡纳县的总生育率（TFR）最高，分别为6.3和6.9，远高于3.9的国家总生育率。建立影响10-24岁青少年SHR服务利用的因素对于制定有效的计划至关重要。 方法：我们使用了定性和有目的的研究设计的主要数据。数据收集使用了焦点小组讨论（FGD），深度访谈（IDI）和关键线人访谈（IDI）。目标人群是10至24岁的青少年和青年，医疗保健提供者，社区卫生志愿者（CHV），化学助理，青少年父母，教师，精神领袖和传统活动家。 调查结果和结论：已发现影响SRH服务和信息利用的社会文化因素。早婚是青年，对性问题只有男性的决定以及对家庭的恐惧会导致无保护的性行为，而对避孕药具的神话和误解影响了使用率。调查结果表明，青年人需要了解避孕药的来源，避孕药具的工作方式和使用方法。研究结果表明，医疗服务提供者，CHV，教师，父母和社区领导者应进行能力建设，以解决青春期，青少年的性需求以及女性生殖器官切割（FGM）的不利因素，包括早婚。

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