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首页> 外文期刊>International Journal of Health Geographics >Identifying youth-friendly service practices associated with adolescents’ use of reproductive healthcare services in post-conflict Burundi: a cross-sectional study
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Identifying youth-friendly service practices associated with adolescents’ use of reproductive healthcare services in post-conflict Burundi: a cross-sectional study

机译：确定与冲突后布隆迪青少年使用生殖保健服务相关的青年友善服务实践：一项横断面研究

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BackgroundVery little is known about reproductive health service (RHS) availability and adolescents’ use of these services in post-conflict settings. Such information is crucial for targeted community interventions that aim to improve quality delivery of RHS and outcomes in post-conflict settings. The objectives of this study therefore was to examine the density of RHS availability; assess spatial patterns of RHC facilities; and identify youth-friendly practices associated with adolescents’ use of services in post-conflict Burundi. MethodsA cross-sectional survey was conducted from a full census of all facilities (n?=?892) and provider interviews in Burundi. Surveyed facilities included all public, private, religious and community association owned-centers and hospitals. At each facility efforts were made to interview the officer-in-charge and a group of his/her staff. We applied both geospatial and non-spatial analyses, to examine the density of RHS availability and density, and to explore the association between youth-friendly practices and adolescents’ use of RHS in post-conflict Burundi. ResultsHigh spatial patterning of distances of RHC facilities was observed, with facilities clustered predominantly in districts exhibiting persistent violence. But, use of services remained undeterred. We further found a stronger association between use of RHS and facility and programming characteristics. Community outreach, designated check-in/exam rooms, educational materials (posters, print, and pictures) in waiting rooms, privacy and confidentiality were significantly associated with adolescents’ use of RHS across all facility types. Cost was associated with use only at religious facilities and youth involvement at private facilities. No significant association was found between provider characteristics and use of RHS at any facility. ConclusionsOur findings indicate the need to improve youth-friendly service practices in the provision of RHS to adolescents in Burundi and suggest that current approaches to provider training may not be adequate for improving these vital practices. Our mixed methods approach and results are generalizable to other countries and post-conflict settings. In post-conflict settings, the methods can be used to identify service availability and spatial patterns of RHC facilities to plan for targeted service interventions, to increase demand and uptake of services by youth and young adults.
机译：背景对于生殖健康服务（RHS）的可用性以及青少年在冲突后环境中使用这些服务知之甚少。这些信息对于有针对性的社区干预至关重要，这些干预旨在改善RHS的质量交付和冲突后环境中的结果。因此，本研究的目的是检验RHS可用性的密度。评估RHC设施的空间格局;并确定与青少年在冲突后布隆迪使用服务有关的青年友善做法。方法：对布隆迪所有设施（n = 892）进行全面普查，并对提供者进行访谈，进行横断面调查。接受调查的设施包括所有公共，私人，宗教和社区协会拥有的中心和医院。在每个机构都努力采访了负责人员及其一组人员。我们应用了地理空间分析和非空间分析，以检查RHS可用性和密度的密度，并探讨在冲突后的布隆迪，青年友善做法与青少年使用RHS之间的关联。结果观察到RHC设施的距离具有高度空间格局，主要集中在表现出持续暴力的地区。但是，服务的使用仍然没有停止。我们进一步发现RHS的使用与设施和编程特性之间的联系更加紧密。社区外联，指定的值机室/检查室，候诊室中的教育材料（海报，印刷品和图片），隐私和机密性与青少年在所有设施类型中使用RHS密切相关。成本仅与宗教设施的使用和青年人在私人设施的使用有关。在任何机构中，提供者特征与RHS的使用之间均未发现显着关联。结论我们的研究结果表明，有必要在向布隆迪的青少年提供RHS的过程中改进对青少年友善的服务做法，并表明当前提供者培训的方法可能不足以改善这些重要的做法。我们的混合方法方法和结果可推广到其他国家和冲突后地区。在冲突后的环境中，这些方法可用于识别RHC设施的服务可用性和空间模式，以计划针对性的服务干预措施，以增加青年和年轻人的需求和对服务的吸收。

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