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首页> 外文期刊>Open Journal of Nursing >Availability, Range and Utilization of Sexual and Reproductive Health (SRH) Services for Adolescents at Kinondoni Municipality, Dar es Salaam—Tanzania
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Availability, Range and Utilization of Sexual and Reproductive Health (SRH) Services for Adolescents at Kinondoni Municipality, Dar es Salaam—Tanzania

机译：Kinondoni Municipality的白人人士（SRH）服务的可用性，范围和利用（SRH）服务，Dar Es Salaam-Tanzania

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Background: It is estimated 1.2 billion of world’s population are adolescents aged 10 - 19 years; 80% live in developing countries. Adolescents in developing countries especially Sub-Saharan Africa (SSA) face high burden of sexual and reproductive health problems. Sixteen million girls aged 15 to 19 years give birth every year of which 95% occur in low- and middle-income countries. Twenty five percent of unsafe abortions are in 15 - 19 years in Sub-Saharan Africa. Contraceptive use is low as approximately 10% of adolescents are current users. These problems can be averted if different ranges of Sexual and Reproductive Health Services for adolescent (SRHSA) are available and utilized by adolescents. In Tanzania, there is limited information addressing the availability, types and utilization pattern of sexual and reproductive health services by adolescents. This study investigates the availability, range and utilization of sexual and reproductive health services for adolescents (ASRHS) at Kinondoni Municipality, Tanzania. Method: A cross-sectional study was carried out in April to May 2013. A checklist was used to collect information on the availability and range of services offered at selected health facilities. In depth interviews conducted with in-charges of Reproductive and Child Health (RCH) clinics to explore barriers for provision of Sexual and Reproductive Health Services (SRHS) for adolescents. Adolescents were questioned using a questionnaire on utilization of SRHS and perceived barriers. Descriptive statistics were used to summarize quantitative data and content analysis for qualitative data. Results: On availability and range of adolescents’ sexual and reproductive health services, a total of 25 health facilities were surveyed. Forty four percent of the surveyed facilities did not have the adolescent sexual and reproductive health services (ASRHS). The Adolescents Sexual and Reproductive Health (ASRH) services offered differed greatly between facilities. On utilization of adolescents’ sexual and reproductive health services in total, 204 adolescents from the community were involved in this study. A third of adolescents reported to have ever used ASRH. The adolescents perceived barriers for underutilization of the services were fear of being seen at the clinics (23.3%), lack of money (18.3%), lack of privacy & confidentiality (14.2%) and unfriendly health care providers. Three barriers were perceived by health care providers in the provision of ASRHS: integration of SRHS, lack of training in relation to adolescents SRHS and attitudes of health care providers towards young people. Conclusion: About half of the health facilities did not have the SRH-services to adolescent (44%) and different ranges of services were not offered at the facilities as it was shown in the records. The results from this study show services were underutilized by adolescents. Training, attitudes of health care providers towards young people, & cost influenced ASRHS provision and utilization. Strategies to increase training in ASRHS for health providers including communication skills and scaling ASRH services to all primary care facilities may help to improve availability and access of services to adolescents.
机译：背景：估计有12亿人口的人口是10 - 19年代的青少年; 80％住在发展中国家。发展中国家的青少年尤其是撒哈拉以南非洲（SSA）面临高度的性和生殖健康问题。每年均为15至19岁的人15至19岁的女孩，其中95％发生在低收入和中等收入国家。 25％的不安全堕胎是在撒哈拉以南非洲的15 - 19年。避孕用途低至约10％的青少年是当前用户。如果有针对青少年（SRHSA）的不同性和生殖健康服务，则可以避免这些问题是可供青少年（SRHSA）的不同范围，并用青少年使用。在坦桑尼亚，有限的信息涉及青少年性和生殖健康服务的可用性，类型和利用模式。本研究调查了坦桑尼亚Kinondoni Municipality的青少年（ASRHS）的性和生殖健康服务的可用性，范围和利用。方法：横断面研究于2013年4月进行。用清单用于收集有关所选卫生设施所提供的服务的可用性和范围的信息。在深入访谈中，在生殖和儿童健康（RCH）诊所的指控进行，探索为青少年提供性和生殖健康服务（SRHS）的障碍。使用问卷对SRHS和感知障碍的问卷质疑的青少年质疑。描述性统计数据用于总结定性数据的定量数据和内容分析。结果：关于青少年的性能和生殖健康服务的可用性和范围，共有25种卫生设施进行了调查。 45％的受访设施没有青少年性和生殖健康服务（ASRHS）。在设施之间提供的青少年性和生殖健康（ASRH）服务在很大程度上不同。在共同体中共有204名青少年的利用，共有204名青少年参与了这项研究。据报道，三分之一的青少年曾使用过ASRH。青少年在诊所（23.3％）缺乏缺乏（18.3％），缺乏隐私和机密性（14.2％）和不友好的医疗保健提供者，担心被诊所所见的障碍被担心医疗保健提供者在提供ASRHS中察觉了三个障碍：SRH的整合，缺乏与青少年SRHS和卫生保健提供者对年轻人的态度的培训。结论：大约一半的卫生设施没有SRH-Services对青少年（44％），而且在记录中显示的设施不提供不同的服务范围。本研究表演服务的结果由青少年未充分利用。培训，卫生保健提供者对年轻人的态度，以及成本影响ASRHS供应和利用。在包括沟通技能（包括沟通技能）的asrhs培训培训的策略可能有助于提高为青少年提供服务的可用性和访问。

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