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首页> 外文期刊>AIDS care. >Improving young people's access to reproductive health care in rural Zimbabwe.
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Improving young people's access to reproductive health care in rural Zimbabwe.

机译：改善津巴布韦农村地区年轻人获得生殖健康服务的机会。

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The aim of this study was to explore ways to improve the accessibility of clinics for young people with reproductive health problems in rural Zimbabwe. This study, which took place in rural Masvingo, was part of a project to develop a comprehensive adolescent reproductive health intervention for Zimbabwean youth. Six focus group discussions were held with secondary school pupils aged 16-19; four focus group discussions were held with nurses. Additionally, 16 community meetings with parents of adolescents were observed. The data were analyzed using the principles of grounded theory: three main categories and several sub-categories emerged from the data. The accessibility of existing services for young people was poor, partly because nurses were reluctant to provide such services due to lack of clarity in legislation and also through fear of condoning adolescent sexual activity. Although the clinical acumen of staff was recognized as sound, service delivery was perceived to be judgemental and lacking in confidentiality and privacy. This reflects the cultural context in which services are delivered. Culturally, adolescents are deemed to be children and as such to have few rights. There is a widely held belief that teaching young people about sex will promote sexual activity. Our findings suggested that staff training should focus on attitudinal rather than medical issues.
机译：这项研究的目的是探索改善津巴布韦农村地区患有生殖健康问题的年轻人诊所的可及性的方法。这项在马斯温戈农村进行的研究是为津巴布韦青年开发全面的青少年生殖健康干预措施的项目的一部分。与16-19岁的中学生进行了六次焦点小组讨论;与护士进行了四次焦点小组讨论。此外，还与青少年父母举行了16次社区会议。使用扎根理论的原则对数据进行了分析：从数据中得出了三个主要类别和几个子类别。年轻人现有服务的可及性很差，部分原因是由于立法缺乏明确性，而且由于担心纵容青少年的性行为，护士不愿提供此类服务。尽管工作人员的临床敏锐度被认为是健全的，但是服务交付被认为是有判断力的，并且缺乏机密性和隐私性。这反映了提供服务的文化背景。从文化上讲，青少年被视为儿童，因此享有的权利很少。人们普遍认为，向年轻人传授性知识会促进性行为。我们的研究结果表明，员工培训应侧重于态度而非医学问题。

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