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. 2013 Nov 14:13:476.
doi: 10.1186/1472-6963-13-476.

Sexual reproductive health service provision to young people in Kenya; health service providers' experiences

Pamela M Godia  1 , Joyce M Olenja, Joyce A Lavussa, Deborah Quinney, Jan J Hofman, Nynke van den Broek
Affiliations

Sexual reproductive health service provision to young people in Kenya; health service providers' experiences

Pamela M Godia et al. BMC Health Serv Res. .

Abstract

Background: Addressing the sexual and reproductive health (SRH) needs of young people remains a challenge for most developing countries. This study explored the perceptions and experiences of Health Service Providers (HSP) in providing SRH services to young people in Kenya.

Methods: Qualitative study conducted in eight health facilities; five from Nairobi and three rural district hospitals in Laikipia, Meru Central, and Kirinyaga. Nineteen in-depth interviews (IDI) and two focus group discussions (FGD) were conducted with HSPs. Interviews were tape recorded and transcribed. Data was coded and analysed using the thematic framework approach.

Results: The majority of HSPs were aware of the youth friendly service (YFS) concept but not of the supporting national policies and guidelines. HSP felt they lacked competency in providing SRH services to young people especially regarding counselling and interpersonal communication. HSPs were conservative with regards to providing SRH services to young people particularly contraception. HSP reported being torn between personal feelings, cultural and religious values and beliefs and their wish to respect young people's rights to accessing and obtaining SRH services.

Conclusion: Supporting youth friendly policies and competency based training of HSP are two common approaches used to improve SRH services for adolescents. However, these may not be sufficient to change HSPs' attitude to adolescents seeking help. There is need to address the cultural, religious and traditional value systems that prevent HSPs from providing good quality and comprehensive SRH services to young people. Training updates should include sessions that enable HSPs to evaluate how their personal and cultural values and beliefs influence practice.

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Figures

Figure 1
Figure 1
Health Service Providers’ (HSP) perspectives on barriers to sexual and reproductive health (SRH) service provision to young people.
Figure 2
Figure 2
General descriptive terms used by health service providers (HSP) to describe young people.
See this image and copyright information in PMC

References

    1. United Nations. International Conference on Population and Development. 1994. http://www.iisd.ca/cairo.html.
    1. United Nations. Resolution Adopted by the General Assembly: Key actions for the further implementation of the programme of action of the International Conference on Population and Development. 1999. http://www.unfpa.org/webdav/site/global/shared/documents/publications/19....
    1. UNFPA and PRB. Health Expectations. Celebrating achievements of the Cairo consensus and highlighting the urgency for action: ICPD 15 years later. 2009. http://www.unfpa.org/webdav/site/global/shared/documents/publications/20....
    1. Ringheim K, Gribble JN. Improving the Reproductive Health of sub-Saharan African Youths: A route to achieve the Millenium Development Goals. Washington, DC: Population Reference Bureau; 2010.
    1. Khan S, Mishra VK. Youth Reproductive and Sexual Health, DHS Comparative Reports No.19. Calverton, Md: Macro International; 2008.

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