Exploring Factors To Strengthen Existing Reproductive Health Services For Young People In Tonga
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Exploring Factors To Strengthen Existing Reproductive Health Services For Young People In Tonga
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Author : Iemaima Havea
language : en
Publisher:
Release Date : 2007
Exploring Factors To Strengthen Existing Reproductive Health Services For Young People In Tonga written by Iemaima Havea and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Preventive health services for teenagers categories.
Leveraging On Media And Technology To Improve Access To Family Planning Fp Information And Services For Adolescents Tombey
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Author : Rhoda Robinson
language : en
Publisher:
Release Date : 2017
Leveraging On Media And Technology To Improve Access To Family Planning Fp Information And Services For Adolescents Tombey written by Rhoda Robinson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Leveraging on Media and Technology to Improve Access to Family Planning (FP) Information and Services for Adolescents// TOMBEYMary Adeoye, Rhoda Robinson, Isaiah Owolabi and Paul OjajuniINTRODUCTION In Nigeria, the age of sexual debut has steadily decreased over the years; from 19.7 years in 2007 to 17.6 years in 2013 and 15years in 2016. This decrease has however not been accompanied by a commensurate increase in access to sexual and reproductive health information and services for adolescents. Studies have shown that with the decrease in the age of sexual debut, more adolescents are at a greater risk of contracting sexually transmitted infections. According to UNAIDS 2017 report, an average of 23% of adolescents in Nigeria aged 15-19 have had at least one unplanned pregnancy. The rate of STI transmission and unsafe abortions has also risen among this age group. Access to SRH affects the health outcomes for young people; from high rates of teenage maternal mortality and morbidity, to unsafe abortions and sexually transmitted diseases. Most of these risks result from access to little or no factual information to enable them make informed decisions, and too little access to affordable and appropriate SRH services and commodities. Factors such as privacy, discrimination and denial also contribute to limiting adolescent access to SRH services. METHODOLOGYTOMBEY is an adolescent sexual and reproductive (SRH) project designed to provide safe and non-discriminatory access to quality, affordable and appropriate SRH information and services for adolescents in Nigeria. TOMBEY incorporates a website, mobile application, mobile chat and Short Message Service to provide adolescents information on SRH and access to available services near them. Adolescents can locate adolescent-friendly centres, learn about services they can request for and contribute to improving the quality of SRH service received through feedback. It also provides opportunities for adolescents to interact online and in physical group hangouts and ask questions via toll-free line and WhatsApp. The TOMBEY project was designed to improve sexual and reproductive health of young people in Nigeria by facilitating access to adequate sexual and reproductive health (SRH) information and services. While it is important to increase the accessibility to sexual and reproductive services and information for young people, it is also equally important to ensure that the quality of service that they receive is tailored towards and receptive of their unique needs. By increasing the awareness and agency of young people concerning their sexual and reproductive health and facilitating their access to and use of sexual and reproductive health resources and services, the project aimed to reduce the negative outcomes of the SRH choices of young people. The TOMBEY project was implemented in the six (6) states of Southwest Nigeria - Lagos, Ogun, Oyo, Osun, Ekiti and Ondo states in two years with the support of AmplifyChange Strengthening grant. A total of 975 centres were selected as part of the study. Centre contact were gotten through networks, referrals and known databases. Each centre was visited by a trained field investigator who administered a detailed questionnaire to collect information on services provided. Data was collected over a period of 5 days in each states and collated data was cleaned by the project data analyst who reviewed and removed invalid entries and organizations that did not fit the criteria set. The criteria for inclusion in the mapping activities included offering at least 3 SRH services to adolescents aged 13 u2013 19 years. Data gotten was further analysed to determine where these centres were located, what services they provided and who provided them. Only 276 SRH service centres, include state primary and secondary health centres, Non-Governmental Organizations and private clinics were mapped in rural, peri-urban and urban communities. Data collection and project implementation involved focus group discussions, interviews and advocacy meetings and dialogues with key decision and policy makers, stakeholders, nongovernmental organizations and adolescents. The project was targeted to reach 5200 persons with disabilities; 7,130 sex workers; 17, 280 people living with HIV and orphans and vulnerable children; 22,390 out-of-school youths and 73,850 in-school-youths. In total, over 43 communities where visited across the 6 states.RESULTSA survey carried out in the TOMBEY project showed the disproportionate distribution of facilities providing sexual and reproductive health services among rural and urban settings and the type of services available across the Southwestern states in Nigeria. Results showed that Nongovernmental organizations (NGOs) provided 61% of the adolescent SRH services available in the states with up to 80% located within the central cities; for instance, less than 10% of SRH services were available outside the state capital in Ekiti state. Of these services providers by NGOs, less than 25% of the available service centres provide a marginally wide choice in SRH services especially contraceptive choices. Though 80% of the state health centres surveyed had extensive SRH services, they either did not offer them to adolescents or those that did were too sparsely distributed across the states. Information gathered through discussions and interviews also showed that a large number of these service providers required knowledge and capacity building relating to responding to the SRH needs of adolescents, both state and NGOs.ADVOCACY IMPACTAdolescents require a broad spectrum of sexual and reproductive health services ranging from accurate and reliable sexual and reproductive health information, to contraception options and non-judgemental counselling in a conducive non-discriminatory environment. Policies and actions that specifically provide for adolescents are required if their SRH needs are to be met. Because SRH issues have significant effect on the lives of adolescents if left unattended, it should be addressed as priority in all discussions regarding their development and the development of the states. The provision of SRH for adolescent still requires a lot of effort to overcome sociocultural barriers such as victimization of adolescents seeking information and services at health centres by health care providers, discrimination surrounding seeking for some SRH services as a young person such as contraceptives. The availability and accessibility of SRH services can significantly reduce the negative SRH outcomes of adolescents such as unintended pregnancy, illegal and unsafe abortion, STI transmission, and pregnancy and child birth complications. All stakeholders: government, nongovernmental, community leaders, religious and traditional leaders are required to ensure that these services reach adolescents when and where they need it. Key recommendations resulting from dialogues and consultations during the project include:1.tIncrease the provision of SRHS for adolescents in public health centres and schools through policy mandate.2.tImprove quality of ASRH services provided through consistent training of health workers, provision of comprehensive services and supervisory support services to health workers.3.tIncrease budgetary allocations by states for implementation ASRH policies and action plans, and for improvement and development of adolescent friendly facilities.4.tIncrease awareness among communities through community based programs, and education among in- and out-of-school adolescents to increase demand for ASRH services.5.tIntegrate family planning providers training campaigns in the areas of communication and counselling skills for relating with adolescents. 6.tEnsure effective supply chain mechanisms to ensure regular availability of commodities for young peopleREFERENCESu2022tFatusi AO, Blum RW. Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health (2008) 8:136. doi: 10.1186/1471-2458-8-136u2022tNational Population Commission Nigeria. Nigerian Demographic and Health Survey (NDHS). 2013u2022tYaya S and Bishwajit G (2018) Age at First Sexual Intercourse and Multiple Sexual Partnerships Among Women in Nigeria: A Cross-Sectional Analysis. Front. Med. 5:171. doi: 10.3389/fmed.2018.00171.
A Deeper Silence
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Author : Joanna Spratt
language : en
Publisher:
Release Date : 2013
A Deeper Silence written by Joanna Spratt and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with Women with disabilities categories.
Promoting Adolescent Sexual And Reproductive Health In East And Southern Africa
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Author : Knut-Inge Klepp
language : en
Publisher: Nordiska Afrikainstitutet
Release Date : 2008
Promoting Adolescent Sexual And Reproductive Health In East And Southern Africa written by Knut-Inge Klepp and has been published by Nordiska Afrikainstitutet this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.
In Africa, as in many parts of the world, adolescent reproductive health is a controversial issue for policy makers and programme planners. Adolescents are particularly vulnerable to HIV and AIDS and to a host of other problems such as sexually transmitted infection, unwanted pregnancy, unsafe abortions, sexual abuse, female genital mutilation and unsafe circumcision. Yet many countries do not have adolescent health policies in place and much remains to be done to ensure that adolescents can access appropriate sexual and reproductive health services. The authors of this volume present new perspectives and strategies to promote adolescent sexual and reproductive health. In particular, they make a unique attempt to bring together social and biomedical science and to disseminate concrete empirical evidence from existing programmes, carefully analysing what works and what does not at the local level.
The Journey Towards Comprehensive Sexuality Education
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Author : Joint United Nations Programme on HIV/AIDS
language : en
Publisher: UNESCO Publishing
Release Date : 2021-10-30
The Journey Towards Comprehensive Sexuality Education written by Joint United Nations Programme on HIV/AIDS and has been published by UNESCO Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-10-30 with Political Science categories.
Women In Tonga
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Author : ʼAtu Emberson-Bain
language : en
Publisher:
Release Date : 1998
Women In Tonga written by ʼAtu Emberson-Bain and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Women categories.
Conceiving The New World Order
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Author : Faye D. Ginsburg
language : en
Publisher: Univ of California Press
Release Date : 1995-07-31
Conceiving The New World Order written by Faye D. Ginsburg and has been published by Univ of California Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-07-31 with Medical categories.
This volume provides an investigation of the dynamics of reproduction. Using reproduction as an entry point the authors examine how cultures are produced, contested, and transformed as people imagine their collective future in the creation of the next generation.
Pathways To Action
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Author : Kevin Kelly
language : en
Publisher:
Release Date : 2002
Pathways To Action written by Kevin Kelly and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with AIDS (Disease) categories.
Report Of The International Conference On Population And Development Cairo 5 13 September 1994
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Author : United Nations
language : en
Publisher:
Release Date : 1995
Report Of The International Conference On Population And Development Cairo 5 13 September 1994 written by United Nations and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Social Science categories.
Shaping The Future We Want
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Author : Buckler, Carolee
language : en
Publisher: UNESCO
Release Date : 2014-11-10
Shaping The Future We Want written by Buckler, Carolee and has been published by UNESCO this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-10 with Environmental education categories.