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Primary healthcare providers' views on improving sexual and reproductive healthcare for adolescents in Bolivia, Ecuador, and Nicaragua

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Authors:
  • Jaruseviciene, L. ;
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    Lithuanian University of Health Sciences (LUHS)
  • Orozco, M. ;
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    Centro de Investigación y Estudios de la Salud (CIES)
  • Ibarra, M. ;
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    Centro de Investigación y Estudios de la Salud (CIES)
  • Ossio, F.C. ;
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    South Group (SG)
  • Vega, B. ;
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    University of Cuenca (UC)
  • Auquilla, N. ;
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    University of Cuenca (UC)
  • Medina, J. ;
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    Instituto Centro Americano de Salud (ICAS)
  • Gorter, A.C. ;
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    Instituto Centro Americano de Salud (ICAS)
  • Decat, P. ;
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    Ghent University
  • De Meyer, S. ;
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    Ghent University
  • Temmerman, M. ;
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    Ghent University
  • Edmonds, A.B. ;
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    Amsterdam University
  • Valius, L. ;
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    Lithuanian University of Health Sciences (LUHS)
  • Lazarus, J.V.
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    CHIP, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, Københavns Universitet
DOI:
10.3402/gha.v6i0.20444
Abstract:
Objectives: To elicit the views of primary healthcare providers from Bolivia, Ecuador, and Nicaragua on how adolescent sexual and reproductive health (ASRH) care in their communities can be improved. Methods: Overall, 126 healthcare providers (46 from Bolivia, 39 from Ecuador, and 41 from Nicaragua) took part in this qualitative study. During a series of moderated discussions, they provided written opinions about the accessibility and appropriateness of ASRH services and suggestions for its improvement. The data were analyzed by employing a content analysis methodology. Results: Study participants emphasized managerial issues such as the prioritization of adolescents as a patient group and increased healthcare providers' awareness about adolescent-friendly approaches. They noted that such an approach needs to be extended beyond primary healthcare centers. Schools, parents, and the community in general should be encouraged to integrate issues related to ASRH in the everyday life of adolescents and become 'gate-openers' to ASRH services. To ensure the success of such measures, action at the policy level would be required. For example, decision-makers could call for developing clinical guidelines for this population group and coordinate multisectoral efforts. Conclusions: To improve ASRH services within primary healthcare institutions in three Latin American countries, primary healthcare providers call for focusing on improving the youth-friendliness of health settings. To facilitate this, they suggested engaging with key stakeholders, such as parents, schools, and decision-makers at the policy level.
Type:
Journal article
Language:
English
Published in:
Global Health Action, 2013, Vol 6, Issue 1
Keywords:
Adolescent; Adult; Attitude of Health Personnel; Bolivia; Ecuador; Female; Health Personnel; Health Priorities; Humans; Male; Middle Aged; Nicaragua; Quality Improvement; Reproductive Health; Reproductive Health Services
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2013
Scientific Level:
Scientific
ID:
241611513

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