Clients and service providers’ assessment of Public and Non-Governmental Youth-Friendly Health Services in Lagos Nigeria: A mixed method approach
DOI:
https://doi.org/10.30442/ahr.0501-11-41Keywords:
Youth-Friendly Services, Service providers, Clients, LagosAbstract
Background: The World Health Organization prescribed that Youth-Friendly health services must be accessible, acceptable, equitable, efficient, effective, comprehensive and appropriate to meet the health needs of young people.
Objective: To compare the clients’ and service providers’ assessment of services offered at the public and Non-Governmental Organization (NGO) Youth Friendly facilities (YFF) in Lagos Nigeria.
Methods: A mixed method approach was used. Structured questionnaires were administered on youths (294 from public and 273 from NGO YFF) from ten (5 public and 5 NGO) YFF. Ten key informant interviews with service providers were also conducted between March 1st and December 31st 2014. SPSS version 22 was used to analyze quantitative data while thematic analysis of interviews with service providers was done.
Results: Youths who utilized the public YFF had 60% chance (AOR 1.6, 95%CI 1.3 – 2.5, p= 0.005) of experiencing longer waiting times, 80% chance (AOR 1.8, 95%CI 1.2 – 2.8, p=0.004) of being counseled in a separate room and over two-fold chance (AOR 2.3, 95%CI 1.7 – 3.3, p <0.001) of having free services. Sexual and reproductive health was the major complaint area of the youths while funding was the major challenge of service providers at both the public and NGO YFF.
Conclusion: To address the needs of the youths, there is a need to provide more funds and provide necessary logistics required by YFF.
References
WHO. Access to Health Services for Young People for Preventing HIV and Improving Sexual and Reproductive Health. World Health Organization, Geneva, 2007. Available at www.who.int/.../adolescent_health_service_indicators_all.pdf (accessed February 2018)
Bearinger LH, Sieving RE, Ferhuson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet 2007; 369: 1220-1231.
World Health Organization. Shape the Future of Life [Shape Healthy Environments for Children]' Geneva: WHO, 2003 http://www.who.int/world-health-day/2003/infomaterials/Hec-BroEn.pdf (Accessed January 2013).
Agampodi SB, Agampodi TC, Piyaseeli UKD. Adolescents’ perception of reproductive health care services in Sri Lanka. BMC Health Services Research. 2008; 8: 98-102.
Tylee AT, Haller DM, Graham T. et al. Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 2007; 369: 1565-1573.
Olukoya P. Reducing Maternal Mortality from Unsafe Abortion among Adolescents in Africa. Afr J Reprod Health 2004; 8: 57-62.
The World Bank Adolescent Fertility Rate (Births per 1,000 Women Ages 15-19).Available at: http://data.worldbank.org/indicator/SP.ADO.TFRT (Accessed March 2018)
National Agency for the Control of AIDS Federal Republic of Nigeria. Global AIDS Response; Country Progress Report, Nigeria GARPR 2012. Available at: http://www.unaids.org/en/dataanalysis/knowyourresponse/countryprogressreports/2012countries/Nigeria%202012%20GARPR%20Report%20Revised.pdf (Accessed February 2018).
The World Bank Contraceptive Prevalence (% of Women Ages 15-49). Available at: http://data.worldbank.org/indicator/SP.DYN.CONU.ZS. (Accessed January 2018).
National Strategic Framework On The Health & Development Of Adolescents & Young People In Nigeria (2007 – 2011) Federal Ministry Of Health, Abuja, Nigeria 1-4. Available at https://www.neuroaro.com/index.php/resources/downloads/national/item/download/57_ec13588d3283edaeed2bc18e4816c847 (Accessed December 2017)
Federal Ministry of Health. National Policy on the Health & Development of Adolescents & Young people in Nigeria. Abuja Nigeria 2007 (First revision). Available at http://www.health.gov.ng/doc/policy.pdf. ( Accessed January 2018)
Action Plan for Advancing young people’s health & development in Nigeria: 2010-2012 Federal Ministries of Health &Youth Development in collaboration with the United Nations Population Fund (UNFPA).November 2010. Available at https://www.neuroaro.com/index.php/resources/downloads/national/item/download/70_0cb3cf6abb68a3cff6ba5b1c4ed5d383. (Accessed January 2018)
Federal Ministry of Health. National Strategic Framework on the Health & Development of Adolescents & Young people in Nigeria 2007 – 2011 Abuja, Nigeria. Available at https://www.neuroaro.com/index.php/resources/downloads/national/item/download/57_ec13588d3283edaeed2bc18e4816c847. (Accessed February 2018)
Federal Ministry of Health. National guidelines for the integration of adolescent and youth-friendly services into primary health care facilities in Nigeria. Abuja Nigeria. Available at http://www.health.gov.ng/doc/IntegrationGuidelinesAYFHS.pdf. (Accessed December 2017)
Building Partnership with Faith-Based Organizations: Integrating Youth-Friendly Services into the Health Delivery System of the Christian Health Association of Ghana African Youth Alliance (AYA). Available at https://www.popline.org/node/197643. (Accessed November 2017)
Femi-Adebayo TT, Kuyinu Y, Adejumo OA, Goodman O. Factors affecting utilization of youth-friendly health services in Lagos State, Nigeria. Int J Adolesc Med Health 2017 doi: 10.1515/ijamh-2016-0159.
National Bureau of Statistics. Available from http://www.nigerianstat.gov.ng/ [accessed October 2017.
One World UK. Report on assessment of facilities providing youth-friendly health services in Nigeria. http://www.ncceonline.edu.ng/download/files/Assessment%20of%20Youth%20Friendly%20Health%20Centers%20and%20Services.pdf (Accessed January 2018)
Patton GC, Sawyer SM, Santelli JS, et al. Ross DA, Afifi R, Allen NB, Our future: A Lancet Commission on adolescent health and wellbeing. Lancet 2016; 387: 2423e78.
Santhya KG, Jejeebhoy SJ. Sexual and reproductive health and rights of adolescent girls: Evidence from low- and middle-income countries. Glob Public Health 2015; 10: 189e221.
Kalamar AM, Bayer AM, Hindin MJ. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: A systematic review of the published and grey literature. J Adolesc Health 2016; 59(Suppl. 3): S22e31.
Chandra-Mouli V, Lane C, Wong S.What does not work in adolescent sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices. Glob Health Sci Pract 2015; 3: 333e40.
Odo AN, Samuel ES, Nwagu EN, Nnamani PO, Atama CS. Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria: a mixed methods approach. BMC Health Services Res (2018) 18:92 DOI 10.1186/s12913-017-2779-x
Fatusi A.O. Young People’s Sexual and Reproductive Health Interventions in Developing Countries: Making the Investments Count. J Adolesc Health 2016; 59: S1-S3.
Mengistu ST, Melku AT. Sexual and reproductive health problems and service needs of university students in south-east Ethiopia: an exploratory qualitative study. Sci J Public Health 2013; 1 (4):184–188.
Erulkar A, Onoka C, Phiri A. What is youth-friendly? Adolescents’ preferences for reproductive health services in Kenya and Zimbabwe. Afr J Reprod Health 2005; 9(5): 51-58.
Onokerhoraye AG. Dudu JE. Perception of Adolescents on the Attitudes of Providers on Their Access and Use of Reproductive Health Services in Delta State, Nigeria. Health 2017; 9: 88-105. http://dx.doi.org/10.4236/health.2017.91007.
Coyne-Beasley T, Ford CA, Martha W, Waller MA, Adimora AA, Resnick MD. Sexually Active Students’ Willingness to Use School-Based Health Centers for Reproductive Health Care Services in North Carolina. Ambulatory Pediatr 2003; 3: 196-202.
Bernstein, J. Lack of access to reproductive health care “is a potentially poverty-induced problem for low-income women”. 2016. http://www. mediamatters.org/blog/2016/03/01/wash-post-op-ed-highlights-linkbetween- economi/208934. (Accessed 2 December 2017)
Wright KO, Oluwole EO, Adeniran A, Kuyinu Y, Goodman O, Odusanya O. Youth-friendly health services in a rural community of Lagos, Nigeria: are the youths receptive? Int J Adolesc Med Health 2016. DOI 10.1515/ijamh-2015-0095
Godia P. Youth Friendly sexual and reproductive health service provision in Kenya: what is the best model? Nairobi, MOH, 2010 Available at http://www.gtzkenyahealth.com/blog3/wp-content/uploads/2011/02/yfsrhs.ppt. (Accessed December 2017)
Cherie N, Tura G, Teklehaymanot AN. Reproductive health needs and service utilization among youths in west Badewacho Woreda, Hadiya Zone, South Ethiopia. J Public health Epidemiol 2015; 7(4): 145–153.
Mbeba RM, Mkuye MS, Magembe GE, Yotham WL, Mellah AO, Mkuwa SB. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: a qualitative study. Pan Afr Med J 2012; 13(Supp 1):13.
Senderowitz J, Hainsworth G, Solter C. A rapid Assessment of Youth Friendly Reproductive Health Services. 2003. http://www.pathfinder.org/publications. Accessed 10 April 2012.
Kumi-Kyereme A, Awusabo-Asare K, Biddecom A. Adolescents Sexual and Reproductive Health: Qualitative evidence from Ghana. Occasional Report.2007. New York: Guttmacher Institute. Available at https://www.guttmacher.org/sites/default/files/pdfs/pubs/2007/08/31/or30.pdf (Accessed February 2018)
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