Preventive Care in Nursing and Midwifery Journal
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Volume 10, Issue 3 (8-2020)
PCNM 2020, 10(3): 67-76 |
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Mosavi S A, Mirzaii K, Shariati M, Babazadeh R. Facilitators of Adolescent Girls’ Access to Sexual and Reproductive Health Services in Iran: A Qualitative Study. PCNM 2020; 10 (3) :67-76
URL: http://nmcjournal.zums.ac.ir/article-1-703-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-703-en.html
PhD, Assistant professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , babazadehr@mums.ac.ir
Abstract: (5217 Views)
Background: Investment in the adolescents' health is an effective way to improve the public health.
Objectives: This study aimed to explore the views and experiences of adolescent girls and key adults to identify the facilitators of access to sexual and reproductive health services among Iranian adolescent girls.
Methods: In this qualitative study, the data were gathered through focus groups and semi-structured interviews with 247 adolescent girls and 71 key adults in Iran. The collected data were coded and categorized using a content analysis method in MAXQDA v10.
Results:: The main facilitators of Iranian adolescent girls’ access to reproductive health services were classified into five categories: 1) Factors associated with policymaking, such as governmental support; 2) benefiting from the religion’s potentials; 3) social and cultural factors, such as creating a supportive environment in the community; 4) public participation; and 5) factors associated with the methods of service delivery.Conclusion: The governments’ acceptance of sexual health education shortcomings is the most important factor affecting the successful implementation of reproductive health programs for Iranian adolescents. Overall, increasing public participation and intersectional collaboration, besides creating a supportive environment in the community, is the next step in improving sexual health education.
Objectives: This study aimed to explore the views and experiences of adolescent girls and key adults to identify the facilitators of access to sexual and reproductive health services among Iranian adolescent girls.
Methods: In this qualitative study, the data were gathered through focus groups and semi-structured interviews with 247 adolescent girls and 71 key adults in Iran. The collected data were coded and categorized using a content analysis method in MAXQDA v10.
Results:: The main facilitators of Iranian adolescent girls’ access to reproductive health services were classified into five categories: 1) Factors associated with policymaking, such as governmental support; 2) benefiting from the religion’s potentials; 3) social and cultural factors, such as creating a supportive environment in the community; 4) public participation; and 5) factors associated with the methods of service delivery.Conclusion: The governments’ acceptance of sexual health education shortcomings is the most important factor affecting the successful implementation of reproductive health programs for Iranian adolescents. Overall, increasing public participation and intersectional collaboration, besides creating a supportive environment in the community, is the next step in improving sexual health education.
Type of Study: Orginal research |
Subject:
Midwifery
Received: 2020/12/17 | Accepted: 2020/08/31 | Published: 2020/08/31
Received: 2020/12/17 | Accepted: 2020/08/31 | Published: 2020/08/31
References
1. 1. Better Health for Women and Families: The World Bank's Reproductive Health Action Plan 2010-2015. June 2010.
2. http:// www. amar.org.ir. english.[ Accessed 24 March, 2017].
3. Utomo D. Adolescent Reproductive Health in Indonesia: Status, Policies, Programs and Issues. Policy Report. 2003.
4. World, Health, Organization. Adolescent pregnancy. Fact sheet,Updated September 2014 http://wwwwhoint/entity/mediacentre/factsheets/fs364/en/Accessed March 11, 2017.
5. Morris JL, Rushwan H. Adolescent sexual and reproductive health: The global challenges. International Journal of Gynecology & Obstetrics. 2015;131(S40-S42). [Crossref]
6. World, Health, Organization. Adolescents: health risks and solutions. Fact sheet .Updated May 2016. http://wwwwhoint/entity/mediacentre/factsheets/fs345/en/ - 43k Accessd March 11, 2017
7. Shariati M, Babazadeh R, Mousavi SA, Najmabadi KM. Iranian adolescent girls' barriers in accessing sexual and reproductive health information and services: a qualitative study. Journal of Family Planning and Reproductive Health Care. 2014;40(4):270-5. [Crossref]
8. UNICEF.Iran. Adolescent Friendly Services in the Islamic Republic of Iran Promoting Partnerships for HIV Prevention. http://wwwunaidsorg/en/Country Respones/Countries/islamic_republic_of_iranasp[Accessed April 2013].
9. Khalajabadi Farahani F, J. C. Perceived norms of premarital heterosexual relationships and sexuality among female college students in Tehran. Cult Health Sex. 2015;17(6):700-17. [Crossref]
10. Khalajabadi Farahani F. A meta analysis of sexuality before marriage among young people in Iran. Tehran: National Institute for Population Studies Tehran. 2015. p. 60.
11. Shoghli AR, Rakhshani F, Mosavi Nasab N, Mohageri M, Sedaghat A, Gooya MM. Survey of knowledge, attitude and adolescents and young high risk behaviors in 7 cities of Iran about HIV/AIDS. Summer,2008.
12. World, Health, Organization. Adolescence: building solid foundations for lifelong flourishing. The european magazine for sexual and reproductive health. 2014; NO.80.
13. Regmi PR, Van Teijlingen E, Simkhada P, Acharya DR. Barriers to sexual health services for young people in Nepal. Journal of Health, Population, and Nutrition. 2010;28(6):619. [Crossref]
14. Chandra-Mouli V, McCarraher DR, Phillips SJ, Williamson NE, G. H. Contraception for adolescents in low and middle income countries: needs, barriers, and access. Reprod Health. 2014;11(1):1. [Crossref]
15. Khalaf I, Moghli FA, Froelicher ES. Youth‐friendly reproductive health services in Jordan from the perspective of the youth: a descriptive qualitative study. Scandinavian Journal of Caring Sciences. 2010;24(2):321-31. [Crossref]
16. Improving the accessibility of health services that meet the sexual and reproductive needs of adolescents in school. Rapid assessment tool. WHO, Improving adolescent health and development. WHO/FRH/ADH/98.18. 1997. http://www.who.int/maternal_child_adolescent/documents/frh_adh_98_18/en/[Accessed 24 Jan 2012].
17. Cleland J, Ingham R, Stone N. Asking young people about sexual and reproductive behaviours: Illustrative core instruments. Retrieved March. 2001;16:2010.
18. Lule E, Rosen JE, Singh S, Knowles JC, Behrman JR. Adolescent health programs. Disease control priorities in developing countries. 2006;2:1109-26. [Crossref]
19. Buse K, Martin-Hilber A, Widyantoro N, Hawkes SJ. Management of the politics of evidence-based sexual and reproductive health policy. The Lancet. 2006;368(9552):2101-3. [Crossref]
20. Huston RL., Martin LJ., Foulds DM. Effect of a program to facilitate parent-child communication about sex. Clinical Pediatrics 1990;29(11):626-33. [Crossref]
21. World, Health, Organization. Briefing notes on selected adolescent health issues. Geneva: World Health 0rganization; 2001.
22. Brindis CD, Loo VS, Adler NE, Bolan GA, Wasserheit JN. Service integration and teen friendliness in practice: A program assessment of sexual and reproductive health services for adolescents. Journal of Adolescent Health. 2005;37(2):155-62. [Crossref]
23. Jimmy-Gama D. An assessment of the capacity of faculty-based youth friendly reproductive health services to promote sexual and reproductive health among unmarried adolescents: evidence from rural Malawi. 2009.
24. Erulkar AS, Onoka CJ, Phiri A. What is youth-friendly? Adolescents' preferences for reproductive health services in Kenya and Zimbabwe. African Journal of Reproductive Health. 2005:51-8. [Crossref]
25. Tylee A, Haller DM, Graham T, Churchill R, Sanci LA. Youth-friendly primary-care services: how are we doing and what more needs to be done? The Lancet. 2007;369(9572):1565-73. [Crossref]
26. Jaruseviciene L, Levasseur G, Liljestrand J. Confidentiality for adolescents seeking reproductive health care in Lithuania: the perceptions of general practitioners. Reproductive Health Matters. 2006;14(27):129-37. [Crossref]
27. Shazina Masud, 2014, "South Africa (2009): FoQus on Segmentation - Barriers and Motivations towards Seeking Reproductive Health Services among Youth in Gauteng, South Africa".
28. Barkat A, Majid M. Adolescent reproductive health in Bangladesh: Status, policies, programs and issues. Policy Project Report, USAID Asia/Near East Bureau. 2003.
29. Nair MKC, Paul MK, Leena M, Thankachi Y, George B, Pillai HV. Effectiveness of a Reproductive Sexual Health Education Package among School Going Adolescents. Indian Journal of Pediatrics. 2012;79(1):64-8. [Crossref]
30. Islam MS, Rahman MM. Sex Education: An Islamic View. Journal of Islamic Studies. 2008;2(1).
31. Orgocka A. Perceptions of communication and education about sexuality among Muslim immigrant girls in the US. Sex Education. 2004;4(3):255-71. [Crossref]
32. Smerecnik C., Schaalma H., Gerjo K., Meijer S., Poelman J. An exploratory study of Muslim adolescents' views on sexuality: Implications for sex education and prevention. . BMC Public Health 2010;10:533. [Crossref]
33. Latif Nejad R, Jvad Nouri M, Hasanpour M, Hazaveyi MM, Taghipour A. The Necessity of Sexual-Health Education for Iranian Female Adolescents: A Qualitative Study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2012;15(12):7-17.
34. Farmahini faraahani M. Appropriate content for sex education in secondary schools. Daneshvar Raftar 2005;11(9):1-14.
35. Faghihii AN., Shokohi yekta M., Parand A. Sexual education to child and adolescent in view of Islam and psychological studies. Biquarterly Journal of Isalmic Education Autumn & Winter 2008;3(7):51-80.
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