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Evaluation of adolescent/youth-friendly sexual and reproductive health services:A 7-year systematic review from January 2016 to April 2022

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Journal of Integrative Nursing 2022年第4期4卷 177-192页

作者： Oladayo Damilola AKINWALE Cecilia Bukola BELLO Oluwaseyi Abiodun AKPOR Mayowa Grace ELEMILE Department of Nursing Afe Babalola UniversityAdo-EkitiEkiti StateNigeria

Adolescent/youth-friendly sexual and reproductive health services(SRHS)play a vital role in reducing morbidity and mortality associated with adolescent *** review examined studies carried out on adolescent/youth-friendly SRHS with focus on availability,accessibility,utilization as well as perception of health care providers,and adolescents about the *** study design was systematic review of empirical studies using a well-defined *** journal was searched comprehensively using Web of Science,Google Scholars databases,PubMed,Medline,and *** sources were identified through the scanning of references of selected *** articles selected were between 2016 and 2022 and had qualitative/quantitative and mixed *** articles that met the selection criteria were also screened using PRISMA-P guidelines and SPIDER framework for systematic review was further used for inclusion criteria based on the following concepts:sample,phenomenon of interest,design,evaluation and research type.A total number of 32 studies were included in the study and findings were reported based on the five emerging *** review showed that majority of the adolescents were not aware of adolescent/youth-friendly SRHS,some health care providers were not also in support of the services which accounted for low utilization of the services among *** review further showed poor accessibility and nonavailability of AYFSRHS as the only available SRHS were meant for married ***,these findings serve as evidence for policy-makers at all the levels of healthcare delivery system to considered all the factors observed in this review and develop strategies that will make adolescent/youth-friendly SRHS available and accessible to *** so,other stakeholders,especially health care providers must improve their attitude toward provision of adolescent/youth-friendly SRHS.

关键词： Accessibility adolescent availability healthcare providers sexual and reproductive health utilization

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Youth’s Perspectives on a Sustainable Model for the Provision of Youth Friendly sexual and reproductive health Services in Kenya: A Quantitative Approach

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Journal of Biosciences and Medicines 2020年第8期8卷 100-115页

作者： Mary W. Murigi Ramadimetja S. Mogale Miriam M. Moagi Faculty of health Sciences Department of Nursing Sciences University of Pretoria Hatfield South Africa

Nearly half of the world’s population comprise youths. However, addressing their sexual and reproductive health (SRH) remains a challenge. Globally countries are mandated to continually provide Youth Friendly sexual and reproductive health services (YFSRHs) to the youth. The objective of this study was to assess and describe youth’s perspectives on a sustainable model for the provision of YFSRHs in Kenya. Data was collected among 400 youths aged 18 - 24 years in Embu and Kirinyaga counties, Kenya. A structured questionnaire was utilized as the data collection tool. Collected data was analyzed using SAS statistical software version 9.4. Statistical threshold of P ≤ 0.05 was used. Overall the mean age of the study participants was ±standard deviation (SD) 21.2 ± 1.86 years. Majority of the participants’ perspective on the health care system sustainability was that the waiting time at the facility should be less than an hour, accessible geographically (less than a kilometre), affordable (≤20 Ksh.), and convenient working hours (weekday and weekends ratio 1:1). Advocacy was on health care provider’s attributes of politeness, welcoming, confidential and non-judgmental. The most preferred locations for the youth friendly centres by the participants were community and school based locations. Similarly, parental and community support was reported to highly contribute to sustained utilization and provision of the YFSRHs (P health care system structure, health care service providers, parents and community. Further research is needed on parents and health care service provider’s perspectives on how to sustain the provision of YFSRH services.

关键词： Youth’s sexual and reproductive health Youth Friendly Services Sustainable Model

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Quality Provision of Comprehensive sexuality Education and sexual and reproductive health in Resource Constrained Higher Education Institutions: A Case of Mukuba University

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Advances in reproductive Sciences 2023年第3期11卷 47-59页

作者： Evans Lifuka Lazarous Chanda Department of Educational Studies Mukuba University Kitwe Zambia

In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive sexuality Education (CSE) and sexual and reproductive health (SRH) at the level of Universities and Colleges, indeveloping countries such as Zambia, some universities have engaged in offering programmes and services in CSE and SRH. However, the provision of such programmes has had some limitations in terms of resources to ensure quality delivery. As a result, there was a need to examine the provision of CSE and SRH in a resource constrained Mukuba University. The study has three research objectives: 1) to examine the CSE and SRH programmes and services that are available at Mukuba University;2) to determine the actual resources available for the University to ensure quality provision of CSE and SRH to students;3) to use views and opinions of students and academics to examine the extent to which the CSE and SRH are reflected as standards by UNESCO and universities and colleges. The study took a pragmatic philosophy stance and convergent parallel research design of mixed methods;the primary approach is qualitative which will be analysed using thematic analysis, while the quantitative approach was secondary and the data was analysed using descriptive statistics. The study envisaged some implications that include the rise in communicable diseases such as Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), gender based violence, general lack of information on matters relating to CSE and SRH among students at Mukuba University. The policy implication is that policy makers will be able to formulate policies that address the needs and challenges of students in providing quality CSE and SRH programmes and services for a university that is constrained with resources. The study found that there was a need to contextualize the quality provision of CSE and SRH at an institutional level, for instance, Mukuba University has created an enabling environment for qua

关键词： Quality Comprehensive sexuality Education sexual and reproductive health

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sexual and reproductive Service Interventions for Menstrual Regulation, Safe Abortion, and Post-abortion Care and Their Effectiveness During Disaster Response: A Global Systematic Review

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International Journal of Disaster Risk Science 2024年第3期15卷 359-373页

作者： Nibedita S.Ray-Bennett Winifred Ekezie Isha Biswas Nimra Iqbal Choudhary David Cowie Lasith Dissanayake Lauren Macleod Azukaeogo Nnaji Madhulika Sahoo School of Business University of Leicester Avoidable Deaths Network University of Leicester Diabetes Research Centre Leicester General Hospital University of Leicester School of Social Sciences and Humanities Aston University Lifespan and Population health School of Medicine University of Nottingham School of Public health and Interdisciplinary Studies Auckland University of Technology Faculty of Life Sciences and Education University of South Wales West African Regional ECHO (WARE) APIN Public Health Initiatives Department of Anthropology Kalahandi University

sexual and reproductive health(SRH) services are crucial for women especially during disasters, to reduce maternal mortality and morbidity from miscarriages, unsafe abortions, and post-abortion complications. This study explored the SRH interventions provided during disaster response. A systematic review was conducted to identify what menstrual regulation(MR), safe abortion(SA), and post-abortion care(PAC) approaches/interventions exist to promote resilience in the health system in disaster settings; what intervention components were most eff ective; and challenges and opportunities to meeting SRH rights. Five electronic databases were searched, resulting in 4194 records. Following the screening process, seven publications were included. The intervention-related information in each publication was assessed based on availability,accessibility, acceptability, and quality. Two SRH approaches/interventions were found. The eff ectiveness of intervention components could not be conducted due to the limited number of relevant studies. Challenges were found at facility and community levels, and opportunities included overcoming them, making MR, SA, and PAC integral to the mitigation phase,and policy change to overcome barriers related to unaff ordability and inaccessibility. Recommendations are provided to encourage research and policy towards improving neglected SRH in disaster settings to realize Sustainable Development Goal 3 and the Global Strategy and Sendai Framework's priority to promote disaster-resilient health systems.

关键词： Abortion Disasters Sendai framework sexual and reproductive health Sustainable development goal

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Developing a model for reducing maternal mortality in South Africa

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Frontiers of Nursing 2021年第3期8卷 269-277页

作者： Rose Maureen Makapi Mmusi-Phetoe Brian Barasa Masaba Department of health Studies University of South AfricaPretoria 392South Africa

Objective:High maternal mortality ratios(MMRs)remain a concern in many parts of the world,especially in developing countries like South *** models have been developed,tried,and tested worldwide,in the hope that they will reduce maternal mor tality,but without much ***:A qualitative approach was used to conveniently select a sample of 10 women attending an antenatal clinic in a rural area,in one of the districts of Kwa Zulu-Natal(KZN)*** were collected by means of interviews with the *** were analyzed employing Burnard’s content analysis ***:Four themes emerged:(1)age at first pregnancy;(2)birth intervals,risks in pregnancy and hospitalization;(3)the use of contraception;and(4)HIV *** themes that emerged revealed inattention to reproductive health(RH)needs,resulting in poor RH outcomes as an area of ***:Greater emphasis needs to be placed on meeting the sexual and reproductive health(SRH)needs of South African women,if maternal mor tality rates are to be *** alternative model for reducing maternal mor tality in South Africa is proposed.

关键词： antenatal care contraception maternal mortality model sexual and reproductive health

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Utilization of online systems to promote youth participation in research:A methodological study

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World Journal of Methodology 2023年第4期13卷 210-222页

作者： Marie Salem Lance Pollack Alex Zepeda Kathleen P Tebb Institute for health Policy Studies University of California San FranciscoSan FranciscoCA 94158United States Division of Prevention Science University of California San FranciscoSan FranciscoCA 94105United States Research Los Angeles Trust for Children's HealthLos AngelesCA 90017United States Department of Pediatrics University of California San FranciscoSan FranciscoCA 94143United States

BACKGROUND Online surveys can align with youth’s increased use of the internet and can be a mechanism for expanding youth participation in *** is particularly important during the coronavirus disease 2019(COVID-19)pandemic,when inperson interactions are ***,the advantages and drawbacks of online systems used for research need to be carefully considered before utilizing such *** To describe and discuss the strengths and limitations of an online system developed to recruit adolescent girls for a sexual health research study and conduct a three-month follow up *** This methodology paper examines the use of an online system to recruit and follow participants three months after their medical visit to evaluate a mobile sexual and reproductive health application,health-E You/Salud iTuTM,for adolescent girls attending school-based health centers(SBHCs)across the United *** staff gave adolescent girls a web link to an online eligibility and consent *** were then asked to complete two online surveys(baseline and 3-month follow-up).Surveys,reminders,and incentives to complete them were distributed through short message service(SMS)text *** completing each survey,participants were also sent an email with a link to an electronic gift card as a thank-you for their *** to implementing this system were discussed with clinicians and staff at each participating *** This online recruitment and retention system enabled participant recruitment at 26 different SBHCs in seven states across the United *** September 2021 and June 2022,415 adolescent girls were screened using the Qualtrics online survey platform,and 182 were eligible to *** those eligible,78.0%(n=142)completed the baseline *** were racially,geographically,and linguistically *** of the participants(89.4%)were non-White,and 40.8%spoke Spanish.A total of 62.0%(n=88)completed

关键词： Online recruitment Adolescents sexual and reproductive health Mobile data Methodology paper Data security

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Research Priorities for Preventing Unsafe Abortions in the WHO Africa Region

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Advances in reproductive Sciences 2021年第1期9卷 24-32页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan Mihretu Belete Gbenou Dina Theopista Kabuteni John Bigirimana Françoise Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of reproductive health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.

关键词： Unsafe Abortion Post-Abortion Contraception sexual and reproductive health Unplanned Abortion

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Perceptions of Nurses at Ndola Teaching Hospital towards sexual health Needs of People with Mental health Problems

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Open Journal of Psychiatry 2023年第4期13卷 262-279页

作者： Alice Chambatu Kabwe Chitundu-Mutambo Concepta Namukolo Kwaleyela Department of Midwifery Ndola College of Nursing and Midwifery Ndola Teaching Hospital Ndola Zambia Department of Mental health School of Nursing Sciences University of Zambia Lusaka Zambia School of Medicine and health Sciences Department of Nursing and Midwifery Mulungushi University Town Campus Kabwe Zambia

sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perceive the issue of people with mental problems having sexual health needs. The aim of this study was to explore perceptions of nurses at Ndola Teaching Hospital towards sexual health needs of people with mental health problems. A general descriptive qualitative study design was utilized and data were collected using three focus group discussions (FGDs) that were recorded and later transcribed verbatim. Purposive sampling was used to select 21 nurses who participated in the study. Nine were male, while 12 were female. Each FGD comprised seven participants. Thematic analysis was used to analyze the data, and six major themes: 1) physiological interplay among different body systems, 2) disease process and effects of psychotropic, 3) participant differences in age, gender, educational level, and cultural backgrounds, 4) staff shortages in mental health units, 5) deficient record keeping, and 6) Social stereotypes and labelling theories emerged. Despite acknowledging the existence of sexual activity among people with mental health problems;participants had both positive and negative perceptions. It is, therefore, recommended that interventions aimed at strengthening implementation of SRH guidelines among nurses caring for people with mental health problems should be put in place.

关键词： sexuality sexual and reproductive health Mental health Mental health Problems Nurses Perceptions

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Research Priorities for Addressing Gender Based Violence in the WHO Africa Region

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Advances in reproductive Sciences 2021年第1期9卷 50-59页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Bigirimana Françoise Chilanga Asmani Hayfa Elamin Souleymane Zan Mihretu Belete Gbenou Dina Dadji Kwami Theopista Kabuteni John Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of reproductive health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: There is an increasing emphasis on conducting research to identify gender based violence issues to enable development of appropriate programs and interventions. However, these efforts are mixed in quality and often raise ethical questions. The increased pressure on policy makers to move to a more evidence-based approach in addressing gender based issues creates the need for this research prioritization activity. Inadequate evaluative evidence in this area poses a challenge in the planning for responsive interventions especially in resource limited settings. The purpose of this paper is to present gender based violence research priority areas for the WHO Africa Region. Methods: We utilized a modified version of the Child health and Nutrition Research Initiative approach to reach consensus on research priorities on the thematic area of gender based violence. In three phases, we first conducted an online survey with sexual and reproductive health and rights experts in academia, ministries of health, non-governmental organizations and other health actors with a wide range of experiences. These questions were consolidated by three experts from World health Organization headquarters into themes. Secondly, experts were invited in a meeting in Cape Town South Africa to analyze and generate relevant areas of research based on the themes. Finally, a smaller group of experts prioritized research areas based on agreed criteria. Results: A list of 10 priority research questions for addressing gender based violence were scored and ranked. Four priority research questions scored 30 points out of the possible 30 points and were thus ranked as the highest priority. These included questions that “engage young adolescents in behavioral interventions to influence gender roles”, “determinants of gender based violence analysis”, “both long and short term complications of gender based violence on survivors” and “assessment of

关键词： Gender-Based Violence Gender Human Rights sexual and reproductive health Violence

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Setting Research Priorities for Cervical Cancer Prevalence, Prevention and Treatment in WHO Africa Region

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Advances in reproductive Sciences 2021年第1期9卷 41-49页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan Bigirimana Françoise Mihretu Belete Gbenou Dina Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of reproductive health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Cervical cancer has been ranked among the leading causes of deaths among women in Africa. Despite this, priority setting mechanisms used in planning for programmes and interventions that respond to sexual and reproductive health and rights services particularly in cervical cancer prevalence, prevention and treatment have not adequately taken into account research based evidence to respond appropriately. Methods: We adapted the Child health and Nutrition Research Initiative method. A wide range of stakeholders identified potential research areas in an online survey. A technical working group comprising of 67 participants reviewed the questions for modification and removal of out scope questions. Finally, scoring and ranking was done to provide the top ten priorities questions. Results: “Cost-benefit analysis of systematic human papillomavirus vaccination compared to the current cost of cervical cancer in public health care systems” scored 27. This was followed by two research questions ranked at 24 points: “assessment of women’s and girls’ knowledge on the importance of early cervical cancer screening,” and “human papilloma virus vaccination and contributions of new technologies to the supply and storage of vaccines, including human papillomavirus vaccine”. Conclusion: The study identified 10 priority research questions that can guide the agenda for cervical cancer prevalence, prevention and treatment in the WHO Africa region. The identified priorities will be of use to policy makers, researchers and programmers and other stakeholders who can invest in areas that greatly affect cervical cancer prevalence, prevention and treatment.

关键词： Cervical Cancer Screening Secondary Prevention HPV Vaccination sexual and reproductive health

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