Key informants’ perspectives on policy- and service-level challenges and opportunities for delivering adolescent and youth-friendly health services in public health facilities in a Nigerian setting

BMC Health Services Research

Research

Olujide Arije¹  Tintswalo Hlungwani²  Jason Madan³ 

[1] Institute of Public Health, Obafemi Awolowo University, Ile-Ife, Nigeria;School of Public Health, University of Witwatersrand, Johannesburg, South Africa;School of Public Health, University of Witwatersrand, Johannesburg, South Africa;Warwick Medical School, University of Warwick, Warwick, UK;

关键词: Family planning;    Reproductive health;    Sexual health;    Adolescents and young people;    Ogun state;    Nigeria;   

DOI  :  10.1186/s12913-022-08860-z

 received in 2022-04-13, accepted in 2022-11-21,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundIntegrating the care of adolescents and young people into existing public health facilities requires deliberate efforts to address challenges related to policy and service provision. This study assessed key informants’ perspectives on policy- and service-level challenges, and opportunities, for implementing a strategic framework for adolescent and youth-friendly health services (AYFHS) in public health facilities in a Nigerian setting.MethodsSeventeen key informants were interviewed including members of the Adolescent sexual and reproductive health (ASRH) Technical Working Group (TWG), program managers of non-governmental organizations (NGO), State and local level health officials, and youth representatives, in Ogun State, Southwest Nigeria.ResultFindings from this study indicate that some health workers continue to have a negative attitude toward young people’s sexual and reproductive health. There was some level of inclusion of adolescents and young people living with disabilities in ASRH programming which is welcome and extremely important. Some of the challenges in ASRH service provision included insufficient coordination of activities of donors/partners working in the adolescent health space. Also found was the missed opportunity to strengthen policy implementation with research, and the need for increased focus on mental health, substance use, and other aspects of adolescent and young people’s health. There was noted the opportunity to explore the Basic Health Care Provisions Funds (BHCPF) as a new source of funding for health services for AYP in Nigeria.ConclusionThis study provided the context of the implementation of a strategic framework for adolescent reproductive health in a Nigerian setting from the perspectives of policy and service-level stakeholders. Opportunities for improving program delivery identified include ensuring research-based policy implementation and seeking program sustainability through tapping into new sources of funding.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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