PDF(Pubmed)
Abstract：
Healthcare workers may affect the utilization of sexual and reproductive healthcare (SRH) services, and quality of care thereof, for example by their behaviours or attitudes they hold. This can become a hindrance to accessing and utilizing SRH services, particularly by young people, and thus a better understanding of these behaviours and associated factors is needed to improve access to and utilization of SRH services.
A systematic review of literature was conducted to identify studies focusing on healthcare workers\' behaviors and personal determinants associated with providing adequate SRH services in sub-Saharan Africa (January 1990 - October 2015). Five databases were searched until 30th October 2015, using a search strategy that was adapted based on the technical requirements of each specific database. Articles were independently screened for eligibility by two researchers. Of the 125-screened full-text articles, 35 studies met all the inclusion criteria.
Negative behaviours and attitudes of healthcare workers, as well as other personal determinants, such as poor knowledge and skills of SRH services, and related factors, like availability of essential drugs and equipment are associated with provision of inadequate SRH services. Some healthcare workers still have negative attitudes towards young people using contraceptives and are more likely to limit access to and utilization of SRH by adolescents especially. Knowledge of and implementation of specific SRH components are below optimum levels according to the WHO recommended guidelines.
Healthcare workers\' negative behaviours and attitudes are unlikely to encourage women in general to access and utilize SRH services, but more specifically young women. Knowledge of SRH services, including basic emergency obstetric care (EmOC) is insufficient among healthcare workers in SSA.
A protocol for this systematic review was registered with PROSPERO and the registration number is: CRD42015017509 .
A systematic review of literature was conducted to identify studies focusing on healthcare workers\' behaviors and personal determinants associated with providing adequate SRH services in sub-Saharan Africa (January 1990 - October 2015). Five databases were searched until 30th October 2015, using a search strategy that was adapted based on the technical requirements of each specific database. Articles were independently screened for eligibility by two researchers. Of the 125-screened full-text articles, 35 studies met all the inclusion criteria.
Negative behaviours and attitudes of healthcare workers, as well as other personal determinants, such as poor knowledge and skills of SRH services, and related factors, like availability of essential drugs and equipment are associated with provision of inadequate SRH services. Some healthcare workers still have negative attitudes towards young people using contraceptives and are more likely to limit access to and utilization of SRH by adolescents especially. Knowledge of and implementation of specific SRH components are below optimum levels according to the WHO recommended guidelines.
Healthcare workers\' negative behaviours and attitudes are unlikely to encourage women in general to access and utilize SRH services, but more specifically young women. Knowledge of SRH services, including basic emergency obstetric care (EmOC) is insufficient among healthcare workers in SSA.
A protocol for this systematic review was registered with PROSPERO and the registration number is: CRD42015017509 .
摘要：
医护人员可能会影响性健康和生殖健康(SRH)服务的利用，及其护理质量，例如，他们持有的行为或态度。这可能成为访问和利用SRH服务的障碍，尤其是年轻人，因此，需要更好地了解这些行为和相关因素，以改善对SRH服务的访问和利用。
对文献进行了系统综述，以确定针对撒哈拉以南非洲地区（1990年1月至2015年10月）提供适当的SRH服务相关的医护人员行为和个人决定因素的研究。直到2015年10月30日，使用根据每个特定数据库的技术要求进行调整的搜索策略搜索了五个数据库。由两名研究人员独立筛选文章的资格。在经过筛选的125篇全文文章中，35项研究符合所有纳入标准。
医护人员的负面行为和态度，以及其他个人决定因素，例如对SRH服务的知识和技能不足，和相关因素，如基本药物和设备的可用性与提供不足的SRH服务有关。一些医护人员仍然对使用避孕药具的年轻人持消极态度，尤其是青少年更有可能限制他们获得和利用SRH。根据世卫组织推荐的准则，对特定SRH组成部分的了解和实施低于最佳水平。
卫生工作者的负面行为和态度不太可能鼓励一般妇女获得和利用SRH服务，更具体地说是年轻女性。SRH服务知识，在SSA的医护人员中，包括基本的紧急产科护理（EmOC）不足。
本系统评价的方案已在PROSPERO注册，注册号为：CRD42015017509。
对文献进行了系统综述，以确定针对撒哈拉以南非洲地区（1990年1月至2015年10月）提供适当的SRH服务相关的医护人员行为和个人决定因素的研究。直到2015年10月30日，使用根据每个特定数据库的技术要求进行调整的搜索策略搜索了五个数据库。由两名研究人员独立筛选文章的资格。在经过筛选的125篇全文文章中，35项研究符合所有纳入标准。
医护人员的负面行为和态度，以及其他个人决定因素，例如对SRH服务的知识和技能不足，和相关因素，如基本药物和设备的可用性与提供不足的SRH服务有关。一些医护人员仍然对使用避孕药具的年轻人持消极态度，尤其是青少年更有可能限制他们获得和利用SRH。根据世卫组织推荐的准则，对特定SRH组成部分的了解和实施低于最佳水平。
卫生工作者的负面行为和态度不太可能鼓励一般妇女获得和利用SRH服务，更具体地说是年轻女性。SRH服务知识，在SSA的医护人员中，包括基本的紧急产科护理（EmOC）不足。
本系统评价的方案已在PROSPERO注册，注册号为：CRD42015017509。
