PDF(Pubmed)
Abstract：
UNASSIGNED: Evidence suggests that adolescents face multiple barriers to accessing Sexual and Reproductive Health (SRH) services. However, there remains a notable gap in the literature regarding the nuanced interplay between supply-side and demand-side barriers. Therefore, this study aimed to examine barriers to accessing SRH services in the Gamo Zone of South Ethiopia Regional State.
UNASSIGNED: A descriptive phenomenology study was conducted from September 04 to October 15, 2023. A total of seven Focus Group Discussions (FGDs), four with girls and three with boys, with a total of 75 adolescents, and ten Key informant interviews (KIIs)with healthcare providers participated in the study. A semi-structured interview guide was used to explore their lived experiences. All interviews and discussions were audio-recorded. To analyze and manage data framework analysis approach was applied using ATLAS Ti version 7 software.
UNASSIGNED: The major barriers preventing adolescents from accessing SRH services are related to the interplay between supply and demand-side barriers across all five domains of the Levesque framework. Despite the high need for access to health care, lack of SRH literacy, lack of outreach activities, and integration of SRH information in health facilities often hampered adolescents\' healthcare need. Additionally, fear of stigma from family and community, social norms, and lack of discussion of SRH issues hindered their ability to seek health care. Shortage of supplies and healthcare providers\' behaviors further hindering adolescents\' ability to access health care services. Furthermore, the limited involvement of adolescents in decision-making and the lack of effective coordination further complicate the appropriateness of services for adolescents.
UNASSIGNED: The finding of this study reveals that adolescents face multifaceted barriers. Therefore, there is a need for high-impact complex interventions, program and policy that address both supply and demand side barriers needs to give due intention to improve access to SRH services for adolescents.
UNASSIGNED: A descriptive phenomenology study was conducted from September 04 to October 15, 2023. A total of seven Focus Group Discussions (FGDs), four with girls and three with boys, with a total of 75 adolescents, and ten Key informant interviews (KIIs)with healthcare providers participated in the study. A semi-structured interview guide was used to explore their lived experiences. All interviews and discussions were audio-recorded. To analyze and manage data framework analysis approach was applied using ATLAS Ti version 7 software.
UNASSIGNED: The major barriers preventing adolescents from accessing SRH services are related to the interplay between supply and demand-side barriers across all five domains of the Levesque framework. Despite the high need for access to health care, lack of SRH literacy, lack of outreach activities, and integration of SRH information in health facilities often hampered adolescents\' healthcare need. Additionally, fear of stigma from family and community, social norms, and lack of discussion of SRH issues hindered their ability to seek health care. Shortage of supplies and healthcare providers\' behaviors further hindering adolescents\' ability to access health care services. Furthermore, the limited involvement of adolescents in decision-making and the lack of effective coordination further complicate the appropriateness of services for adolescents.
UNASSIGNED: The finding of this study reveals that adolescents face multifaceted barriers. Therefore, there is a need for high-impact complex interventions, program and policy that address both supply and demand side barriers needs to give due intention to improve access to SRH services for adolescents.
摘要：
■证据表明，青少年在获得性健康和生殖健康（SRH）服务方面面临多重障碍。然而,关于供应方和需求方壁垒之间细微差别的相互作用，文献中仍然存在明显的差距。因此,这项研究旨在研究在埃塞俄比亚南部地区州的Gamo地区获得SRH服务的障碍。
■于2023年9月04日至10月15日进行了描述性现象学研究。共七个焦点小组讨论(FGD)，四个女孩和三个男孩，共有75名青少年，与医疗保健提供者的十个关键线人访谈（KII）参与了这项研究。半结构化的采访指南被用来探索他们的生活经历。所有采访和讨论都是录音。使用ATLASTi版本7软件应用了分析和管理数据框架分析方法。
■阻止青少年获得SRH服务的主要障碍与Levesque框架所有五个领域的供需双方障碍之间的相互作用有关。尽管人们对获得医疗保健的需求很高，缺乏SRH知识，缺乏外展活动，以及将SRH信息整合到医疗机构中往往会阻碍青少年的医疗保健需求。此外,害怕来自家庭和社区的耻辱，社会规范,缺乏对SRH问题的讨论阻碍了他们寻求医疗保健的能力。用品和医疗保健提供者的短缺行为进一步阻碍了青少年获得医疗保健服务的能力。此外，青少年参与决策的程度有限，缺乏有效的协调，使为青少年提供服务的适当性进一步复杂化。
■这项研究的发现表明，青少年面临多方面的障碍。因此,需要高影响力的复杂干预措施，解决供需双方障碍的计划和政策需要给予适当的意图，以改善青少年获得SRH服务的机会。
■于2023年9月04日至10月15日进行了描述性现象学研究。共七个焦点小组讨论(FGD)，四个女孩和三个男孩，共有75名青少年，与医疗保健提供者的十个关键线人访谈（KII）参与了这项研究。半结构化的采访指南被用来探索他们的生活经历。所有采访和讨论都是录音。使用ATLASTi版本7软件应用了分析和管理数据框架分析方法。
■阻止青少年获得SRH服务的主要障碍与Levesque框架所有五个领域的供需双方障碍之间的相互作用有关。尽管人们对获得医疗保健的需求很高，缺乏SRH知识，缺乏外展活动，以及将SRH信息整合到医疗机构中往往会阻碍青少年的医疗保健需求。此外,害怕来自家庭和社区的耻辱，社会规范,缺乏对SRH问题的讨论阻碍了他们寻求医疗保健的能力。用品和医疗保健提供者的短缺行为进一步阻碍了青少年获得医疗保健服务的能力。此外，青少年参与决策的程度有限，缺乏有效的协调，使为青少年提供服务的适当性进一步复杂化。
■这项研究的发现表明，青少年面临多方面的障碍。因此,需要高影响力的复杂干预措施，解决供需双方障碍的计划和政策需要给予适当的意图，以改善青少年获得SRH服务的机会。
