关键词: JADES 2 project Niger Service quality adolescent reproductive health sexual youth

Mesh : Humans Cross-Sectional Studies Niger Adolescent Female Reproductive Health Services / organization & administration standards Sexually Transmitted Diseases / prevention & control Sexual Health Young Adult Male Surveys and Questionnaires Poverty Pregnancy Quality of Health Care Reproductive Health

来  源:   DOI:10.11604/pamj.2024.47.123.42725   PDF(Pubmed)

Abstract:
UNASSIGNED: many young people globally grapple with early pregnancies and sexually transmitted diseases (STD), especially in regions like Africa and particularly Niger due to high poverty rates. Various sexual and reproductive health (SRH) projects aim to address these challenges. This study evaluated the JADES 2 project\'s implementation of SRH services provided focusing on the quality of these services in Niger in 2021.
UNASSIGNED: a cross-sectional evaluative study was conducted based on Donabedian and Bruce\'s theory from March 10 to August 15, 2021, in Niger. The evaluation was carried out through the analysis of supervision data, administration of questionnaires, and semi-structured interviews in 9 Integrated Health Centers and Youth-Friendly Centers. Across these sites, 203 adolescents and young people, as well as 9 healthcare workers involved in providing SRH services, were interviewed. The composite indicator in the field developed by the World Health Organization (WHO) in 2000 was used.
UNASSIGNED: the quality score estimated for the project was 67% indicating that the services provided was of good quality. The majority (56%) of surveyed people were very satisfied with the services received, and 65% were aware of at least two methods of preventing Sexually transmitted infections (STIs) and three methods of preventing early pregnancies.
UNASSIGNED: the SRH services implemented are of acceptable quality. The study identified gaps in the process of service provision, particularly regarding confidentiality and the availability of inputs and medications.
摘要:
全球许多年轻人都在努力应对早孕和性传播疾病(STD),特别是在像非洲和尼日尔这样的地区,由于高贫困率。各种性健康和生殖健康(SRH)项目旨在应对这些挑战。这项研究评估了JADES2项目在2021年尼日尔提供的SRH服务的实施情况,重点是这些服务的质量。
于2021年3月10日至8月15日在尼日尔根据Donabedian和Bruce\的理论进行了一项横断面评估研究。通过对监管数据的分析,进行了评价,问卷管理,9个综合保健中心和青年友好中心的半结构化访谈。在这些网站上,203名青少年和年轻人,以及参与提供SRH服务的9名医护人员,被采访了。使用了世界卫生组织(世卫组织)2000年制定的该领域综合指标。
该项目的质量分数估计为67%,表明所提供的服务质量良好。大部分(56%)受访市民对所获服务非常满意,65%的人知道至少两种预防性传播感染(STIs)的方法和三种预防早孕的方法。
所实现的SRH服务具有可接受的质量。这项研究发现了服务提供过程中的差距,特别是关于保密性和投入和药物的可用性。
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