PDF(Pubmed)
Abstract：
BACKGROUND: Poor access to contraception influences adolescent health outcomes and may lead to sexual and reproductive health challenges. Unmet sexual and reproductive health should contribute to unplanned adolescent pregnancies, sexually transmitted infections, and other conditions. Therefore, it is crucial to enable adolescents to access appropriate contraceptive methods easily.
OBJECTIVE: This study explored factors influencing adolescents\' access to contraceptive methods from the perspective of primary healthcare providers in South Africa.
METHODS: This study was conducted in two health districts of the Western Cape province in South Africa: the City of Cape Town Metropolitan Municipality and the West Coast district.
METHODS: Using a qualitative research design, in-depth semi-structured interviews were conducted with 24 healthcare providers who work in primary healthcare clinics. Subsequently, the interviews were transcribed and verified for errors. Braun and Clarke\'s thematic analysis model guided the data analysis using ATLAS.ti software (version 22). The study adhered to the consolidated criteria for reporting qualitative studies checklist for qualitative research.
RESULTS: Four themes emerged through the data analysis: (1) personal influences, (2) community-level influences, (3) health system influences, and (4) policy-level influences. Representative quotations were used to illustrate the themes and sub-themes.
CONCLUSIONS: Adolescence is shaped by various influences that affect adolescents\' ability to access contraception. These factors include their awareness of contraception, social environment, provider biases and school policies. Understanding these influences is crucial for addressing unintended pregnancies and promoting sexual and reproductive health among this age group.Contribution: This study highlights strategies that facilitate and hinder adolescents\' access to contraception.
OBJECTIVE: This study explored factors influencing adolescents\' access to contraceptive methods from the perspective of primary healthcare providers in South Africa.
METHODS: This study was conducted in two health districts of the Western Cape province in South Africa: the City of Cape Town Metropolitan Municipality and the West Coast district.
METHODS: Using a qualitative research design, in-depth semi-structured interviews were conducted with 24 healthcare providers who work in primary healthcare clinics. Subsequently, the interviews were transcribed and verified for errors. Braun and Clarke\'s thematic analysis model guided the data analysis using ATLAS.ti software (version 22). The study adhered to the consolidated criteria for reporting qualitative studies checklist for qualitative research.
RESULTS: Four themes emerged through the data analysis: (1) personal influences, (2) community-level influences, (3) health system influences, and (4) policy-level influences. Representative quotations were used to illustrate the themes and sub-themes.
CONCLUSIONS: Adolescence is shaped by various influences that affect adolescents\' ability to access contraception. These factors include their awareness of contraception, social environment, provider biases and school policies. Understanding these influences is crucial for addressing unintended pregnancies and promoting sexual and reproductive health among this age group.Contribution: This study highlights strategies that facilitate and hinder adolescents\' access to contraception.
摘要：
背景：避孕方法的缺乏会影响青少年的健康结果，并可能导致性健康和生殖健康方面的挑战。未得到满足的性健康和生殖健康应有助于计划外的青少年怀孕，性传播感染,和其他条件。因此,使青少年能够轻松获得适当的避孕方法至关重要。
目的：本研究从南非初级卫生保健提供者的角度探讨了影响青少年获得避孕方法的因素。
方法：这项研究是在南非西开普省的两个卫生区进行的：开普敦市大都会市和西海岸区。
方法：使用定性研究设计，我们对24名在基层医疗诊所工作的医疗服务提供者进行了深入的半结构化访谈.随后，采访被转录并核实是否有错误。Braun和Clarke的主题分析模型使用ATLAS指导数据分析。ti软件(版本22)。该研究遵守了报告定性研究清单的综合标准。
结果：通过数据分析出现了四个主题：（1）个人影响，(2)社区层面的影响，(3)卫生系统影响，(4)政策层面的影响。代表语录用于说明主题和子主题。
结论：青少年受各种影响，影响青少年获得避孕的能力。这些因素包括他们的避孕意识，社会环境,提供者的偏见和学校政策。了解这些影响对于解决这一年龄组的意外怀孕和促进性健康和生殖健康至关重要。贡献：这项研究强调了促进和阻碍青少年获得避孕的策略。
目的：本研究从南非初级卫生保健提供者的角度探讨了影响青少年获得避孕方法的因素。
方法：这项研究是在南非西开普省的两个卫生区进行的：开普敦市大都会市和西海岸区。
方法：使用定性研究设计，我们对24名在基层医疗诊所工作的医疗服务提供者进行了深入的半结构化访谈.随后，采访被转录并核实是否有错误。Braun和Clarke的主题分析模型使用ATLAS指导数据分析。ti软件(版本22)。该研究遵守了报告定性研究清单的综合标准。
结果：通过数据分析出现了四个主题：（1）个人影响，(2)社区层面的影响，(3)卫生系统影响，(4)政策层面的影响。代表语录用于说明主题和子主题。
结论：青少年受各种影响，影响青少年获得避孕的能力。这些因素包括他们的避孕意识，社会环境,提供者的偏见和学校政策。了解这些影响对于解决这一年龄组的意外怀孕和促进性健康和生殖健康至关重要。贡献：这项研究强调了促进和阻碍青少年获得避孕的策略。
