scholarly journals School-Based Health Clinics: Improving Adolescent Sexual and Reproductive Health in British Columbia – An Integrative Literature Review

2020 ◽  
Author(s):  
◽  
Carmen Schalles

This integrative literature review strives to determine if the delivery of reproductive and sexual health services provided through high school-based primary care clinics can improve BC adolescent sexual and reproductive health. Adolescent sexual and reproductive health not only impacts life-long health; it also has significant societal implications. Although BC has begun to focus on adolescent health, innovative health service solutions are needed to improve adolescents’ health. Systematic search through the University of Northern British Columbia online library databases and Google scholar and the evaluation of the literature using CASP analysis tools resulted in the inclusion of 10 articles. Findings suggest school-based health clinics (SBHCs) decrease barriers that adolescents experience when accessing health services as well as public health system costs. Moreover, SBHCs are an effective mechanism to support adolescent reproductive and sexual health needs, especially in those populations with elevated levels of sexual and reproductive risk factors. However, for SBHCs to be effective, sustainable funding needs to be sourced, and barriers adolescents experience when accessing services need to be evaluated and addressed. SBHCs can complement current adolescent-friendly services to meet this unique population’s needs; however, further research is needed. More robust research on various demographics, health outcomes, and Canadian-based examination is required to strengthen SBHC implementation recommendations.

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.


2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.


2018 ◽  
Vol 66 (4) ◽  
pp. 617-622
Author(s):  
Diana Marcela Hernández-Pérez ◽  
María Natalia Moreno-Ruíz ◽  
Anderson Iván Rocha-Buelvas ◽  
Arsenio Hidalgo-Troya

Introduction: Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Objective: To analyze barriers to accessing sexual and reproductive health services in cleaning workers.Materials and methods: A survey was administered to a sample of 37 female cleaning workers at a hospital in Bogotá D.C. A bivariate analysis was performed with chi-square test, as well as a multivariate analysis with binomial logistic regression.Results: Need factors showed greater association with non-use of sexual health services. All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases.Conclusion: The determining factor for the utilization of sexual health services is the health care need factor. Variables such as perception of risk behaviors and appropriateness of health care significantly influence the use of the service.


2015 ◽  
Vol 4 (1) ◽  
pp. 123
Author(s):  
Augusto Cezar Antunes de Araujo Filho ◽  
Karla Vivianne Araújo Feitosa ◽  
Isabela Maria Magalhães Sales ◽  
Fernanda Maria de Jesus Sousa Pires de Moura

Objective: reporting the experience of nursing academics as the assistance provided in the area of reproductive and sexual health to prisoner women. Methodology: this is a descriptive study of type case studies about the experience of nursing students in extension project "Nursing care: contributions on reproductive health of inmate women of a penitentiary in Teresina", in the months from march to december 2013. Results: health assistance in Brazilian prisons is still deficient, however, despite the limitations, it can be performed activities aiming at an effective nursing care, because despite the obstacles, it is due to the nurse and to the health team working on the development of strategies for coping with difficulties, by optimizing available resources. Conclusion: experience has shown that the full nursing care to prisoner women’s health, in the context of sexual and reproductive health is essential, mainly because these women constitute a vulnerable population to the development of various diseases. Descriptors: Nursing Care. Women. Prisons.  


2010 ◽  
Vol 16 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Carol Henshaw ◽  
Olivia Protti

SummaryPregnancies in women with serious mental illness are high risk and such women are also less likely to engage in the recommended health screening for women of reproductive age. Hence, reproductive health issues are important aspects of physical healthcare that should be assessed in women accessing mental health services. Pregnancy planning and management are crucial in reducing risk of relapse in women with affective disorders, and psychiatrists should acquaint themselves with the screening programmes and reproductive and sexual health services in their area and encourage their patients' uptake of these. Clinicians should be aware of the reproductive impact of medications and the needs of specific groups of women.


2021 ◽  
Vol 2 (2) ◽  
pp. 49-56
Author(s):  
Hani Sutianingsih ◽  
Rery Kurniawati ◽  
Tutik Iswanti

Women are more vulnerable to reproductive health risks, including sexually transmitted infections, verbal abuse, and physical violence. Good knowledge and attitude regarding gender equality before starting a marriage is vital so that the two brides and grooms are mutually responsible for ensuring the safety and security of the bride and groom. Online social media is designed to facilitate interactive social interactions based on internet technology. Whatsapp is the most popular chat application for Indonesians. This is an opportunity when used for learning activities because WhatsApp can convey messages in text, images, sounds, and videos to deliver news about sexual and reproductive health that can be more relevant. The subject of this research is the bride and groom at KUA Cibadak Kab. Lebak, Banten Province. The design of this research is pre-post with control group design. The control group was given lectures on sexual and reproductive health, and the treatment group was assigned health education through social media WhatsApp with 15 people in each group. Based on the results of statistical tests, it was found that there was an effect of WhatsApp social media health education on the knowledge and attitudes of the bride and groom about sexual and reproductive health with a p-value of 0.001. WhatsApp social media can be used as a medium for reproductive and sexual health education for brides and grooms.


Author(s):  
Arip Ambulan Panjaitan

Adolescents have a high burden of sexual and reproductive health problems and it is important to reach out to youth groups through health promotion initiatives. A literature review was carried out to identify the elements of a successful health promotion program to improve adolescent reproductive health and sex. This study identified and compiled a literature review published in 2000-2018 that focused on adolescents (10-24 years), reported reproductive and sexual health outcomes (pregnancy, sexually transmitted infections, condoms/contraceptive use, risky sexual behavior, access to health care sexual or intimate partner violence), and includes major studies that are mainly carried out in high-income countries. This report focuses on the features of the reproductive and sexual health program that were successfully identified in the interpretation and discussion of the systematic reviews included. This study identified 66 systematic reviews, of which 37 were reported on programs that were anecdotally or statistically related to the increase in program effectiveness and success. The general characteristics of effective interventions are: long-term or recurrent implementation; multi-regulation and multi-component; parental involvement; according to culture, gender, age; and the inclusion of skill development. There is a marked consistency of features increasing the effectiveness of reproductive and sexual health programs for adolescents even though wide variations in interventions are reviewed. There is a need to better implement this knowledge in future programs, and our findings provide useful guidance for optimizing the design of reproductive and sexual health interventions for adolescents.


2020 ◽  
Vol 10 (2) ◽  
pp. 123
Author(s):  
Annisa Febriana ◽  
Sigit Mulyono

ABSTRACTIntroduction: In adolescence, there are various changes, both physical, cognitive, and social, which cause adolescents vulnerable to reproductive health problems. The family as the closest part of adolescence is one of the main factors in improving adolescent reproductive health and has a very important role in providing sexual and reproductive health information to adolescents. Objective: to find out the communication between parents and teenagers about sexual and reproductive health. Method: The design used is a systematic review. Journal searches are conducted on online databases such as PubMed, Elsevier, Science Direct, and Google Scholar. Journals, articles, and literature reviews were found using keywords parent-adolescent communication, sexual and reproductive health, adolescents. Results: A total of 7 journal articles selected from 28 articles showed that communication between parents and adolescents regarding reproductive and sexual health was very important to do. However, the implementation is still lacking due to various factors such as lack of parental knowledge, parents lacking in communication skills, the presence of shame, and cultural influences that consider reproductive and sexual health issues as taboo to be discussed with adolescents. Discussion: The communication of parents and adolescents regarding reproductive and sexual health has been widely investigated in various countries. Interventions are needed to improve the quality of communication between parents and adolescents through increasing the knowledge of parents of these adolescents. 


Sign in / Sign up

Export Citation Format

Share Document