Adolescents perception of reproductive health care services in Sri Lanka
Adolescent health needs, behaviours and expectations are unique and routine health care services are not well geared to provide these services. The purpose of this study was to explore the perceived reproductive health problems, health seeking behaviors, knowledge about available services and barriers to reach services among a group of adolescents in Sri Lanka in order to improve reproductive health service delivery.
This qualitative study was conducted in a semi urban setting in Sri Lanka. A convenient sample of 32 adolescents between 17–19 years of age participated in four focus group discussions. Participants were selected from four midwife areas. A pre-tested focus group guide was used for data collection. Male and female facilitators conducted discussions separately with young males and females. All tape-recorded data was fully transcribed and thematic analysis was done.
Psychological distresses due to various reasons and problems regarding menstrual cycle and masturbation were reported as the commonest health problems. Knowledge on existing services was very poor and boys were totally unaware of youth health services available through the public health system. On reproductive Health Matters, girls mainly sought help from friends whereas boys did not want to discuss their problems with anyone. Lack of availability of services was pointed out as the most important barrier in reaching the adolescent needs. Lack of access to reproductive health knowledge was an important reason for poor self-confidence among adolescents to discuss these matters. Lack of confidentiality, youth friendliness and accessibility of available services were other barriers discussed. Adolescents were happy to accept available services through public clinics and other health infrastructure for their services rather than other organizations. A demand was made for separate youth friendly services through medical practitioners.
Conclusions and recommendations
Adolescent health services are inadequate and available services are not being delivered in an acceptable manner. Proper training of health care providers on youth friendly service provision is essential. A National level integrated health care program is needed for the adolescents.
- Autonomy, conflict and harmony in the family relationship. Feldman, , Elliot, G eds. (1990) At the threshold: The developing adolescent. Havard University, Cambridge, pp. 255-276
- Sri Lanka Demographic and Health Survey 2000. Department of Census and Statistics, Colombo
- Sri Lanka: Country Population Assessment Report - 2001. United Nations Population Fund., Colombo
- De Silva WI, Rankapuge L, Perera R: Induced Abortion in Sri Lanka: Who Goes to Providers for Pregnancy Termination: Department of Demography, University of Colombo. 2000.
- Profile of Women Seeking Abortion. University of Colombo, Colombo
- W Indralal De Silva, Aparnaa Somanathan, Vindya Eriyagama: Adolescent reproductive health in Sri Lanka, status, policies, programmes and issues. Institute Policy studies of Sri Lanaka 2003.
- National survey on emerging issues among adolescents in Sri Lanka. UNICEF, Colombo
- UNAIDS, UNICEF, WHO: Epidemiological fact sheet on HIV/AIDS and STI, Sri Lanka. WHO 2006.
- Preventing HIV/AIDS in Young People. WHO, Geneva
- Andre Tylee DMH Tanya Graham, Rachel Churchill, Lena A Sanci,: Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 2007.
- Sampath Pathicada Beruwala, Divisional secretariats office, Beruwala 2005.
- Health Survey Report, MOH area Beruwala. Medical Officer of Health Office, Beruwala
- Pam Slaughter, Patti Pinfold, Virginia Flintoft, Elaine Gort, Elaine Thiel, Paula Blackstien-Hirsch, Tami Axcell, Michael Paterson, Cathy Cameron, Carole Estabrooks, Shawna L. Mercer, Vivek Goel, J. Ivan Williams: Focus Groups in Health Services Research at the Institute for Clinical Evaluative Sciences. TECHNICALREPORT The Institute for Clinical Evaluative Sciences 1999.
- Adolescent help-seeking: what do they get help for and from whom?. J Adolesc 18: pp. 193-209 CrossRef
- Understanding why adolescents decide to visit family physicians. Can Fam Physician 51: pp. 1660-1
- 'We want someone with a face of welcome': Ugandan adolescents articulate their family planning needs and priorities. Trop Doct 35: pp. 4-7 CrossRef
- CL, P (2006) Indian youth speak about tobacco: results of focus group discussions with school students. Health Educ Behav 32: pp. 363-379
- Adolescents' access to reproductive health and family planning services in Dakar (Senegal). Afr J Reprod Health 1: pp. 15-25 CrossRef
- Barriers and bridges to care: voices of homeless female adolescent youth in Seattle, Washington, USA. Journal of Advanced Nursing 37: pp. 166-172 CrossRef
- Barriers to sexual and reproductive health care: urban male adolescents speak out. Issuse Compr Peadiatr Nurs 29: pp. 73-78 CrossRef
- Qualitative Research Methods: A Data Collector’s Field Guide. Family Health International, North Carolina
- Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet 369: pp. 1220-1231 CrossRef
- The protective effects of good parenting on adolescents. Current Opinion in Pediatrics 17: pp. 460-465 CrossRef
- Parent-child connectedness and behavioral and emotional health among adolescents. Am J Prev Med 30: pp. 59-66 CrossRef
- Maternal Expectations, Mother-Child Connectedness, and Adolescent Sexual Debut. Arch Pediatr Adolesc Med 154: pp. 809-816
- Global consultation on adolescent health services a consensus statement. Department of Child and Adolescent Health and Development, World Health Organization, Geneva
- Impact of a school-based intervention on access to healthcare for underserved youth. J Adolesc Health 29: pp. 116-125 CrossRef
- School-based health centers: accessibility and accountability. J Adolesc Health 32: pp. 98-107 CrossRef
- Steady, Ready, Go. World Health Organization, Geneva
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6963/8/98/prepub
- Adolescents perception of reproductive health care services in Sri Lanka
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BMC Health Services Research
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- May 2008
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- BioMed Central
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