Factors Associated with Accessibility and Utilization of Adolescent Health Services in Chingola, Zambia
Abstract:
The purpose of this paper was to explore the factors
associated with accessibility and utilization of adolescent health services in Chingola,
Zambia. The study was done among secondary school students
in their junior and senior grades. Data were collected from four focus group discussions
and four key informants’ interviews. Data management analysis principles illuminating
verbatim quotations are used to illustrate findings. The study findings indicate that lack of information and stigmatization were
some of the factors identified to be the barriers to adolescents’ health. The paper
further outlines the proposed solutions which include establishing and strengthening
the linkage between the schools and health facilities adolescent health services
and creating awareness among the adolescents. Further, the paper gives the future
direction that clinics and health centres should take advantage of technology and
use electronic means to increase awareness of available reproductive health services
for adolescents and that they should have door to door programs for the community
aimed at sensitizing adolescents on reproductive health. In conclusion, it is indicated
that improving the utilization of adolescent health services is a global dream.
This dream can be realized only if the efforts are made to reach the adolescent
population.
References:
[1] World Health Organization [WHO] (2015). A standards-driven approach to improve the quality
of healthcare services for adolescents. WHO; Geneva available at: https://www.who.int/publications-detail-redirect/9789241549332.
[4] Ramarao,
J. K, and Costello, A. (2013) A reproductive health approach to the objectives and
assessment of family planning programs. In: G. Sen, A. Germain, & L. Chen (Eds.),
Population policies reconsidered: Health,
empowerment, and rights (pp. 193–210). Boston, MA: Harvard University Press. Available
at: https://www.hup.harvard.edu/catalog.php?isbn=9780674690035.
[5] Shivaram
K, Nandini C., and Malleshappa1 K. (2021) Knowledge and attitude about reproductive health among rural adolescent girls
in Kuppam mandal: an intervention study. Biomed Res;14(3):305–310. https://www.researchgate.net/publication/285867336_Knowledge_and_attitude_about_reproductive_health_among_rural_adoles-cent_girls_in_Kuppam_mandal_An_intervention_study.
[6] Thongmixay
S, Essink DR, De Greeuw T, Vongxay V, Sychareun V, Broerse JE. (2019) Perceived
barriers in accessing sexual and reproductive health services for youth in Lao People’s
Democratic Republic. PLoS One;14(10):
e0218296. https://doi.org/10.1371/journal.pone.0218296.
[8] Central Statistical Office (CSO). (2019) Zambia Demographic and Health Survey 2019.
Calverton, Maryland, USA: CSO and Macro International Inc. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://dhsprogram.com/pubs/pdf/FR361/FR361.pdf.
[9] Ministry
of Health (2011) Adolescent Health Strategic
Plan 2011-2015. Ministry of Health, Lusaka. Available at: https://healtheducationresources.unesco.org/library/documents/adolescent-health-strategic-plan-2011-2015#:~:text=The%20national%20Adolescent%20Health%20Strategic,throughout%20the%20country%2C%20aimed%20at.
[10] Nkonde-Bwalya,
B. (2016). Factors affecting access to and
utilisation of reproductive health services among adolescents in Lusaka District:
case study of Kamanga Compound. University of Zambia, Lusaka (Unpublished thesis). Avalaible
at: http://dspace.unza.zm/bitstream/handle/123456789/4697/Barbara%27%20s%20Dissertation_2016.pdf?sequence=1&isAllowed=y.
[11] United Nations
International Children’s Emergency Fund [UNICEF] (2016). For every child end aids – seventh stocktaking report. UNICEF; New York,
NY:
https://www.unicef.org/reports/every-child-end-aids-seventh-stocktaking-report-2016.
[13] Aaron, A.
A. and Anaba, A. B. (2018). Barriers on access to and use of adolescent health services
in Ghana. Journal of Health Research 33(3)
pp. 197-207 https://www.emerald.com/insight/content/doi/10.1108/JHR-10-2018-0119/full/html.
[14] Mukondwa,
K., Gonah, L. (2016). Accessing Adolescent Sexual and Reproductive Health Services
among Undocumented Migrants in South Africa: A Documentary Review. Medical Journal of Zambia, 43 (4): 247 – 251 https://www.ajol.info/index.php/mjz/article/view/152180.
[18] World Health
Organization. Adolescent (2018) Health risks and solutions [homepage on the Internet].
2018 [cited 2017 May 01]. Available from: http://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions.
[19] Hale DR,
Viner RM. (2016) The correlates and course of multiple health risk behaviour in
adolescence. BMC Public Health;16(1):458.
https://doi.org/10.1186/s12889-016-3120-z.