Abstract:
BACKGROUND:Few§These authors contributed equally to this work. youth-friendly health services worldwide have been scaled up or evaluated from young people's perspectives. South Africa's Youth Friendly Services (YFS) programme is one of the few to have been scaled up. This study investigated young people's experiences of using sexual and reproductive health services at clinics providing the YFS programme, compared to those that did not, using the simulated client method. DESIGN:Fifteen primary healthcare clinics in Soweto were randomly sampled: seven provided the YFS programme. Simulated clients conducted 58 visits; young men requested information on condom reliability and young women on contraceptive methods. There were two outcome measures: a single measure of the overall clinic experience (clinic visit score) and whether or not simulated clients would recommend a clinic to their peers. The clinic visit score was based on variables relating to the simulated clients' interactions with staff, details of their consultation, privacy, confidentiality, the healthcare workers' characteristics, and the clinic environment. A larger score corresponds to a worse experience than a smaller one. Multilevel regression models and framework analysis were used to investigate young people's experiences. RESULTS:Health facilities providing the YFS programme did not deliver a more positive experience to young people than those not providing the programme (mean difference in clinic visit score: -0.18, 95% CI: -0.95, 0.60, p=0.656). They were also no more likely to be recommended by simulated clients to their peers (odds ratio: 0.48, 95% CI: 0.11, 2.10, p=0.331). More positive experiences were characterised by young people as those where healthcare workers were friendly, respectful, knew how to talk to young people, and appeared to value them seeking health information. Less positive experiences were characterised by having to show soiled sanitary products to obtain contraceptives, healthcare workers expressing negative opinions about young people seeking information, lack of privacy, and inadequate information. CONCLUSIONS:The provision and impact of the YFS programme are limited. Future research should explore implementation. Regular training and monitoring could enable healthcare workers to address young people's needs.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Geary RS,Webb EL,Clarke L,Norris SAdoi
10.3402/gha.v8.26080subject
Has Abstractpub_date
2015-01-23 00:00:00pages
26080eissn
1654-9716issn
1654-9880pii
26080journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Intimate partner violence by men against women has detrimental effects on equality, health and integration. Migrated and 'imported' wives experience an increased risk of intimate partner violence. OBJECTIVES:The purpose of this study was to explore Thai immigrant women's lived experiences of intimate partne...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1496889
更新日期:2018-01-01 00:00:00
abstract::Child under nutrition continues to be a challenge to global development, especially in resource-poor contexts. In the multifaceted attempts to address this challenge, popular traditional practices, although closely linked to infant health, remain neglected and less researched. The World Health Organization's recent st...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1327255
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Infants exposed to maternal HIV infection who remain HIV-uninfected (HIV-exposed/uninfected; HIV-EU) may be at increased risk of growth retardation, which could be due both to directly HIV-related effects and to socio-economic factors overrepresented among HIV-positive women. OBJECTIVE:To investigate growth...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1296726
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Many efficacious health service interventions to improve diabetes care are known. However, there is little evidence on whether such interventions are effective while delivered in real-world resource-constrained settings. OBJECTIVE:To evaluate an intervention aimed at improving diabetes care using the RE-AIM...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28762
更新日期:2015-11-16 00:00:00
abstract::Managing a deadly pandemic in low- and middle-income countries (LMIC) is challenging. The task becomes tougher when there is an outbreak of an equally deadly disease. This is the present situation of Ghana, a low-resource country, that is confronted with the coronavirus disease 2019 (COVID-19) pandemic and cerebrospin...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1795963
更新日期:2020-12-31 00:00:00
abstract:INTRODUCTION:More than 95% of the population in Burkina Faso uses some form of solid biomass fuel. When these fuels are burned in traditional, inefficient stoves, pollutant levels within and outside the home can be very high. This can have important consequences for both health and climate change. Thus, the push to swi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2088
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Mortality has been declining in Bangladesh since the mid- twentieth century, while fertility has been declining since the late 1970s, and the country is now passing through the third stage of demographic transition. This type of demographic transition has produced a huge youthful population with a growing nu...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.4618
更新日期:2010-09-27 00:00:00
abstract::Background: As called for by the Sustainable Development Goals, governments, development partners and civil society are working on anti-corruption, transparency and accountability approaches to control corruption and advance Universal Health Coverage.Objectives: The objective of this review is to summarize concepts, f...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.1080/16549716.2019.1694744
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Global mental health (GMH) advocates for access to and the equitable provision of mental health care. Although the treatment gap is a useful construct to measure access and equitability of care, it fails to communicate the real-life consequences of the treatment gap and the urgent need to address care dispar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25447
更新日期:2014-09-30 00:00:00
abstract:BACKGROUND:The burden of diabetes mellitus in Sub-Saharan Africa is growing rapidly, and yet the prevalence and patient characteristics are still largely unknown. OBJECTIVES:We analyzed clinical and demographic characteristics of Type 2 diabetes (T2DM) patients attending a diabetes clinic in Guinea-Bissau from Februar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1802136
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Previous studies have reported an association between cigarette advertising and smoking behavior. Although this has been reported extensively in the West, it has been reported less in Southeast Asian countries that have not completely banned tobacco advertising promotion and sponsorship (TAPS). Indonesia is ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30914
更新日期:2016-08-29 00:00:00
abstract::Background: Myanmar is a country undergoing rapid transitions in health. Its national strategic policy for young people's health is being revised but there is a paucity of population data to inform local priorities and needs. Objective: In this paper we describe a comprehensive profile of adolescent health in Myanmar ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1844976
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and educatio...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25606
更新日期:2014-10-27 00:00:00
abstract::Lot quality assurance sampling (LQAS) is used to evaluate health services. Subunits of a population (lots) are accepted or rejected according to the number of failures in a random sample (N) of a given lot. If failures are greater than decision value (d), we reject the lot and recommend corrective actions in the lot (...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.21921
更新日期:2013-11-08 00:00:00
abstract:BACKGROUND:Hazardous alcohol use is detrimental to persons with HIV (PWH), impacting medication adherence and liver function, yet globally resources to target alcohol use behavior in this population are limited. Few studies have identified the costs of integrating alcohol reduction interventions into HIV care. OBJECTI...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1814035
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study explores the perceptions of a wide range of stakeholders in Malawi towards the mental health impact of intimate partner violence (IPV) and the capacity of health services for addressing these. DESIGN:In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted in th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24816
更新日期:2014-09-12 00:00:00
abstract:BACKGROUND:We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28041
更新日期:2015-09-10 00:00:00
abstract:BACKGROUND:Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveilla...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28413
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:The major chronic non-communicable diseases (NCDs) operate through a cluster of common risk factors, whose presence or absence determines not only the occurrence and severity of the disease, but also informs treatment approaches. Primary prevention based on mitigation of these common risk factors through pop...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.1986
更新日期:2009-09-28 00:00:00
abstract::Doctoral training has increasingly become the requirement for faculty in institutions of higher learning in Africa. Africa, however, still lacks sufficient capacity to conduct research, with just 1.4% of all published research authored by African researchers. Similarly, women in Sub-Saharan Africa only constitute 30% ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1670002
更新日期:2019-01-01 00:00:00
abstract::Once an orphan field, 'global mental health' now has wide acknowledgement and prominence on the global health agenda. Increased recognition draws needed attention to individual suffering and the population impacts, but medicalizing global mental health produces a narrow view of the problems and solutions. Early framin...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24000
更新日期:2014-05-16 00:00:00
abstract:BACKGROUND:Prompt laboratory diagnosis and initiation of treatment are effective components of leishmaniasis control. Detection of Leishmania parasites by ex-vivo culture of lesion scrapings is considered a definitive diagnostic method preceding initiation of treatment. OBJECTIVE:A pilot study to find alternative medi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2046
更新日期:2009-10-22 00:00:00
abstract:BACKGROUND:India's older population is projected to increase up to 96 million by 2011 with older people accounting for 18% of its population by 2051. The Study on Global Ageing and Adult Health aims to improve empirical understanding of health and well-being of older adults in developing countries. OBJECTIVES:To exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2128
更新日期:2010-09-27 00:00:00
abstract:BACKGROUND:China has made impressive progress towards the Millennium Development Goal (MDG) for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal healt...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19542
更新日期:2013-04-03 00:00:00
abstract:BACKGROUND:Non-communicable chronic diseases (NCDs) have increased in South Africa over the past 15 years. While these usually manifest during mid-to-late adulthood, the development of modifiable risk factors that contribute to NCDs are usually adopted early in life. OBJECTIVE:To describe the urban-rural and gender pa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19216
更新日期:2013-01-29 00:00:00
abstract:BACKGROUND:Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention prio...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1341597
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). DESIGN:A cross-sectiona...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24919
更新日期:2014-08-04 00:00:00
abstract:BACKGROUND:Comzmercialization of health care has contributed to widen inequities between the rich and the poor, especially in settings with suboptimal regulatory frameworks of the health sector. Poorly regulated fee-for-service payment systems generate inequity and initiate a vicious circle in which access to quality h...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.25480
更新日期:2015-01-05 00:00:00
abstract:BACKGROUND:Migrant health workers fill care gaps in their destination countries, but they also actively engage in improving living conditions for people of their countries of origin through expatriate professional networks. This paper aims to explore the professional links that migrant health workers from sub-Saharan A...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29210
更新日期:2015-12-09 00:00:00