Evaluation of Clinics on the Provision of Youth Friendly Services in the Ethekwini Metro of Kwazulu Natal
Volume 1, Issue 1 PANJASARAM NAIDOO
Published online: 21 june 2015
Article Views: 41
Abstract
Many barriers prevent young people from accessing health services that are pertinent and friendly to them. The objective was to determine if the selected clinics provided youth-friendly services and if barriers existed at these clinics for young people to access health care. A descriptive cross-sectional study using anonymous questionnaires was conducted amongst young people visiting two primary health care clinics and one community healthcare center in the eThekwini Metro of KwaZulu Natal. Of the 152 participants, two-thirds were females, the majority being between 18-24 years. Over 42% (n=64) stated that the waiting periods were too long (p < 0.05), while fifty-three respondents (35%) complained of the short consultation times. Forty-two percent felt that the staff was judgmental towards them when they sought reproductive health services, while (15%) felt discriminated against. Twenty-one percent felt their privacy was not honored. A third of the participants stated that no awareness programs/group discussions existed within the clinic to inform them about HIV/AIDS, STI, though (73%) responded that educational materials on HIV are available. Only (8%) were treated by a doctor, but (87%) preferred treatment by a doctor and to be seen by the same person every time they came to the clinic. A small percentage of (16%) rated the clinic services as excellent. The study has highlighted characteristics that contribute to clinics not offering youth-friendly services.
Reference
Alford, S. 2009. Best practices for youth friendly clinical services, Advocates for Youth. URL: https://goo.gl/iwfX7k
Baloyi, G. O. 2006. The evaluation of the national adolescent friendly clinic initiative (NAFCI) program in the Greater Tzaneen Sub-District. Master thesis, South Africa. University of South Africa, Pretoria: ZA.
Bearinger, L. H., Sieving, R. E., Ferguson, J., & Sharma, V. 2007. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. The Lancet, 369:9568 1220-1231.
Benjamin, A. L. 2002. The assessment of patients’ waiting and nursing consultation times at urban clinics in the National Capital District, Papua New Guinea. Papua and New Guinea Medical Journal, 46: 1-2 46-52.
Biddlecom, A., Munthali, A., Singh, S., & Woog, V. 2007. Adolescents views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. African Journal of Reproductive Health, 11: 399-100. https://dx.doi.org/10.2307/25549734
Dalal, K., & Dawad, S. 2009. Non-utilization of public healthcare facilities: examining the reasons through a national study of women in India. Rural Remote Health, 9:3 1178-1181.
Erulkar, A. S., Beksinska, M., & Cebekhulu, Q. 2001. An Assessment of youth friendly centres in South Africa. United States Agency for International Development (USAID). URL: https://goo.gl/98Uu1t.
Erulkar, A. S., Onoka, C. J., & Phiri, A. 2005. What is youth-friendly? Adolescents’ preferences for reproductive health services in Kenya and Zimbabwe. African Journal of Reproductive Health, 9:3 51-58.
Forrest, J. I., Kaida, A., Dietrich, J., Miller, C. L., Hogg, R. S., & Gray, G. 2009. Perceptions of HIV and fertility among adolescents in Soweto, South Africa: Stigma and social barriers continue to hinder progress. AIDS and Behavior, 13:1 55-61.
Juntunen, E. 2004. Comprehensive youth friendly services: Why do young people need special services? Entre Nous, 58: 24. URL: https://goo.gl/ADUJJ2.
Kalo, J. 2007. Utilization of adolescent reproductive health services by young people in Vanuatu. Book edition, Publisher: United Nations Population Fund Pacific Sub-Regional (UNFPA), Suva.
Fiji. Kang, M., Bernard, D., Booth, M., Quine, S., Alperstein, G., Usherwood, T., & Bennett, D. 2003. Access to primary health care for Australian young people: service provider perspectives. British Journal of General Practice, 53:497 947-952.
Laurant, M. G., Hermens, R. P., Braspenning, J. C., Akkermans, R. P., Sibbald, B., & Grol, R. P. 2008. An overview of patients’ preference for, and satisfaction with, care provided by general practitioners and nurse practitioners. Journal of clinical nursing, 17:20 2690-2698.
Mathews, C., Guttmacher, S. J., Flisher, A. J., Mtshizana, Y. Y., Nelson, T., McCarthy, J., & Daries, V. 2009. The quality of HIV testing services for adolescents in Cape Town, South Africa: do adolescent-friendly services make a difference? Journal of Adolescent Health, 44:2 188-190.
McIntyre, P. 2002. Adolescent friendly health services: An agenda for change. Geneva, CH: World Health Organization. MiET Africa. 2011. Literature review: Youth friendly health services. URL: https://goo.gl/EUDXkc.
Moss, T. 2004. Barriers to health care for youth of color; transitions: Serving youth of color, January 2004, 15(3).
Oxfam (India) Trust. 2007. Protocols for community-based youth-friendly health services for rural youth in the context of HIV and AIDS. Dew Dehli, IN. URL: https://goo.gl/VzADqj.
Senderowitz, J., Hainsworth, G., & Solter, C. 2003. A rapid assessment of youth friendly reproductive health services. Washington D.C, US: Pathfinder International. URL: https://goo.gl/hPLgMA.
Technical Report. 2010. Re-engineering primary health care in South Africa. Technical Report of the Community Care Worker Symposium, Johannesburg: ZA.
To Cite this article
Naido, P. 2015. Evaluation of clinics on the provision of youth friendly services in the Ethekwini Metro of Kwazulu Natal. International Journal of Health and Medical Sciences, vol. 1, no. 1, pp. 1-7.