Mr. Franklin Onukwugha

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INDIGENOUS REPRODUCTIVE HEALTH BELIEF AMONG ADOLESCENTS GIRLS IN TENGGER

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“INDIGENOUS REPRODUCTIVE HEALTH BELIEF AMONG ADOLESCENTS GIRLS IN TENGGER” FRANKLIN ONUKWUGHA UNIVERSITY OF HULL UNITED KINGDOM

Why Adolescents sexual health needs are not met: A Systematic Review of Adolescents and Service Providers Views on Access to Sexual and Reproductive Health Information and Services.:

Why Adolescents sexual health needs are not met: A Systematic Review of Adolescents and Service Providers Views on Access to Sexual and Reproductive Health Information and Services. Franklin Onukwugha (PhD student) Prof. Monica Magadi & Prof. Mark Hayter

Presentation outline:

Presentation outline Adolescent lives matter | ICOPH 2016 | 3 Introduction Background Aim of Study Method Result Conclusion

Background: Adolescent &Young people global population:

Background: Adolescent &Young people global population 7.2 Billion, world pop. Adolescent lives matter | ICOPH 2016 | 4 1.8 Billion Young people aged 10-24 Globally 57 Million Young people aged 10-24 in Nigeria Source: ( UNDFP , 2014).

Why Adolescent health matter: Global picture:

Why Adolescent health matter: Global picture Adolescent lives matter | ICOPH 2016 | 5 3 million Unsafe Abortion 16 million births every year 2.1 million Living with HIV 33 Million unmet need for family planning Only 20% married adolescent are using contraceptive Sources: (UNAIDS, 2014; WHO, 2016)

Introduction :

Adolescent lives matter | ICOPH 2016 | 6 I am a young girl, I have the right to safe, affordable, accurate sexual health information, modern contraceptive services, non-judgemental counselling, safe abortion and post abortion care and HIV/AIDS prevention services BUT hardly receive them. Introduction Source: ICPD, 1994

Nigerian context: HIV Burden:

Nigerian context: HIV Burden In Nigeria 60% of HIV prevalence occur among young people (NACA, 2014 ). Comprehensive Knowledge of HIV Adolescent Age: 15 – 19 female 19.7% and male 28.2% Young people age 20-24 24.8% female and 37.2% male Source, NACA, 2015 Adolescent lives matter | ICOPH 2016I 6

Teenage abortion rate in Nigeria:

Teenage abortion rate in Nigeria Adolescent lives matter | ICOPH 2016 | 8

SRH service utilization by young people in Nigeria:

SRH service utilization by young people in Nigeria Adolescent lives matter | ICOPH 2016 | 9 Source: FMoH , 2009

Aim of the study:

Aim of the study Adolescent lives matter | ICOPH 2016 | 10 To identify and synthesize all available empirical research on the views/perceptions of adolescents and professionals on access and use of sexual and reproductive health (SRH) information and services

Research Method :

Research Method Adolescent lives matter | ICOPH 2016 | 11 PUBMED PychoINFO CINAHL complete Central Web of science EMBASE EBSCOhost S cience D irect Academic Search Premier , Medline Cochrane Database SCOPUS

Search Strategy using Boolean operators:

Search Strategy using Boolean operators Adolescent lives matter | ICOPH 2016 | 12 Key words OR OR OR OR OR #1 Sexual and Reproductive health Sexuality education Sexual health services Genitourinary medicine health Reproductive Health services Sexual health information AND #2 Young people Adolescents Young adults Youths Teenagers Children AND #3 Family planning Abortion Contraceptive STI/HIV Birth control Condom AND #4 Professionals service providers Gatekeepers Care givers Primary health care professional School Nurses AND #5 Views Experiences Perception Feelings Attitude Opinion

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PRISMA Flow Diagram showing study selection process Included Eligibility Full-text articles assessed for eligibility (n = 117) Studies included (n = 45) Records after duplicates removed (n = 1276) Screening Identification Records screened (Titles/abstracts) (n = 1276) Records excluded (n =1159) Reasons for exclusion: Non English (247) Non empirical (543) Below and above age limit (369) Qualitative (n=20) Quantitative (n=18 Mixed method (n=7) Full-text articles excluded, with reasons (n =72) Reasons for exclusion: No data/policy document (46) Studies on LGTB/cervical cancer (28) Additional records identified through other sources (n = 71) Records identified through database searching (n = 2184) Adolescent lives matter | ICOPH 2016 I 12

Thematic Analysis:

Thematic Analysis Adolescent lives matter | ICOPH 2016 | 14 Result discuss under Six emerging themes: Barriers to SRH services Sources of sexual health information Services , Service preferences Enablers of service utilization S exual health concerns of adolescents P redicators of providers’ attitude

Findings:

Adolescent lives matter | ICOPH 2016 | 15   Barriers perceived to be fundamental are Physical Financial Barrier perceived to be fundamental is P roviders unprofessional attitude Service providers views Adolescents views Barriers to SRH services Findings

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Adolescent lives matter | ICOPH 2016 | 16   Enablers were linked to Clinical Environment Knowledge of services Service availability Enablers were linked to Being friendly Confidential Non-judgemental Service providers view Adolescents views Enablers to SRH services

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Adolescent lives matter | ICOPH 2016 | 17   Education about prevention of high risk behaviour Education focusing on all aspect of sexual health including emotional and sexual relationship Service providers views Adolescents views Sexual Health Educational Needs

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Adolescents views Service providers views Adolescent lives matter | ICOPH 2016 | 18   Substance Abuse Psycho-social issues Unwanted pregnancy STIs including HIV/AIDS sexuality education Sexual Health concerns of adolescents

Policy implication::

Policy implication: Adolescent lives matter | ICOPH 2016 | 19 These findings serve as evidence to policy actors at all levels to consider attitudinal qualities of service providers when planning and designing sexual and reproductive health services for adolescents and young people

Conclusion/take home point:

Conclusion/take home point Adolescent lives matter | ICOPH 2016 | 20 Adolescents and SRH service providers have divergent views on barriers and enablers of adolescent access and use of SRH services and often have contradictory views on key markers of youth friendly services

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