Adolescent Sexual and Reproductive Health counsellor, LADOKE Akintola University of Technology,Ogbomoso,Oyo State,Nigeria./ Adolescent & Youth Friendly Center,Osogbo,Nigeria.
Focal Group Discussion on the impact Youth Friendly Centers can have on prevalence of HIV and STIs
I conducted a Focal Group Discussion.50 Adolescents living with HIV/AIDS were invited and they honored the invitation after due personal consultations.They were asked about their opinion on the availability of Youth corners in Health Facilities.Most of them agreed that if they had visited a youth corner as at the beginning of their Adolescent they might not have contacted the virus. Also 50 health facilities were visited to enquire about the presence of Youth corners and none made provision for Adolescents separately.Adolescents were treated as adults and this prevented them from asking confidential questions.
Abstract: To determine the prevalence of reproductive coercion, a form of intimate partner violence (IPV) including contraceptive sabotage and pregnancy pressure, among urban high-school-aged girls and to examine its associations with reproductive health risks.and Setting: A self-administered survey completed by high-school-aged girls living in high-poverty neighborhoods while awaiting medical care in a pediatric emergency room, inpatient service, school-based and hospital-based clinics.149 sexually active girls aged 14-17 years.To determine the prevalence of reproductive coercion and to examine associations with unprotected sex, STIs, physical IPV, and risk factors for abusive relationships.29/149 (19%) of girls reported reproductive coercion, most frequently that a romantic or sexual partner had ever: "told them not to use any birth control" (n=23, 79%); "took off a condom during sex so they would get pregnant" (n=12, 43%); and "said he would leave them if they didn't get pregnant" (n=6, 21%). Girls reporting reproductive coercion were nearly three times more likely than those not coerced to have had chlamydia [OR 2.7 (1.01, 7.19)] and nearly five times more likely to report IPV [OR 4.8 (2.0, 11.8)]. In addition, girls reporting coercion were less likely to have high recognition of abusive behaviors [OR 0.10 (0.01, 0.8)] and less likely to have high comfort communicating with their sexual partners [OR 0.32 (0.1, 0.7)] than girls not reporting coercion.Reproductive coercion is experienced by one in five high-school-aged girls in a high-poverty community and is associated with chlamydia infection and IPV. Awareness of the high prevalence and health risks of coercion may allow for intervention.
Pub.: 03 Jul '17, Pinned: 06 Sep '17
Abstract: Caretakers/parents/caregivers/guardians play important roles in improving Sexual and Reproductive Health (SRH) of adolescents. Caretaker-adolescent sexual communication suggested to influence young people's sexual behaviours. Despite this significance, the communication is believed to be low in Unguja due to the increase of risky sexual behaviours among adolescents. This study assessed the pattern of such communication using IMB model as a framework.This is a cross-sectional study targeted caretakers of adolescents aged 15-19. One thousand caretakers of adolescents were interviewed using structured questionnaire. Comparison between male and female caretakers on discussing different SRH topics to both sexes of adolescents was made. The mean-score difference of overall communication was examined using Univariate analysis of variance (ANOVA). Bivariate correlation and simple path analysis via regression was conducted to determine the association of IMB variables in relation to communication practice.This study finds 40.7% of caretakers had ever communicated with their adolescents on SRH matters and 9.2% reported to have had communicated in the past 30 days. The weighted topic measure revealed only 26.5% of caretakers communicated with their adolescents. Both caretakers communicated more with their female adolescents. The communication was more common between same sex and between caretakers and their biological adolescents (p < 0.000). Both male and female caretakers mostly discussed sexual abstinence to female adolescents while to male adolescents, HIV/STIs was mostly discussed by female caretakers and pregnancy by male caretakers. The least discussed topics to both sexes are safer sex and other contraceptives use. The bivariate correlations suggested that IMB constructs were inter-related and associated with communication practice.Caretakers-adolescents communication on SRH in Unguja is low and it is not comprehensive. Caretakers fail to communicate with their adolescents on sensitive issues but do so on less sensitive ones. The pattern of communication found to vary across gender of caretaker and that of adolescent and depends on the nature of relationship between caretaker and adolescent. There is gender differences in selecting SRH topics of discussion. Interventions programmes have to include strategies that enhance caretaker's information, motivation and skills so as to improve SRH communication between caretakers and adolescent.
Pub.: 20 Jul '17, Pinned: 06 Sep '17