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Key informants’ perspectives on policy- and service-level challenges and opportunities for delivering adolescent and youth-friendly health services in public health facilities in a Nigerian setting
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Arije, Olujide, Hlungwani, Tintswalo and Madan, Jason (2022) Key informants’ perspectives on policy- and service-level challenges and opportunities for delivering adolescent and youth-friendly health services in public health facilities in a Nigerian setting. BMC Health Services Research, 22 (1). 1493. doi:10.1186/s12913-022-08860-z ISSN 1472-6963.
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Official URL: https://doi.org/10.1186/s12913-022-08860-z
Abstract
Background: Integrating the care of adolescents and young people into existing public health facilities requires deliberate efforts to address challenges related to policy and service provision. This study assessed key informants’ perspectives on policy- and service-level challenges, and opportunities, for implementing a strategic framework for adolescent and youth-friendly health services (AYFHS) in public health facilities in a Nigerian setting. Methods: Seventeen key informants were interviewed including members of the Adolescent sexual and reproductive health (ASRH) Technical Working Group (TWG), program managers of non-governmental organizations (NGO), State and local level health officials, and youth representatives, in Ogun State, Southwest Nigeria. Result: Findings from this study indicate that some health workers continue to have a negative attitude toward young people’s sexual and reproductive health. There was some level of inclusion of adolescents and young people living with disabilities in ASRH programming which is welcome and extremely important. Some of the challenges in ASRH service provision included insufficient coordination of activities of donors/partners working in the adolescent health space. Also found was the missed opportunity to strengthen policy implementation with research, and the need for increased focus on mental health, substance use, and other aspects of adolescent and young people’s health. There was noted the opportunity to explore the Basic Health Care Provisions Funds (BHCPF) as a new source of funding for health services for AYP in Nigeria. Conclusion: This study provided the context of the implementation of a strategic framework for adolescent reproductive health in a Nigerian setting from the perspectives of policy and service-level stakeholders. Opportunities for improving program delivery identified include ensuring research-based policy implementation and seeking program sustainability through tapping into new sources of funding.
Item Type: | Journal Article | |||||||||||||||||||||||||||
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Subjects: | H Social Sciences > HQ The family. Marriage. Woman R Medicine > RA Public aspects of medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | |||||||||||||||||||||||||||
Library of Congress Subject Headings (LCSH): | Family planning -- Nigeria, Reproductive health -- Nigeria, Sexual health, Teenagers -- Health and hygiene -- Nigeria, Young adults -- Health and hygiene -- Nigeria | |||||||||||||||||||||||||||
Journal or Publication Title: | BMC Health Services Research | |||||||||||||||||||||||||||
Publisher: | Biomed central | |||||||||||||||||||||||||||
ISSN: | 1472-6963 | |||||||||||||||||||||||||||
Official Date: | 7 December 2022 | |||||||||||||||||||||||||||
Dates: |
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Volume: | 22 | |||||||||||||||||||||||||||
Number: | 1 | |||||||||||||||||||||||||||
Article Number: | 1493 | |||||||||||||||||||||||||||
DOI: | 10.1186/s12913-022-08860-z | |||||||||||||||||||||||||||
Status: | Peer Reviewed | |||||||||||||||||||||||||||
Publication Status: | Published | |||||||||||||||||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||||||||||||||||||||
Date of first compliant deposit: | 9 January 2023 | |||||||||||||||||||||||||||
Date of first compliant Open Access: | 9 January 2023 | |||||||||||||||||||||||||||
RIOXX Funder/Project Grant: |
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