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Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa
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Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa
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Journal Article
Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa
2019
Overview
Background
We use the ‘candidacy framework’ to describe adolescents’ and young people’s (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.
Methods
A qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (
n
= 70), community leaders (
n
= 15), school health teams (
n
= 10), and health service providers (
n
= 6).
Results
Findings indicate tacit understanding among AYP that they are candidates for general health services. However, HIV stigma, apprehensions and misconceptions about sexual and reproductive health, and socio-cultural views which disapprove of AYP pre-marital sex undermine their candidacy for sexual and reproductive services.
Conclusion
Consideration and understanding of the vulnerabilities and reasons AYP exclude themselves will inform interventions to address their health needs. AYP’s participation in the design of health services will increase their acceptability and encourage uptake of services.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Adult
/ Beliefs, opinions and attitudes
/ Child
/ Facilities and Services Utilization
/ Female
/ Health systems and services in low and middle income settings
/ HIV
/ Humans
/ Male
/ Marriage
/ Medicine
/ Patient Acceptance of Health Care - psychology
/ Patient Acceptance of Health Care - statistics & numerical data
/ Reproductive Health - statistics & numerical data
/ Reproductive Health Services - statistics & numerical data
/ Rural Health - statistics & numerical data
/ Sexual Behavior - psychology
/ Sexual Behavior - statistics & numerical data
/ Sexual Health - statistics & numerical data
/ Sexually transmitted diseases
/ STD
/ Teams
/ Youth
