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Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal

Adolescent friendly health services (AFHS) are designed to make health services accommodate the unique needs of adolescents. AFHS are characterized by three basic characteristics (programmatic, health facilities and health service providers) that should be applied. However, limited is known about th...

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Autores principales: Sharma, Mahesh, Khatri, Bijay, Amatya, Archana, Subedi, Narayan, Upadhyaya, Dipak Prasad, Sapkota, Bhim Prasad, Bista, Parvati
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022795/
https://www.ncbi.nlm.nih.gov/pubmed/36963100
http://dx.doi.org/10.1371/journal.pgph.0001616
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author Sharma, Mahesh
Khatri, Bijay
Amatya, Archana
Subedi, Narayan
Upadhyaya, Dipak Prasad
Sapkota, Bhim Prasad
Bista, Parvati
author_facet Sharma, Mahesh
Khatri, Bijay
Amatya, Archana
Subedi, Narayan
Upadhyaya, Dipak Prasad
Sapkota, Bhim Prasad
Bista, Parvati
author_sort Sharma, Mahesh
collection PubMed
description Adolescent friendly health services (AFHS) are designed to make health services accommodate the unique needs of adolescents. AFHS are characterized by three basic characteristics (programmatic, health facilities and health service providers) that should be applied. However, limited is known about the use of AFHS in the context of Nepal. This study aimed to assess the extent of AFHS utilization and associated factors among higher secondary students in the Jumla district of Nepal. A cross-sectional quantitative study was conducted in October-November 2017. Data were collected from a random sample of 528 aged 16–19 years old using a self-administered survey in their classroom. Adjusted Odds Ratios (AOR) and a 95% confidence level were estimated to measure the strength of association between the outcome variable (utilization of AFHS) and independent variable using multivariable logistic regression. Knowledge related to AFHS, measured by a seven-item scale, was based on information about the availability of AFHS. More than two-thirds (67.05%) of adolescents had utilized AFHS at least once in the last twelve months before the survey. In multivariable logistic regression analysis, knowledge level [AOR = 14.796, 95%CI (5.326–41.099)], cost of services [AOR = 2.971, 95%CI (1.764–5.003)], satisfaction from services [AOR = 1.817, 95%CI (1.037–3.185)] and availability of waiting room [AOR = 1.897, 95%CI (1.096–3.283)] were significantly associated with the utilization of AFHS. The utilization of AFHS was less than the country’s target of universal utilization in this study. Adolescents’ knowledge level about AFHS was importantly associated with its utilization. Utilization increases with lower service costs, client satisfaction, and availability of waiting rooms in the health facility. The health planners should make efforts to create a conducive environment for the adolescent by training the AFHS providers, particularly those who work in government institutions, and strengthening the awareness creation strategies among adolescents to increase the utilization of the services.
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spelling pubmed-100227952023-03-18 Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal Sharma, Mahesh Khatri, Bijay Amatya, Archana Subedi, Narayan Upadhyaya, Dipak Prasad Sapkota, Bhim Prasad Bista, Parvati PLOS Glob Public Health Research Article Adolescent friendly health services (AFHS) are designed to make health services accommodate the unique needs of adolescents. AFHS are characterized by three basic characteristics (programmatic, health facilities and health service providers) that should be applied. However, limited is known about the use of AFHS in the context of Nepal. This study aimed to assess the extent of AFHS utilization and associated factors among higher secondary students in the Jumla district of Nepal. A cross-sectional quantitative study was conducted in October-November 2017. Data were collected from a random sample of 528 aged 16–19 years old using a self-administered survey in their classroom. Adjusted Odds Ratios (AOR) and a 95% confidence level were estimated to measure the strength of association between the outcome variable (utilization of AFHS) and independent variable using multivariable logistic regression. Knowledge related to AFHS, measured by a seven-item scale, was based on information about the availability of AFHS. More than two-thirds (67.05%) of adolescents had utilized AFHS at least once in the last twelve months before the survey. In multivariable logistic regression analysis, knowledge level [AOR = 14.796, 95%CI (5.326–41.099)], cost of services [AOR = 2.971, 95%CI (1.764–5.003)], satisfaction from services [AOR = 1.817, 95%CI (1.037–3.185)] and availability of waiting room [AOR = 1.897, 95%CI (1.096–3.283)] were significantly associated with the utilization of AFHS. The utilization of AFHS was less than the country’s target of universal utilization in this study. Adolescents’ knowledge level about AFHS was importantly associated with its utilization. Utilization increases with lower service costs, client satisfaction, and availability of waiting rooms in the health facility. The health planners should make efforts to create a conducive environment for the adolescent by training the AFHS providers, particularly those who work in government institutions, and strengthening the awareness creation strategies among adolescents to increase the utilization of the services. Public Library of Science 2023-03-17 /pmc/articles/PMC10022795/ /pubmed/36963100 http://dx.doi.org/10.1371/journal.pgph.0001616 Text en © 2023 Sharma et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sharma, Mahesh
Khatri, Bijay
Amatya, Archana
Subedi, Narayan
Upadhyaya, Dipak Prasad
Sapkota, Bhim Prasad
Bista, Parvati
Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title_full Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title_fullStr Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title_full_unstemmed Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title_short Utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western Himalayan mountainous district of Nepal
title_sort utilization of adolescent friendly health services and its associated factors among higher secondary students in mid-western himalayan mountainous district of nepal
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022795/
https://www.ncbi.nlm.nih.gov/pubmed/36963100
http://dx.doi.org/10.1371/journal.pgph.0001616
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