Girls' access to adolescent friendly sexual and reproductive health services in Kaski, Nepal

IF 1.4 3区社会学 Q1 AREA STUDIES Asia & the Pacific Policy Studies Pub Date : 2020-07-01 DOI:10.1002/app5.305

Sunita Shrestha, Randi Wærdahl

引用次数: 4

Abstract

The purpose of this study is to explore the limitations to girls' access to adolescent friendly sexual and reproductive health services in public health institutions in Kaski, Nepal. Seven interviews with health workers and eight group interviews with adolescent girls are analysed using the conceptual framework of access to health care by Levesque, Harris, and Russell and an understanding of gender as embedded in all matters and choices concerning sexual and reproductive health. We find that girls demonstrate poor literacy about sexual and reproductive health, and that most challenges and barriers occur before girls reach health institutions. The strict gender norms, stigmatisation and lack of autonomy are the highest barriers for adolescent girls in seeking care. We find that health institutions are not adolescent friendly and have a passive outreach strategy.

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尼泊尔卡斯基女童获得青少年友好型性健康和生殖健康服务的机会

本研究的目的是探讨尼泊尔卡斯基公共卫生机构中女孩获得青少年友好性和生殖健康服务的限制。利用Levesque、Harris和Russell关于获得卫生保健的概念框架以及对性别问题的理解，对卫生工作者的7次访谈和对少女的8次小组访谈进行了分析，并将性别问题纳入与性健康和生殖健康有关的所有事项和选择中。我们发现，女孩在性健康和生殖健康方面的知识贫乏，大多数挑战和障碍都发生在女孩到达保健机构之前。严格的性别规范、污名化和缺乏自主权是少女寻求护理的最大障碍。我们发现，卫生机构对青少年并不友好，而且采取了被动的外联战略。

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来源期刊

Asia & the Pacific Policy Studies AREA STUDIES-

CiteScore

3.20

自引率

5.30%

发文量

审稿时长

6 weeks

期刊介绍： Asia & the Pacific Policy Studies is the flagship journal of the Crawford School of Public Policy at The Australian National University. It is a peer-reviewed journal that targets research in policy studies in Australia, Asia and the Pacific, across a discipline focus that includes economics, political science, governance, development and the environment. Specific themes of recent interest include health and education, aid, migration, inequality, poverty reduction, energy, climate and the environment, food policy, public administration, the role of the private sector in public policy, trade, foreign policy, natural resource management and development policy. Papers on a range of topics that speak to various disciplines, the region and policy makers are encouraged. The goal of the journal is to break down barriers across disciplines, and generate policy impact. Submissions will be reviewed on the basis of content, policy relevance and readability.

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