{"title":"Girls' access to adolescent friendly sexual and reproductive health services in Kaski, Nepal","authors":"Sunita Shrestha, Randi Wærdahl","doi":"10.1002/app5.305","DOIUrl":null,"url":null,"abstract":"<p>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.</p>","PeriodicalId":45839,"journal":{"name":"Asia & the Pacific Policy Studies","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/app5.305","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia & the Pacific Policy Studies","FirstCategoryId":"90","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/app5.305","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AREA STUDIES","Score":null,"Total":0}
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.
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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