A qualitative study of parents and healthcare providers' partnership in improving adolescent sexual and reproductive health services in Rwanda.

IF 3.1 Q1 OBSTETRICS & GYNECOLOGY
Therapeutic advances in reproductive health Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.1177/26334941251337534
Josephine Uzayisenga, Augustin Nshimiyimana, Madeleine Mukeshimana, Gabriel Muganza, Sylvester Gasurira, Francine Nyirangorore, Aimable Musafili, Laetitia Nyirazinyoye
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Abstract

Background: Adolescents in Africa encounter various sexual and reproductive health (SRH) challenges, such as insufficient information, societal stigma, inadequate services, and cultural obstacles. Enhancing collaboration between parents and healthcare providers can foster trust, improve communication, and provide better support, ultimately leading to improved access, quality, and utilization of SRH services (SRHS) for adolescents.

Objective: This paper offers perspectives from parents and healthcare providers on the roles of their partnerships in improving adolescent SRHS.

Design: The research employed a qualitative phenomenological study design.

Methods: The study included eight focus group discussions with parents whose adolescents attended selected youth centers and four face-to-face in-depth interviews with healthcare providers who worked there.

Results: The research revealed two prominent themes regarding the partnership between parents and healthcare professionals in adolescent SRH. The initial theme represents the perspectives of healthcare providers, emphasizing the importance of service awareness, cultural norms, geographic obstacles, and the necessity of parental consent as critical subthemes. The following theme reflects the viewpoints of parents, concentrating on the dialogue surrounding sexual health, the role of healthcare providers in promoting family conversations, and the request for support in providing sexual health information to their adolescents.

Conclusion: Collaboration between healthcare providers and parents is essential for improving adolescents' access to SRHS, which can greatly mitigate health-related risks. Nonetheless, this partnership encounters obstacles stemming from insufficient awareness of available services, sociocultural influences, and a lack of parental understanding regarding SRH topics. It is imperative to tackle these challenges through focused educational initiatives and enhanced communication strategies to create a supportive atmosphere that enables both adolescents and their parents to effectively address SRH concerns.

关于父母和保健提供者在改善卢旺达青少年性健康和生殖健康服务方面的伙伴关系的定性研究。
背景:非洲青少年面临各种性健康和生殖健康挑战,如信息不足、社会污名化、服务不足和文化障碍。加强父母和医疗保健提供者之间的协作可以促进信任、改善沟通并提供更好的支持,最终改善青少年性健康和生殖健康服务的可及性、质量和利用率。目的:从父母和卫生保健提供者的角度探讨他们的伙伴关系在改善青少年性健康和生殖健康方面的作用。设计:本研究采用定性现象学研究设计。方法:本研究包括与青少年在选定的青少年中心的父母进行8次焦点小组讨论,并与在那里工作的卫生保健提供者进行4次面对面深入访谈。结果:研究揭示了两个突出的主题关于父母和卫生保健专业人员之间的伙伴关系在青少年性健康和生殖健康。最初的主题代表了医疗保健提供者的观点,强调了服务意识、文化规范、地理障碍的重要性,以及父母同意的必要性,这些都是关键的副主题。以下主题反映了父母的观点,重点是围绕性健康的对话、保健提供者在促进家庭对话中的作用,以及在向青少年提供性健康信息方面获得支持的请求。结论:卫生保健提供者和家长之间的合作对于改善青少年获得性健康和生殖健康服务至关重要,这可以大大降低与健康相关的风险。然而,由于对现有服务认识不足、社会文化影响以及父母对性健康和生殖健康主题缺乏理解,这种伙伴关系遇到了障碍。当务之急是通过有针对性的教育举措和加强沟通战略来应对这些挑战,创造一种支持性的氛围,使青少年及其父母能够有效地解决性健康和生殖健康问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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