Clients and service providers’ assessment of Public and Non-Governmental Youth-Friendly Health Services in Lagos Nigeria: A mixed method approach

Annals of Health Research Pub Date : 2019-06-01 DOI:10.30442/AHR.0501-11-41

T. Femi-Adebayo, O. Adejumo, Bisola I Adebayo, A. Airauhi, V. Adepoju

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Abstract

Background: The World Health Organization prescribed that Youth-Friendly health services must be accessible, acceptable, equitable, efficient, effective, comprehensive and appropriate to meet the health needs of young people. Objective: To compare the clients’ and service providers’ assessment of services offered at the public and Non-Governmental Organization (NGO) Youth Friendly facilities (YFF) in Lagos Nigeria. Methods: A mixed method approach was used. Structured questionnaires were administered on youths (294 from public and 273 from NGO YFF) from ten (5 public and 5 NGO) YFF. Ten key informant interviews with service providers were also conducted between March 1st and December 31st 2014. SPSS version 22 was used to analyze quantitative data while thematic analysis of interviews with service providers was done. Results: Youths who utilized the public YFF had 60% chance (AOR 1.6, 95%CI 1.3 – 2.5, p= 0.005) of experiencing longer waiting times, 80% chance (AOR 1.8, 95%CI 1.2 – 2.8, p=0.004) of being counseled in a separate room and over two-fold chance (AOR 2.3, 95%CI 1.7 – 3.3, p <0.001) of having free services. Sexual and reproductive health was the major complaint area of the youths while funding was the major challenge of service providers at both the public and NGO YFF. Conclusion: To address the needs of the youths, there is a need to provide more funds and provide necessary logistics required by YFF.

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客户和服务提供者对尼日利亚拉各斯公共和非政府青年友好保健服务的评估:混合方法方法

背景：世界卫生组织规定，对青年友好的卫生服务必须是可获得的、可接受的、公平的、高效的、有效的、全面的和适当的，以满足青年的健康需求。目的：比较客户和服务提供商对尼日利亚拉各斯公共和非政府组织青年友好设施（YFF）提供的服务的评估。方法：采用混合法。对来自10个（5个公众和5个非政府组织）青年基金会的青年（294个来自公众，273个来自非政府组织青年基金会）进行了结构化问卷调查。2014年3月1日至12月31日期间，还对服务提供商进行了10次关键线人访谈。SPSS版本22用于分析定量数据，同时对服务提供商的访谈进行主题分析。结果：使用公共YFF的年轻人有60%的机会（AOR 1.6，95%CI 1.3-2.5，p=0.005）经历更长的等待时间，80%的机会（AOR 1.8，95%CI 1.2-2.8，p=0.004）在单独的房间接受咨询，两倍以上的机会（AO 2.3，95%CI 1.7-3.3，p<0.001）获得免费服务。性健康和生殖健康是年轻人的主要投诉领域，而资金是公众和非政府组织青年基金服务提供者的主要挑战。结论：为了满足青年人的需求，有必要提供更多的资金和YFF所需的必要后勤。

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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