Assessment of Youth-Friendly Health Services and Quality from Users' Perspectives

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University of Alabama Libraries

Background:Youth-Friendly Health Services (YFHS) are one of those services recommended by the World Health Organization (WHO) to address adolescent and young people's sexual health needs. YFHS are sexual and reproductive health services that are accessible, acceptable, appropriate, effective, and equitable for young people. Therefore, this study aims to assess the utilization and perceived quality of Youth-Friendly Health Services among the users.Method:The study design was descriptive cross-sectional. A total of 122 respondents from the University of Alabama, Tuscaloosa, were recruited and sampled using a validated semi-structured self-administered questionnaire to collect data. Results: Of the 122 participants recruited, 5 were excluded due to age, and 117 respondents aged 18 - 24 were included for further analysis of this study. The 117 respondents were 59.8% males and 40.2% females; 87.2% were heterosexual, 53.8% were from urban areas, and 65.8% were living with both parents. The majority (72.6%) were from middle-income families, 17.1% from low-income, and 9.4% from high-income families. This study revealed low awareness (17.9%) and low utilization (11.1%) of YFHS among young people. About 15.4% of those who ever visited the school health center (SHC) for YFHS rated the service as good, 53.8% were comfortable going to SHC for YFHS, 30.8% were comfortable discussing their sexuality with the healthcare provider, 38.5% were extremely satisfied with the services received. The quality of service from the users' perspective was low. Factors associated with the utilization of YHFS include gender, family income, accessibility, and appropriateness of the YFHS at a statistically significant value of p<0.001, 0.018, 0.046, and 0.048, respectively.Conclusions:Awareness and utilization of YFHS in this study were relatively low. The quality of YFHS provided at the student health center did not meet all the five components of YFHS. More than half of the users perceived the YFHS at the school health center as inaccessible and unacceptable. Awareness of YFHS should be aired in the university through health promotion, health education programs, and sharing of media materials. Also, campus-wide health interventions, campaigns, and outreach should be organized to increase the health-seeking behavior of young people. Policymakers and health advocate should formulate and strategically implement policies to improve the quality of YFHS provided at the health center. Keywords: Youth-Friendly Health Services, YFHS, Sexual and Reproductive Health, SRH, Utilization,Young people

Electronic Thesis or Dissertation
Sexual and Reproductive Health, SRH, Utilization, YFHS, Young people, Youth-Friendly Health Services