ArticleGlobal health action2016
Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study.
Article in Global health action, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health workers' values and preferences regarding contraceptive methods globally: A systematic review.Contraception · 2022Pooled it
- Article
- Balancing pragmatism, norms and power relations: a qualitative study among post-abortion intrauterine device users in central Uganda.Sexual and reproductive health matters · 2025Article
- Two decades of research capacity strengthening and reciprocal learning on sexual and reproductive health in East Africa - a point of (no) return.Global health action · 2024Article
- Sexual and reproductive health of Sudanese refugee girls in Chad: mixed methods study with perspectives from 12-19 year old girls, parents, and health workers.BMC public health · 2024Article
- Article
- Nurses' and patients' experiences of family planning services in a rural district, South Africa.African journal of primary health care & family medicine · 2023Article
- Self-reported abortion experiences in Ethiopia and Uganda, new evidence from cross-sectional community-based surveys.PLOS global public health · 2023Article
- Utilization of sexual and reproductive health services among young people in refugee settings in Uganda.Frontiers in reproductive health · 2023Article
- Young people's choice and voice concerning sex and relationships: effects of the multicomponent Get Up Speak Out! Programme in Iganga, Uganda.BMC public health · 2022Article
- A vignette-based approach to understanding social norms around family planning in three Nigerian cities.Global public health · 2022Article
- A comparative human rights analysis of laws and policies for adolescent contraception in Uganda and Kenya.Reproductive health · 2022Article
- Article
- Knowledge, attitudes, and practices of health providers regarding access to and use of contraceptive methods among adolescents and youth in urban Guinea.Frontiers in public health · 2022Article
- Understanding the contextual and cultural influences on women's modern contraceptive use in East Uganda: A qualitative study.PLOS global public health · 2022Article
- Power, policy and abortion care in Uganda.Health policy and planning · 2021Article
- Policy, law and post-abortion care services in Kenya.PloS one · 2018Article
- Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents.International journal of reproductive medicine · 2018Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women.
objectiveThis study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people.
designWe conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis.
resultsThe main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC.
conclusionsDespite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice.
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