Evidence map›Paper›PMID 30922372›Full record

ArticleBMC health services research2019

Exploring adolescents and young people's candidacy for utilising health services in a rural district, South Africa.

Busisiwe Nkosi, Janet Seeley, Nothando Ngwenya, S Lerato Mchunu, Dumile Gumede, Jane Ferguson, Aoife M Doyle

Abstract read
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In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Busisiwe NkosiAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa. bnkosi@ahri.org.ORCID http://orcid.org/0000-0002-7084-3252
Janet SeeleyAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.ORCID http://orcid.org/0000-0002-0583-5272
Nothando NgwenyaAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.ORCID http://orcid.org/0000-0002-5630-6389
S Lerato MchunuAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.ORCID http://orcid.org/0000-0002-3293-4882
Dumile GumedeAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.ORCID http://orcid.org/0000-0002-8628-5726
Jane FergusonAfrica Health Research Institute, Nelson R. Mandela School of Medicine, 3rd Floor, K-RITH Tower Building, 719 Umbilo Road, Congella, Durban, KwaZulu-Natal, 4001, South Africa.ORCID http://orcid.org/0000-0002-3736-0603
Aoife M DoyleLondon School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.ORCID http://orcid.org/0000-0002-3305-7738

Funding

Medical Research Council G0700837Medical Research Council MR/K012126/1Medical Research Council MR/R010161/1MRF MR/K012126/1Wellcome TrustWellcome Trust 082384/Z/07/Z
6 · The paper itself

Abstract

backgroundWe use the 'candidacy framework' to describe adolescents' and young people's (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.

methodsA qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (n = 70), community leaders (n = 15), school health teams (n = 10), and health service providers (n = 6).

resultsFindings indicate tacit understanding among AYP that they are candidates for general health services. However, HIV stigma, apprehensions and misconceptions about sexual and reproductive health, and socio-cultural views which disapprove of AYP pre-marital sex undermine their candidacy for sexual and reproductive services.

conclusionConsideration and understanding of the vulnerabilities and reasons AYP exclude themselves will inform interventions to address their health needs. AYP's participation in the design of health services will increase their acceptability and encourage uptake of services.

Indexed as

AdolescentAdultChildFacilities and Services UtilizationFemaleFocus GroupsHumansMaleMarriagePatient Acceptance of Health CareReproductive HealthReproductive Health ServicesRural HealthSexual BehaviorSexual HealthSocial StigmaCandidacyHealth service utilisationSouth AfricaVulnerabilityYoung people

Identifiers

PMID30922372
PMCPMC6438017

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.