ArticleBMC health services research2020
Evaluation of mainstreaming youth-friendly health in private clinics in Malawi.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation Strategies to Enhance Youth-Friendly Sexual and Reproductive Health Services in Sub-Saharan Africa: A Systematic Review.Frontiers in reproductive health · 2021Pooled it
- Utilization of youth corners: a model for improving youth-friendly health services in Neno District, Southern Malawi.Global health action · 2025Article
- Healthcare Providers' Experience in Implementing the Adolescent and Youth-Friendly Services at Public Health Facilities in KwaZulu-Natal: A Qualitative Study.Healthcare (Basel, Switzerland) · 2025Article
- DMPA-SC self-injection experiences of clients and providers in Uganda: the role of community health workers in reproductive self-care service delivery.BMC women's health · 2025Article
- Demand for and use of modern contraception among young women aged 15-24 years in Malawi: evidence from the Malawi demographic health survey, 2015-2016.Frontiers in reproductive health · 2025Article
- Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review.International journal of adolescent medicine and health · 2024Article
- Equity dimensions in initiatives promoting urban health and wellbeing in east and southern Africa.Frontiers in public health · 2023Review
- Health worker perceptions of stigma towards Zambian adolescent girls and young women: a qualitative study.BMC health services research · 2022Article
- Factors associated with long-acting and short-acting reversible contraceptives use among 10-24-years-old youths in Lilongwe, Malawi.Frontiers in reproductive health · 2022Article
- Would you offer contraception to a 14-year-old girl? Perspectives of health students and professionals in Dar es Salaam, Tanzania.Reproductive health · 2021Article
- Youths' perceptions of community health workers' delivery of family planning services: a cross-sectional, mixed-methods study in Nakaseke District, Uganda.BMC public health · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundHigh fertility rates and low modern contraceptive use put African youth and adolescents at high risk for health complications, including maternal mortality. Mainstreaming youth-friendly health services (YFHS) into existing services is one approach to improve access to reproductive health services for youth and adolescents. The objective of the evaluation was to assess the effects of a Population Services International (PSI)-sponsored YFHS training package on voluntary uptake of family planning among youth and perceptions of service quality by youth and trained healthcare providers in Malawi.
methodsIn 2018, a mixed-methods convergent parallel design was used to assess relevant monitoring and evaluation documents and service statistics from PSI Malawi and qualitative data on perceptions of service quality from Malawian youth and healthcare providers. The data were assessed through separate descriptive and thematic analysis and integrated to generate conclusions.
resultsResults show that the number of family planning clients ages 15-24 increased from 72 to 2278 per quarter during the implementation of the YFHS training packages, however, positive trends in client numbers were not sustained after youth outreach activities ended. Focus group discussions with 70 youth and adolescents indicated that clinics were perceived as providing high-quality services to youth. The main barriers to accessing the services were cost and embarrassment. Interviews with ten healthcare providers indicated that many made efforts to improve clinic accessibility and understood the barrier of cost and importance of outreach to youth and the broader community.
conclusionsThe findings support research showing positive effects of mainstreaming YFHS when training for healthcare staff is combined with additional YFHS programming components. Furthermore, the findings provide evidence that provider training alone, though beneficial to perceived service quality, is not sufficient to sustain increases in the number of adolescent and youth family planning clients.
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