Evidence map›Paper›PMID 32270239›Full record

ArticleInternational journal of public health2020

Youth underrepresentation as a barrier to sexual and reproductive healthcare access in Kasulu district, Tanzania: A qualitative thematic analysis.

Respicius Shumbusho Damian, Henry Zakumumpa, Sharon Fonn

Abstract read
In one paragraph

Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Perceptions of Sexual Healthcare Provision in Tanzania: a Key Informant Qualitative Study.Sexuality research & social policy : journal of NSRC : SR & SP · 2022
    Article
  2. Article
  3. Review
  4. Article
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

3 authors.

Respicius Shumbusho DamianDepartment of Political Science and Public Administration, College of Social Sciences, University of Dar es Salaam, Dar es Salaam, Tanzania. rdamian@cartafrica.org.
Henry ZakumumpaSchool of Public Health, Makerere University, Kampala, Uganda.
Sharon FonnSchool of Public Health, University of the Witwatersrand, Johannesburg, South Africa.

Funding

Consortium for Advanced Research Training in Africa (CARTA) 087547/Z/08/Z
6 · The paper itself

Abstract

objectivesRepresentation of the key groups in community-level healthcare decisions is a prerequisite for accountable and responsive primary healthcare systems. However, meaningful representation requires both the presence of individuals who represent the key community groups and their capacity to influence the key healthcare plans and decisions. Our study explored how the underrepresentation of the youth in health facility committees, the decentralized community- and facility-level healthcare decision-making forums affects youth access to sexual and reproductive health services.

methodsA multisite case study involving focus group discussions, interviews, and meeting observation was conducted in eight primary healthcare facilities in Kasulu, a rural district in Tanzania. Inductive thematic analysis was used to identify the key emerging themes.

resultsFive major themes were identified in connection with youth underrepresentation and limited access to sexual reproductive health as a 'taboo' phenomenon in the communities. These were: numbers do not matter, passive representation, sociopolitical gerontocracy, economic vulnerability, and mistrust and suspicion.

conclusionsGradual emancipatory and transformative efforts are needed to normalize the representation of the youth and their concerns in formal community-level decision-making institutions.

Indexed as

AdolescentAdultCommunity Health ServicesFemaleFocus GroupsHealth Services AccessibilityHumansInterviews as TopicMaleQualitative ResearchReproductive Health ServicesSexual HealthTanzaniaYoung AdultHealthcare accessHealth facility committeesSexual and reproductive healthTanzaniaYouth representation

Identifiers

PMID32270239
PMCPMC7275005

What OpenQuestion holds

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LicenceCC BY
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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.