ArticleGlobal health action2020
Negotiating social norms, the legacy of vertical health initiatives and contradicting health policies: a qualitative study of health professionals' perceptions and attitudes of providing adolescent sexual and reproductive health care in Arusha and Kilimanjaro region, Tanzania.
Article in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Using best-worst scaling to inform policy decisions in Africa: a literature review.BMC public health · 2024Pooled it
- Factors influencing the integration of comprehensive sexuality education into educational systems in low- and middle-income countries: a systematic review.Reproductive health · 2022Pooled it
- Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Trial
- Supporting the economic and health resilience of last mile adolescent girls and young Women in mining communities: A global and national level comparative policy analysis.Dialogues in health · 2026Article
- Including the excluded: an evaluation of a sexual health promotion capacity building intervention among specialist homelessness services in New South Wales.International journal for equity in health · 2026Article
- Multilevel analysis of factors associated with abortion among adolescents in Uganda insights from UDHS 2022 dataset.PLOS global public health · 2026Article
- Adolescent perspectives on peripartum mental health prevention and promotion from Kenya: Findings from a design thinking approach.PloS one · 2024Article
- Contradictions and possibilities for change: Exploring stakeholder perspectives of Canada's Feminist International Assistance Policy (FIAP) and their connection to a future for global health.PLOS global public health · 2024Article
- A narrative review of challenges related to healthcare worker rights, roles and responsibilities in the provision of sexual and reproductive services in health facilities.BMJ global health · 2023Review
- Women's utilisation of quality antenatal care, intrapartum care and postnatal care services in Ethiopia: a population-based study using the demographic and health survey data.BMC public health · 2023Article
- Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa.AIDS and behavior · 2023Article
- Pilot Implementation of a User-Driven, Web-Based Application Designed to Improve Sexual Health Knowledge and Communication Among Young Zambians: Mixed Methods Study.Journal of medical Internet research · 2022Article
- Healthcare workers' perspectives on access to sexual and reproductive health services in the public, private and private not-for-profit sectors: insights from Kenya, Tanzania, Uganda and Zambia.BMC health services research · 2022Article
- Exploring adolescent engagement in sexual and reproductive health research in Kenya, Rwanda, Tanzania, and Uganda: A scoping review.PLOS global public health · 2022Article
- Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania.International journal of environmental research and public health · 2021Article
- Implementation of the e-SUS Primary Care system: Impact on the routine of Primary Health Care professionals.Revista latino-americana de enfermagem · 2021Article
- Perceived Factors Influencing Health-Seeking for Substance Use Among Secondary School Learners in the Western Cape, South Africa.Substance use : research and treatmentArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescents in Tanzania are at risk of many health problems attributed to limited access to quality sexual and reproductive health services. Health professionals are a crucial part of service delivery, and their perspective on providing care is important in understanding the barriers that hamper access to sexual and reproductive health services for adolescents. Better understanding these barriers will support the development of more effective interventions. This paper explores these perspectives in view of the health-policy context that surrounds them.
objectiveThis study has aimed to explore and understand health professionals' perceptions and attitudes regarding the provision of adolescent sexual and reproductive health care in a selected national sexual and reproductive health programme in the Arusha region and Kilimanjaro region, Tanzania.
methodsA qualitative cross-sectional interview design was applied. Sixteen in-depth interviews were conducted with health professionals and community health workers. Data was analysed following inductive thematic analysis.
resultsFour main themes are identified in the data: concern about the stigma directed towards adolescents; over-medicalisation of services; difficulty involving adolescent males; and ambiguous policies and contradictory messages. The findings suggest that health professionals providing care in the current adolescent sexual and reproductive health programme must navigate the legacy of vertical health programmes as well as contradicting views and messages that are influenced by social norms, by uncertainties about current laws and by statements from political leaders.
conclusionsThe findings suggest that future research, policies and health programmes should consider the perspectives of health professionals and their challenges in delivering care for adolescents to help improve the understanding of how to effectively and sensitively implement sexual and reproductive health programmes for adolescents.
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Registered trials
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.