Evidence map›Paper›PMID 32787401›Full record

ArticleAfrican journal of primary health care & family medicine2020

Barriers to adolescents' access and utilisation of reproductive health services in a community in north-western Nigeria: A qualitative exploratory study in primary care.

Awawu G Nmadu, Suraya Mohammed, Nafisat O Usman

Open access · goldAbstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
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

35 citing papers in PubMed, 62 citations in OpenAlex.

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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

3 authors at 2 institutions in 2 countries.

Awawu G NmaduFaculty of Community Health Sciences, School of Public Health, University of the Western Cape, Cape Town, South Africa; and, Department of Community Medicine, Faculty of Clinical Sciences, Kaduna State University, Kaduna. jumainmadu@gmail.com.
Suraya Mohammed
Nafisat O Usman
University of the Western Cape · ZAKaduna State University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a dearth of qualitative studies exploring in-depth barriers that adolescents face in accessing and utilising reproductive health services (RHS) in Nigerian primary healthcare centres.

aimThis study explored the barriers hindering adolescents' access to and utilisation of RHS in primary healthcare centres.

settingThis study was conducted in three primary healthcare centres in Kaduna North Local government area, Nigeria.

methodsThis study used an exploratory descriptive qualitative design. Fourteen adolescents and three RHS providers were selected and interviewed. The data collection methods included individual in-depth interviews with adolescents and key informant interviews with service providers. Interviews were conducted between January 2017 and April 2017. Thematic content analysis was used to analyse the data.

resultsThis study identified three thematic barriers to adolescent's utilisation of RHS. These included individual, social and health system barriers. Individual factors included the following: inadequate knowledge about RHS and poor attitudes of adolescents towards RHS; social factors such as parental influence, community and religious norms, financial constraints and stigma; and health system factors such as poor attitudes of service providers and inconvenient health facility opening hours hindered adolescents from utilising RHS. Most prominent was the strong influence of the social factors that affected adolescents to the extent that they felt constrained to freely utilise RHS out of a sense of commitment to religious values.

conclusionThe findings highlight the need for the development of programmes that would foster collective responsibility for supportive environments within communities and health facilities for positive adolescent RHS experiences.

Indexed as

AdolescentAdolescent BehaviorFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleNigeriaPatient Acceptance of Health CarePrimary Health CareQualitative ResearchReproductive Health ServicesSexual BehaviorSocial Stigmaaccess and utilisationadolescentsbarriersNigeriaqualitative studysexual and reproductive health services

Identifiers

PMID32787401
PMCPMC7433241
OpenAlexW3041448956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.