International Journal of Advanced Research and Publications

Knowledge And Perceptions Of Adolescent Sexual And Reproductive Health Issues Among Rural Adolescence In Gutu Rural District Of Zimbabwe

Volume 1 - Issue 1, July 2017 Edition
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Author(s)
Jeffrey Kurebwa
Keywords
Adolescence, reproductive health, sexuality, sex, sexual health
Abstract
This study was aimed at examining the knowledge and perceptions of adolescents on Adolescent Sexual and Reproductive Health (ASRH) rural Zimbabwe. Adolescents in Zimbabwe faces limited access to health information and services. Different factors like poverty, gender inequality, socio-cultural and economic status play a crucial role in determining adolescent’s access to ASRH knowledge. Qualitative research methodology was used in the study. Data was gathered through key informant interviews and Focus Group Discussions (FGDs). The study found out that adolescents in Gutu rural district were aware about some of the common ASRH problems like HIV and AIDS, Sexually Transmitted Infections (STIs), early marriages, teenage pregnancy and gender inequality. The culture of communicating ASRH problems with parents was non-existent in most cases save for girls who indicated that they got information from their mothers during menstruation periods. Adolescents indicated that they had limited access to ASRH services available in their community. They further indicated that they were not utilising these services for various reasons such as social stigma, lack of information, poor quality service and the negative attitude displayed by some nurses and counsellors at the nearest health centre.
References
[1]. N.S. Ali. “Prediction of coronary heart disease preventive behaviours in women: A test of the Health Belief Model.” Women and Health, 35(1):83-96. 2002.

[2]. S. Awasthi; M. Nichter, and V.K. Pande. “Developing an interactive STD prevention programme for youth: Lessons from a north Indian slum.” Studies in Family Planning, 31: 138-150.2000.

[3]. A. Bandura. “Self –efficacy: Towards a unifying theory of behavioural change.” Psychological Review, 84: 191-215.1977.

[4]. Centers for Disease Control and Prevention (CDCP). Program Operations Guidelines for STD Prevention: Community and Individual Behaviour Change Interventions. www.cdc.gov. 2004.

[5]. J.S. Chafetz. “The gender division of labour and the reproduction of female disadvantage: toward an integrated theory.” Journal of Family Issues, 9:108– 131. 1988.

[6]. Government of Zimbabwe. Constitution of Zimbabwe 2013 (Amendment Number 20). Harare: Government Printer.2013.

[7]. K.L. Dehne, and G. Riedner. “Adolescence - a dynamic concept.” Reproductive Health Matters, 9(17): 11-15. 2001.

[8]. A.S. Erulkar, C.J. Onoka, and A. Phiri. “What is youth- friendly? adolescents’ preferences for reproductive health services in Kenya and Zimbabwe.” African Journal of Reproductive Health 9(3):51-58. 2005.

[9]. C.A. Ford, S.L. Thomsen, and B. Compton. “Adolescents’ interpretations of conditional confidentiality assurances.” Journal of Adolescent Health, 29:156-159. 2001.

[10]. S.E. Forhan, S.L. Gottlieb, M.R. Sternberg, F. Xu, S.D. Datta, G.M. McQuillan, S.M Berman, and L.E. Markowitz. “Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States.” Pediatrics, 124: 1505-1512. 2009.

[11]. K. Glanz, B.K. Rimer, and F.M. Lewis(eds). Health Behaviour and Health Education (3rd ed.). San Francisco: Jossey-Bass. 2002.

[12]. M.E. Graham. “Health beliefs and self breast examination in black women.” Journal of Cultural Diversity, 9(2):49-54.2002.

[13]. B.B. Gubhaju. “Adolescent reproductive health in Asia.” Asia Pacific population journal, 17: 97-119. 2002.

[14]. B. Hartmann. Reproductive rights and wrongs. New York: Harper and Row. 1987.

[15]. G.M. Hochbaum. Public Participation in Medical Screening Programs: A Socio-Psychological Study (Public Health Service Publication No. 572). Washington, DC: Government Printing Office. 1958.

[16]. International Planned Parenthood Federation (IPPF). Understanding adolescents: an IPPF report on young people's sexual and reproductive health needs. London: International Planned Parenthood Federation. 1994.

[17]. M.M. “Islam, and M. Mahmud. Contraception among adolescents in Bangladesh.” Asia-Pacific Population Journal 10(1): 21-38. 1995.

[18]. N.K. Janz, and M.H. Becker. The Health Belief Model: A decade later. Health Education Quarterly, 11(1):1-47. 1984.

[19]. C. Kambikambi. Young males’ perception and use of reproductive health services in Lusaka, Zambia. South Africa: University of Western Cape. 2014.

[20]. D. Kirby. Emerging answers: research findings on programs to reduce teen pregnancy. Washington, DC: National Campaign to Prevent Teen Pregnancy. 2001.

[21]. D.B. Langille. Adolescent Sexual Health Services and Education: Option for Nova Scotia. Policy Discussion Series Paper No.8, December, Dalhousie University. 2000.

[22]. A. Mago, M. Ganesh and S. Mukhopadhyay, Adolescent Sexual and Reproductive Health and Rights in India. CREA: New Delhi. 2005.

[23]. G. Mahat, and M.A. Scoloveno. “Factors influencing health practices of Nepalese adolescent girls.” Journal of Pediatric Health Care, 15: 251–255. 2001.

[24]. G. Martinez, J. Abma, and C. Copen. “Educating teenagers about sex in the United States.” NCHS Data Brief, 44: 1-8. 2010.

[25]. S. Matatu, W. Njau and F. Yumkella. To reach the youth: creating adolescent – friendly reproductive health in Uganda. Paper Submitted for Poster Session 86 at the IUSSP General Population Conference Salvador- Brazil. 2001.

[26]. K. McCormick-Brown, K. Health Belief Model. www.hsc.usf.edu. 1999.

[27]. Ministry of Health and Child Care. Zimbabwe National Adolescent Fertility Study, Harare: MoHCC. 2016.

[28]. National Economic Planning Commission. Zimbabwe National Population Policy. National Economic Planning Commission, Harare: Government Printer. 1998.

[29]. S. Naswa, and Y.S. Marfatia. “Adolescent HIV/AIDS: issues and challenges.” Indian Journal of Sexually Transmitted Diseases, 31:1-10. 2010.

[30]. T. Palys. Purposive sampling: the sage encyclopaedia of qualitative research methods. Sage: Los Angeles. 2008.

[31]. R. Paudel, T. Upadhyaya, and D.P. Pahari. “People's perspective on access to health care services in a rural district of Nepal.” Journal of the Nepal Medical Association, 52: 20–24. 2012.

[32]. P.R. Regmi, E.V. Teijlingen, P. Simkhada, and D.R. Acharya, D.R. Barriers to sexual health services for young people in Nepal. Journal of Health, Population and Nutrition, 28: 619-627. 2012.

[33]. I.M. Rosenstock, V.J. Strecher, and M.H. Becker. “Social learning theory and the Health Belief Model.” Health Education Quarterly, 15(2): 175-183. 1988.

[34]. P. Sharma, C. Malhotra, D.K. Tanjea and R. Saha. “Problems related to menstruation amongst adolescent girls.” The Indian Journal of Paediatrics, 75: 125-129. 2008.

[35]. N. Taffa, G. Bjune, J. Sundby, P. Gaustad, P and A. Alestrom. Prevalence of gonococcal and chlamydial infections and sexual risk behaviour among youth in Addis Ababa, Ethiopia. Sexually Transmitted Diseases; 29: 828-833. 2002.

[36]. N. Taffa, K. Inge-Klepp, B. Austveg and J. Sundby. Adolescent sexual and reproductive health: review of current facts, programmes and progress since ICPD. Norwegian Ministry of Foreign Affairs and Norwegian Board of Health. 1999.

[37]. United Nations Children’s Emergency Fund (UNICEF) (2012). Progress for children: a report card on adolescents. New York: UNICEF. 2012.

[38]. F.C. Veit, L.A. Sanci, C.M. Coffey, D.Y. Young and G. Bowes. Barriers to effective primary health care for adolescents. Medical Journal of Australia; 165: 131–133. 1996.

[39]. G. Wang. Reproductive health and gender equality. Farnham, Surrey, GBR: Ashgate Publishing Group. 2010.

[40]. World Health Organisation. Adolescence the critical phase - The challenges and the potential. New Delhi: WHO Regional Office for South-East Asia. 1997.

[41]. World Health Organisation (WHO). Defining sexual health. A report of a technical consultation on sexual health 28-31 January 2002, Geneva: WHO. 2006.

[42]. World Health Organisation (WHO). Global consultation on adolescent-friendly health services: A consensus statement. Geneva: WHO. 2002.

[43]. World Health Organisation (WHO). Global prevalence and incidence of selected curable sexually transmitted infections. Geneva: WHO. 2012.

[44]. World Health Organisation (WHO). Programming for adolescent health and development. A report of a WHO/UNFPA/UNICEF study group on programming for adolescent health. Geneva: WHO. 1999.

[45]. World Health Organisation (WHO). Sexually Transmitted Infections: issues in adolescent health and development. Geneva: WHO. 2004.

[46]. World Health Organisation (WHO). Strategic directions for improving adolescent Health in South-East Asia Region. New Delhi: India. 2011.

[47]. World Health Organisation (WHO). Adolescent pregnancy: unmet needs and undone deeds- a review of the literature and programs. Geneva: WHO. 2007.

[48]. World Health Organisation (WHO). Trends of maternal mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division. Geneva: WHO. 2014.

[49]. World Health Organisation (WHO). Common agenda for action in adolescent health and development. Geneva: WHO. 1997.

[50]. Zimbabwe Statistical Agency (ZIMSTATS). Zimbabwe multiple indicator cluster survey 2014, Harare: Government Printer. 2015.