Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study
Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women. This study aims to explore healthcare providers&#...
Gespeichert in:
| Veröffentlicht in: | GLOBAL HEALTH ACTION 2016-01, Vol.9 (1), p.30283-30283 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 30283 |
|---|---|
| container_issue | 1 |
| container_start_page | 30283 |
| container_title | GLOBAL HEALTH ACTION |
| container_volume | 9 |
| creator | Paul, Mandira Näsström, Sara B. Klingberg-Allvin, Marie Kiggundu, Charles Larsson, Elin C. |
| description | Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women.
This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people.
We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis.
The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC.
Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice. |
| doi_str_mv | 10.3402/gha.v9.30283 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1789495500</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_a1a6b362a8cc4a12a02d9700fffb7e36</doaj_id><sourcerecordid>2215231425</sourcerecordid><originalsourceid>FETCH-LOGICAL-c637t-babeb3c0045e1c738ee8dcdbf384098e7e1dc579078d8b307e3f1637f341d17c3</originalsourceid><addsrcrecordid>eNqFkk1v1DAQhiMEoqVw44wicUGCLf5IYocDUlU-WqkSF8rVmjiTrIvXTu1kq_1D_E6c3W2hCMQp9szzvslk3ix7TskxLwh72y_heF0fc8Ikf5Ad0qosFrWU5OHtWdDqIHsS4xUhFReCP84OmKCikBU9zH6cIdhxqSFgPgS_Ni2GmDdgwWnj-tz5sIo5uDZ1QY9G47tcL8FadD3uGn4YfBgnZ0aTKsbtfWa19m5MMhxGs8Z0m1xEa-fO6PNNuvb5gH6wOMsu--QG-SKH_HoCa0bYquI4tZun2aMObMRn--dRdvnp49fTs8XFl8_npycXC51GGxcNNNhwTUhRItWCS0TZ6rbpuCxILVEgbXUpaiJkKxtOBPKOJmXHC9pSoflRdr7zbT1cqSGYFYSN8mDUtuBDryCkv2BRAYWq4RUDqXUBlAFhbS0I6bquSb5V8lrsvOINDlNzz21f-p5OqEpSsoIn_s0_-Q_m28n27dOkWC1ZWSf89f_xNuG0EDP9fkcndIWtxnkx9p7ofseZper9WqWYlKKap3m1Nwj-esI4qpWJOm0THPopKipkXdRlSUhCX_6BXvkpuLQ3xRgtGacFK3-Nq4OPMWB39zGUqDnZKiVbrWu1TXbCX_w-wB18G-UEiB1gXJdCCzc-2FaNsLE-dGGOc1T8r9Y_AaZjDfE</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2215231425</pqid></control><display><type>article</type><title>Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study</title><source>Taylor & Francis Open Access</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Co-Action Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>SWEPUB Freely available online</source><creator>Paul, Mandira ; Näsström, Sara B. ; Klingberg-Allvin, Marie ; Kiggundu, Charles ; Larsson, Elin C.</creator><creatorcontrib>Paul, Mandira ; Näsström, Sara B. ; Klingberg-Allvin, Marie ; Kiggundu, Charles ; Larsson, Elin C.</creatorcontrib><description>Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women.
This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people.
We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis.
The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC.
Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice.</description><identifier>ISSN: 1654-9716</identifier><identifier>ISSN: 1654-9880</identifier><identifier>EISSN: 1654-9880</identifier><identifier>DOI: 10.3402/gha.v9.30283</identifier><identifier>PMID: 27174861</identifier><language>eng</language><publisher>United States: Taylor & Francis</publisher><subject>Abortion ; Abortion, Induced - adverse effects ; Adolescent ; Ambivalence ; Contraception - utilization ; contraceptive counselling ; Contraceptives ; Counseling ; Educational attainment ; Family Planning Services ; Female ; Health and Welfare ; Health care ; Health Personnel - education ; Health Personnel - psychology ; health service provision ; Humans ; Hälsa och välfärd ; induced abortion ; Inservice training ; Interviews ; Male ; Midwives ; Original ; Poverty ; Pregnancy ; Qualitative Research ; Reproductive health ; Sexual behavior ; Social Norms ; Topics ; Transformation ; Uganda ; Unsafe ; Vulnerability ; Womens health ; Young Adult ; Young adults ; young people ; Young women ; Youth</subject><ispartof>GLOBAL HEALTH ACTION, 2016-01, Vol.9 (1), p.30283-30283</ispartof><rights>2016 Mandira Paul et al. 2016</rights><rights>2016 Mandira Paul et al. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c637t-babeb3c0045e1c738ee8dcdbf384098e7e1dc579078d8b307e3f1637f341d17c3</citedby><cites>FETCH-LOGICAL-c637t-babeb3c0045e1c738ee8dcdbf384098e7e1dc579078d8b307e3f1637f341d17c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865766/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4865766/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,860,881,2096,4125,27479,27901,27902,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27174861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:du-21479$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-298259$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:133576636$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Paul, Mandira</creatorcontrib><creatorcontrib>Näsström, Sara B.</creatorcontrib><creatorcontrib>Klingberg-Allvin, Marie</creatorcontrib><creatorcontrib>Kiggundu, Charles</creatorcontrib><creatorcontrib>Larsson, Elin C.</creatorcontrib><title>Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study</title><title>GLOBAL HEALTH ACTION</title><addtitle>Glob Health Action</addtitle><description>Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women.
This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people.
We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis.
The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC.
Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice.</description><subject>Abortion</subject><subject>Abortion, Induced - adverse effects</subject><subject>Adolescent</subject><subject>Ambivalence</subject><subject>Contraception - utilization</subject><subject>contraceptive counselling</subject><subject>Contraceptives</subject><subject>Counseling</subject><subject>Educational attainment</subject><subject>Family Planning Services</subject><subject>Female</subject><subject>Health and Welfare</subject><subject>Health care</subject><subject>Health Personnel - education</subject><subject>Health Personnel - psychology</subject><subject>health service provision</subject><subject>Humans</subject><subject>Hälsa och välfärd</subject><subject>induced abortion</subject><subject>Inservice training</subject><subject>Interviews</subject><subject>Male</subject><subject>Midwives</subject><subject>Original</subject><subject>Poverty</subject><subject>Pregnancy</subject><subject>Qualitative Research</subject><subject>Reproductive health</subject><subject>Sexual behavior</subject><subject>Social Norms</subject><subject>Topics</subject><subject>Transformation</subject><subject>Uganda</subject><subject>Unsafe</subject><subject>Vulnerability</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>young people</subject><subject>Young women</subject><subject>Youth</subject><issn>1654-9716</issn><issn>1654-9880</issn><issn>1654-9880</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNqFkk1v1DAQhiMEoqVw44wicUGCLf5IYocDUlU-WqkSF8rVmjiTrIvXTu1kq_1D_E6c3W2hCMQp9szzvslk3ix7TskxLwh72y_heF0fc8Ikf5Ad0qosFrWU5OHtWdDqIHsS4xUhFReCP84OmKCikBU9zH6cIdhxqSFgPgS_Ni2GmDdgwWnj-tz5sIo5uDZ1QY9G47tcL8FadD3uGn4YfBgnZ0aTKsbtfWa19m5MMhxGs8Z0m1xEa-fO6PNNuvb5gH6wOMsu--QG-SKH_HoCa0bYquI4tZun2aMObMRn--dRdvnp49fTs8XFl8_npycXC51GGxcNNNhwTUhRItWCS0TZ6rbpuCxILVEgbXUpaiJkKxtOBPKOJmXHC9pSoflRdr7zbT1cqSGYFYSN8mDUtuBDryCkv2BRAYWq4RUDqXUBlAFhbS0I6bquSb5V8lrsvOINDlNzz21f-p5OqEpSsoIn_s0_-Q_m28n27dOkWC1ZWSf89f_xNuG0EDP9fkcndIWtxnkx9p7ofseZper9WqWYlKKap3m1Nwj-esI4qpWJOm0THPopKipkXdRlSUhCX_6BXvkpuLQ3xRgtGacFK3-Nq4OPMWB39zGUqDnZKiVbrWu1TXbCX_w-wB18G-UEiB1gXJdCCzc-2FaNsLE-dGGOc1T8r9Y_AaZjDfE</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Paul, Mandira</creator><creator>Näsström, Sara B.</creator><creator>Klingberg-Allvin, Marie</creator><creator>Kiggundu, Charles</creator><creator>Larsson, Elin C.</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><general>Co-Action Publishing</general><general>Taylor & Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>JBE</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>ACNBI</scope><scope>DF2</scope><scope>DOA</scope></search><sort><creationdate>20160101</creationdate><title>Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study</title><author>Paul, Mandira ; Näsström, Sara B. ; Klingberg-Allvin, Marie ; Kiggundu, Charles ; Larsson, Elin C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c637t-babeb3c0045e1c738ee8dcdbf384098e7e1dc579078d8b307e3f1637f341d17c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abortion</topic><topic>Abortion, Induced - adverse effects</topic><topic>Adolescent</topic><topic>Ambivalence</topic><topic>Contraception - utilization</topic><topic>contraceptive counselling</topic><topic>Contraceptives</topic><topic>Counseling</topic><topic>Educational attainment</topic><topic>Family Planning Services</topic><topic>Female</topic><topic>Health and Welfare</topic><topic>Health care</topic><topic>Health Personnel - education</topic><topic>Health Personnel - psychology</topic><topic>health service provision</topic><topic>Humans</topic><topic>Hälsa och välfärd</topic><topic>induced abortion</topic><topic>Inservice training</topic><topic>Interviews</topic><topic>Male</topic><topic>Midwives</topic><topic>Original</topic><topic>Poverty</topic><topic>Pregnancy</topic><topic>Qualitative Research</topic><topic>Reproductive health</topic><topic>Sexual behavior</topic><topic>Social Norms</topic><topic>Topics</topic><topic>Transformation</topic><topic>Uganda</topic><topic>Unsafe</topic><topic>Vulnerability</topic><topic>Womens health</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>young people</topic><topic>Young women</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paul, Mandira</creatorcontrib><creatorcontrib>Näsström, Sara B.</creatorcontrib><creatorcontrib>Klingberg-Allvin, Marie</creatorcontrib><creatorcontrib>Kiggundu, Charles</creatorcontrib><creatorcontrib>Larsson, Elin C.</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Uppsala universitet full text</collection><collection>SWEPUB Uppsala universitet</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>GLOBAL HEALTH ACTION</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paul, Mandira</au><au>Näsström, Sara B.</au><au>Klingberg-Allvin, Marie</au><au>Kiggundu, Charles</au><au>Larsson, Elin C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study</atitle><jtitle>GLOBAL HEALTH ACTION</jtitle><addtitle>Glob Health Action</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>9</volume><issue>1</issue><spage>30283</spage><epage>30283</epage><pages>30283-30283</pages><issn>1654-9716</issn><issn>1654-9880</issn><eissn>1654-9880</eissn><abstract>Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women.
This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people.
We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis.
The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC.
Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice.</abstract><cop>United States</cop><pub>Taylor & Francis</pub><pmid>27174861</pmid><doi>10.3402/gha.v9.30283</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1654-9716 |
| ispartof | GLOBAL HEALTH ACTION, 2016-01, Vol.9 (1), p.30283-30283 |
| issn | 1654-9716 1654-9880 1654-9880 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1789495500 |
| source | Taylor & Francis Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Co-Action Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SWEPUB Freely available online |
| subjects | Abortion Abortion, Induced - adverse effects Adolescent Ambivalence Contraception - utilization contraceptive counselling Contraceptives Counseling Educational attainment Family Planning Services Female Health and Welfare Health care Health Personnel - education Health Personnel - psychology health service provision Humans Hälsa och välfärd induced abortion Inservice training Interviews Male Midwives Original Poverty Pregnancy Qualitative Research Reproductive health Sexual behavior Social Norms Topics Transformation Uganda Unsafe Vulnerability Womens health Young Adult Young adults young people Young women Youth |
| title | Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T11%3A21%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Healthcare%20providers%20balancing%20norms%20and%20practice:%20challenges%20and%20opportunities%20in%20providing%20contraceptive%20counselling%20to%20young%20people%20in%20Uganda%20-%20a%20qualitative%20study&rft.jtitle=GLOBAL%20HEALTH%20ACTION&rft.au=Paul,%20Mandira&rft.date=2016-01-01&rft.volume=9&rft.issue=1&rft.spage=30283&rft.epage=30283&rft.pages=30283-30283&rft.issn=1654-9716&rft.eissn=1654-9880&rft_id=info:doi/10.3402/gha.v9.30283&rft_dat=%3Cproquest_cross%3E2215231425%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2215231425&rft_id=info:pmid/27174861&rft_doaj_id=oai_doaj_org_article_a1a6b362a8cc4a12a02d9700fffb7e36&rfr_iscdi=true |