Abstract
Aim: The right to health is a universal human right, and this includes sexual and reproductive health services. The aim of this study is to explore the opinions of Iranian university students toward facilitators and barriers to sexual and reproductive health services.
Materials and methods: In 2012, a random sample of 548 university students completed anonymous, self-administered questionnaires. Topics covered the participants’ attitudes towards facilitators and barriers to sexual and reproductive health services in personal, interpersonal, and structural domains.
Results: Mean age of participants was 21.57 years and 57.82% were female. The maximum score of facilitators and barriers to sexual and reproductive health services was related to “Young people’s participation in sexual and reproductive health services provision” and “Fear of stigmatization”, respectively. The results showed that among female university students, the mean score of personal and structural facilitators was significantly higher than the mean score of interpersonal ones (F=12.23, p<0.001). This difference was also reported in barrier factors (F=5.51, p=0.004).
Conclusion: Results highlight the roles of policy makers and health service providers in improving accessibility to provided services for young people through the enforcement of facilitators and reduction of barriers, particularly in the areas of personal and structural facilitators focusing on female services.
Acknowledgments
The authors would like to thank the respectful participants who collaborated with the researchers in implementing the study.
References
1. DeJong J. The role and limitations of the Cairo International Conference on Population and Development. Soc Sci Med 2000;51:941–53.10.1016/S0277-9536(00)00073-3Search in Google Scholar
2. McIntosh CA, Finkle JL. The Cairo Conference on Population and Development: a new paradigm? Popul Dev Rev 1995;21:223–60.10.2307/2137493Search in Google Scholar
3. Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet 2006;368:1595–607.10.1016/S0140-6736(06)69478-6Search in Google Scholar
4. Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet 2007;369:1220–31.10.1016/S0140-6736(07)60367-5Search in Google Scholar
5. Haller DM, Sanci LA, Patton GC, Sawyer SM. Toward youth friendly services: a survey of young people in primary care. J Gen Intern Med 2007;22:775–81.10.1007/s11606-007-0177-5Search in Google Scholar PubMed PubMed Central
6. Shaw D. Access to sexual and reproductive health for young people: bridging the disconnect between rights and reality. Int J Gynecol Obstet 2009;106:132–6.10.1016/j.ijgo.2009.03.025Search in Google Scholar PubMed
7. Mbeba RM, Mkuye MS, Magembe GE, Yotham WL, obeidy Mellah A, et al. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: a qualitative study. Pan Afr Med J 2012;13:13–8.Search in Google Scholar
8. Agampodi SB, Agampodi TC, Piyaseeli U. Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Serv Res 2008;8:98–105.10.1186/1472-6963-8-98Search in Google Scholar PubMed PubMed Central
9. Ensor T, Cooper S. Overcoming barriers to health service access: influencing the demand side. Health Policy Plan 2004;19:69–79.10.1093/heapol/czh009Search in Google Scholar PubMed
10. Biddlecom AE, Munthali A, Singh S, Woog V. Adolescents’ views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. Afr J Reprod Health 2007;11:99–111.10.2307/25549734Search in Google Scholar
11. Zastowny TR, Roghmann KJ, Cafferata GL. Patient satisfaction and the use of health services: explorations in causality. Med Care 1989;27:705–23.10.1097/00005650-198907000-00005Search in Google Scholar PubMed
12. Asadi-Lari M, Packham C, Gray D. Need for redefining needs. Health Qual Life Outcomes 2003;1:34–8.10.1186/1477-7525-1-34Search in Google Scholar
13. Vakilian K, Khadijeh Mirzaii N. Reproductive Health in Iran: International Conference on Population and Development Goals. Oman Med J 2011;26:143–47.10.5001/omj.2011.36Search in Google Scholar
14. Ramezanzadeh F, Haghollahi F, Shariat M, Mahmood AM, Hosseini H, et al. Reproductive health service centers for youth in Iran. J Sch Publ Health Inst Publ Health Res 2010;7:1–10.Search in Google Scholar
15. Simbar M, Tehrani F, Hashemi Z. Reproductive health knowledge, attitudes and practices of Iranian college students. East Mediterr Health J 2005;11:888–97.Search in Google Scholar
16. Mohammadi MR, Mohammad K, Farahani FK, Alikhani S, Zare M, et al. Reproductive knowledge, attitudes and behavior among adolescent males in Tehran, Iran. Int Fam Plan Perspect 2006;32:35–44.10.1363/3203506Search in Google Scholar
17. Lindberg C, Lewis-Spruill C, Crownover R. Barriers to sexual and reproductive health care: urban male adolescents speak out. Issues Compr Pediatr Nurs 2006;29:73–88.10.1080/01460860600677577Search in Google Scholar
18. Hock Long L, Herceg Baron R, Cassidy AM, Whittaker PG. Access to adolescent reproductive health services: financial and structural barriers to care. Perspect Sex Reprod Health 2003;35:144–7.Search in Google Scholar
19. Asadi-Lari M, Gray D. Health needs assessment tools: progress and potential. Int J Technol Assess Health Care 2005;21:288–97.10.1017/S0266462305050385Search in Google Scholar
20. Shahhosseini Z, Simbar M, Ramezankhani A, Majd H. An inventory for assessment of the health needs of Iranian female adolescents. EMHJ 2012;18:850–6.10.26719/2012.18.8.850Search in Google Scholar
21. Waltz CF, Bausell RB: Nursing Research: Design, Statistics and Computer Analysis. Philadelphia: FA Davis Company; 1981. ISBN 803690401.Search in Google Scholar
22. Hyrkäs K, Appelqvist-Schmidlechner K, Oksa L. Validating an instrument for clinical supervision using an expert panel. Int J Nurs Stud 2003;40:619–25.10.1016/S0020-7489(03)00036-1Search in Google Scholar
23. Tylee A, Haller DM, Graham T, Churchill R, Sanci LA. Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 2007;369:1565–73.10.1016/S0140-6736(07)60371-7Search in Google Scholar
24. Erulkar AS, Onoka CJ, Phiri A. What is youth-friendly? Adolescents’ preferences for reproductive health services in Kenya and Zimbabwe. Afr J Reprod Health 2005;9:51–8.10.2307/3583411Search in Google Scholar
25. Marcell AV, Halpern-Felsher BL. Adolescents’ beliefs about preferred resources for help vary depending on the health issue. J Adolescent Health 2007;41:61–8.10.1016/j.jadohealth.2007.02.006Search in Google Scholar PubMed PubMed Central
26. Agampodi SB, Agampodi TC. Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Serv Res 2008;8:98–105.10.1186/1472-6963-8-98Search in Google Scholar
27. DeJong J, Jawad R, Mortagy I, Shepard B. The sexual and reproductive health of young people in the Arab countries and Iran. Reprod Health Matters 2005;13:49–59.10.1016/S0968-8080(05)25181-9Search in Google Scholar
28. Mehryar AH, Ahmad Nia S, Kazemipour S. Reproductive health in Iran: pragmatic achievements, unmet needs, and ethical challenges in a theocratic system. Stud Family Plann 2007;38:352–61.10.1111/j.1728-4465.2007.00146.xSearch in Google Scholar PubMed
29. Shahhosseini Z, Hamzehgardeshi Z. How do Iranian female adolescents express their health education needs? A needs assessment with qualitative thematic analysis. Int J Adolesc Med Health 2013:1–7.10.1515/ijamh-2013-0504Search in Google Scholar PubMed
30. Shahhosseini Z, Simbar M, Ramezankhani A, Majd HA. Supportive family relationships and adolescent health in the socio-cultural context of Iran: a qualitative study. Ment Health Fam Med 2013;9:251–6.Search in Google Scholar
31. Roudsari RL, Javadnoori M, Hasanpour M, Hazavehei SMM, Taghipour A. Socio-cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med 2013;11:101–10.Search in Google Scholar
32. Mohammad-Alizadeh CS, Wahlström R, Vahidi R, Nikniaz A, Marions L, et al. Barriers to high-quality primary reproductive health services in an urban area of Iran: views of public health providers. Midwifery 2009;25:721–30.10.1016/j.midw.2008.01.002Search in Google Scholar PubMed
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