Abstracts 2021/2022

Youth’s perspectives on a Sustainable Model for the provision of Youth Friendly Sexual and Reproductive Health Services in Kenya: A quantitative approach. 3

2021-12-21T07:24:34Z

Youth’s perspectives on a Sustainable Model for the provision of Youth Friendly Sexual and Reproductive Health Services in Kenya: A quantitative approach. 3 Murigi, M; Moagi, M; Mogale, R Nearly half of the world’s population comprise youths. However, addressing their Sexual and Reproductive Health (SRH) remains a challenge. Globally countries are mandated to continually provide Youth Friendly Sexual and Reproductive Health services (YFSRHs) to the youth. The objective of this study was to assess and describe youth’s perspectives on a sustainable model for the provision of YFSRHs in Kenya. Data was collected among 400 youths aged 18-24 years in Embu and Kirinyaga counties, Kenya. A structured questionnaire was utilized as the data collection tool. Collected data was analysed using SAS statistical software version 9.4. Statistical threshold of P ≤ 0.05 was used. Overall the mean age of the study participants was ± standard deviation (SD) 21.2±1.86 years. Majority of the participants’ perspective on the health care system sustainability was that the waiting time at the facility should be less than an hour, accessible geographically (less than a kilometre), affordable (≤ 20 Ksh.), and convenient working hours (weekday and weekends ratio 1:1). Advocacy was on health care provider’s attributes of politeness, welcoming, confidential and non-judgmental. The most preferred locations for the youth friendly centres by the participants were community and school based locations. Similarly, parental and community support was reported to highly contribute to sustained utilization and provision of the YFSRHs (P<0.001). Unlike popular believe, 99.8% did not see the need for recreational facilities at the youth centres to ensure sustainability of the model. To ensure a sustainable model for the provision of YFSRHs, there is need for a multi-sectoral and stakeholder involvement that is; youth, health care system structure, health care service providers, parents and community. Further research is needed on parents and health care service provider’s perspectives on how to sustain the provision of YFSRH services. .

A Sustainable Model For The Provision Of Youth Friendly Sexual And Reproductive Health Services In Kenya: An Intergrative Review Of Literature

2021-12-21T07:10:25Z

A Sustainable Model For The Provision Of Youth Friendly Sexual And Reproductive Health Services In Kenya: An Intergrative Review Of Literature Murigi, M; Mogale, R; Moagi, M Globally, countries are mandated to provide Youth Friendly Sexual and Reproductive Health services to the youth. However, the world’s prospect for achieving Sustainable Development Goals 3.7 and 5 is jeopardized by the growing youth population. This review was the first phase of a doctoral study which was intended to develop a sustainable model for the provision of Youth Friendly Sexual and Reproductive Health services in Kenya. The aim of the review was to map out the state of knowledge on Youth Friendly Sexual and Reproductive Health services. Methods The review was guided by the principles of systematic literature review. The PICO\PICo formats guided the review process. Searches were conducted to studies done between January 2012 to January 2020. CINAHL: Cumulative Index to Nursing and Allied Health Literature (EBSCOhost), PubMed and Cochrane databases were the search platforms for electronic evidence. Thematic analysis was used to synthesis evidence. Results A total of 653 studies were identified during the search strategy however the filtering process led to the selection of 30 studies for review. Worldwide, young people’s sexual and reproductive health problems are similar. Replicated barriers to sustained provision of youth friendly services included: poor appointment times, unavailable commodities, poor acceptability mostly due to cultural and religious reasons, inaccessibility, and lack of health service providers training on youth sexual and reproductive health issues. From the review, a targeted approach to provision of the services generated better outcomes than an integrated approach. Conclusion The review indicated that the considerations such as the involvement of the youths before, while and after receiving the services at the delivery sites should be underscored. To achieve sustainable change, a sustainable model for the provision of youth friendly services is the entry point to prevention and improving young people’s sexual and reproductive health issues.

Health Literacy and Doctor-Patient Communication: Why Clinicians Should Be Concerned

2021-12-21T07:02:05Z

Health Literacy and Doctor-Patient Communication: Why Clinicians Should Be Concerned Butto, D Effective health provider-patient communication, a precursor to building a wholesome, trusting relationship, has been recognized as a vital factor in cultivating suitable self-management practices among patients with chronic infections like HIV/AIDS. However, inadequate health literacy among patients is a well-known barrier to effective doctor patient communication. This study was, therefore, aimed at investigating the influence of health literacy on doctor patient communication among HIV/AIDS patients in Homa Bay county, Kenya. Specifically, it established the influence of functional, communicative, critical health literacy, and patient demographics' moderating effect on doctor patient communication. It was a cross-sectional, hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach's alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while the Chi-square test was used to establish the relationship between demographic factors and doctor patient communication. Logistic regression and multiple logistic analyses were used to measure the independent variables' influence on the dependable variable. In summary, 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. Gender, educational level, marital status, and illness duration were all significantly associated with doctor patient communication in this study at p values less than 0.05. The respondents' functional and communicative health literacy levels were inadequate at weighted means scores of 3.23 (SD 1.31) and 3.392 (SD1.152), respectively. Most respondents described doctor