Quality of counselling of young clients in Zimbabwe.
Researchers observed 418 consultations with clients aged 12-24 years at 38 health facilities throughout Zimbabwe and interviewed both the clients and providers.
Less than one percent of clients at these facilities were aged 12-14 years ; between 5% and 20% were aged 15-19 years.
Compared with older clients, those aged 12 - 16 years came more often for antenatal care and medical problems and less often for family planning.
In sessions with 12 - 16 years, the most common topics were STI) s (48%) and school (46%), while sessions with older clients focused more on family planning (56-68%). Providers rarely discussed adolescence or non-sexual problems such as alcohol and drugs.
Younger clients were less likely than older clients to ask questions without prompting (16%), expressed their concerns (27%), and they were more likely to appear embarrassed (58%) and shy (64%). Most service providers believed that the parents should be notified if a young, unmarried client was pregnant (89%), had HIV/AIDS (74%), or engaged in sex at « an early » age (73%). The findings suggest that young people may be reluctant to seek advice at health facilities because of legitimate concerns about privacy, providers'attitudes, and narrow focus on reproductive health.
Mots-clés Pascal : Qualité, Conseil, Prévention, Adulte jeune, Homme, Enfant, Adolescent, Zimbabwe, Afrique, Epidémiologie, Centre santé
Mots-clés Pascal anglais : Quality, Council, Prevention, Young adult, Human, Child, Adolescent, Zimbabwe, Africa, Epidemiology, Health center
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0226991
Code Inist : 002B30A03B. Création : 11/09/1998.