Themes/provider | Dispensaries | Drug shops | Home-based care volunteers | Village AIDS committees | Social workers | Village health workers | Traditional birth attendants | Traditional healers | Youth clubs |
---|---|---|---|---|---|---|---|---|---|
ARH knowledge, beliefs attitudes and practices | We do not give antenatal care services to women without husbands Adolescents are promiscuous Adolescents fear us No facilities to offer confidential youth-friendly services | Adolescents are promiscuous We can't give condoms to young adolescents as they are not old enough to have sex | Adolescents should stop bad behaviour of sexual intercourse | We can reveal to parents when their children ask for condoms We are a close-knit community, my nephew can't ask for condoms and I keep quiet | Adolescents shouldn't have sex when still young | It is our prerogative to decide what RH services adolescents can access, a child is raised by the village | No reported negative attitude among the participating traditional birth attendants | We can't give fertility information to adolescents because they're still young | No reported negative attitude among the participating youth clubs |
Services offered | Syndromic STI diagnosis and treatment Contraceptives including VCT Antenatal and postnatal care Referral Health education | Sale of drugs including antibiotics, condoms Advice on medicines and dosages Limited referral to formal health services Health education and promotion | Guidance Palliative care Counselling HIV test ART adherence counselling Referral | Condom and family planning education Advice and referral to health facilities | Home visits Palliative care Counselling | Education Counselling Health education and promotion Distribution of condoms Referral | Home delivery Midwife duty Assistance at dispensary Pregnancy education and referral | Herbal remedies Counselling Infertility treatment Abortions, home births, treatment of STIs | Condom distribution Peer-counselling and education Advocacy |
Main RH needs of adolescents | Family planning, HIV prevention (mainly condoms) STI treatment Delivery, abortion | Condoms Pregnancy information STI treatment | Condoms, counselling Welfare support | Condoms AIDS information | Condoms AIDS information | Condoms, information, leaflets on AIDS | Pregnancy care Mostly maternal delivery services | Fertility inquiries and STI treatment | Condoms and leaflets on AIDS |
Unmet RH needs of adolescents | Youth-friendly services, abortion (illegal), complex FP, HIV testing, ARV initiation | STI testing, FP, abortion | FP | FP, counselling | FP | FP, STI treatment | HIV-related services, home-based antenatal care. Maternal delivery of first or fifth birth | None | HIV counselling, FP |
Community referral | We refer patients to drug shops when there are no drugs at the dispensary, to health centres for complicated services | We refer to dispensaries for prescriptions | We refer to dispensaries and village health workers | We refer to dispensaries | We refer to dispensaries | We refer to dispensaries | We refer to dispensaries | We don't refer People come to us from dispensaries | We refer to dispensaries and village health workers |
Preferred referral intervention | We want to control delivery of all RH service delivery All should refer to us | Our contribution to PHC should be recognised We need formal integration with dispensaries | More connections with the dispensaries Referral forms are not confidential | Dispensaries should raise awareness We need an ambulance service | We need outreach activities in the communities conducted by health facilities | We need transport facilitation to accompany patients to dispensaries | We need training and resources to conduct home deliveries | We need formal recognition by the health services | We want more health education in the communities, and facility support for youth initiatives |
ARH, adolescent reproductive health; ART, antiretroviral therapy; ARV, antiretroviral; FP, family planning; PHC, primary health care; RH, reproductive health; STI, sexually transmitted infection; VCT, voluntary counselling and testing.