Nurse-Midwives' Attitudes towards Adolescent Sexual and Reproductive Health Needs in Kenya and Zambia
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Date
2006Author
Warenius LU.
Faxelid E.
Chishimba PN.
Musandu JO.
Ong'any AA.
Nissen EB.
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Adolescent sexuality is a highly charged moral issue in Kenya and Zambia. Nurse-midwives are the core health care providers of adolescent sexual and reproductive health services but public health facilities are under-utilised by adolescents. The aim of this study was to investigate attitudes among Kenyan and Zambian nurse-midwives (n=820) toward adolescent sexual and reproductive health problems, in order to improve services for adolescents. Data were collected through a questionnaire. Findings revealed that nurse-midwives disapproved of adolescent sexual activity, including masturbation, contraceptive use and abortion, but also had a pragmatic attitude to handling these issues. Those with more education and those who had received continuing education on adolescent sexuality and reproduction showed a tendency towards more youth-friendly attitudes. We suggest that critical thinking around the cultural and moral dimensions of adolescent sexuality should be emphasised in undergraduate training and continuing education, to help nurse-midwives to deal more empathetically with the reality of adolescent sexuality. Those in nursing and other leadership positions could also play an important role in encouraging wider social discussion of these matters. This would create an environment that is more tolerant of adolescent sexuality and that recognises the beneficial public health effect for adolescents of greater access to youth-friendly sexual and reproductive health services
URI
http://www.ncbi.nlm.nih.gov/pubmed/16713886http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/31920
Citation
Reprod Health Matters. 2006 May;14(27):119-28.Publisher
Kitwe School of Nursing, Kitwe, Zambia Department of Nursing Sciences, University of Nairobi, Nairobi, Kenya Division of Reproductive and Perinatal Health Care, Department of Women and Child Health, Karolinska Institute, and School of Life Science, University of Skövde, Stockholm, Swede
Collections
- Faculty of Health Sciences (FHS) [10377]