Reaching the youngest moms and dads: a socio-ecological view of actors and factors influencing first-time young parents' use of sexual and reproductive health services in Madagascar
African Journal of Reproductive Health
; 23(3): 19-29, 2019. ilus
Artigo
em Inglês
| AIM (África)
| ID: biblio-1258537
Biblioteca responsável:
CG1.1
ABSTRACT
Globally, few programs consider the needs of first-time young parents (FTYPs), who face disproportionate negative health consequences during pregnancy and childbirth. Scant evidence exists on FTYPs' broader health needs. Formative research in two regions of Madagascar used a socio-ecological lens to explore, via 44 interviews and 32 focus group discussions, the influences on FTYPs at the individual, couple, family, community, and system levels. We spoke with FTYPs who had, and who had not, used sexual and reproductive health (SRH) services, their parents/kin and influential adults, and community health workers and facility health providers. Data analysis, guided by a codebook, used Atlas.ti. Age, social position, and implicit power dynamics operating within and across socio-ecological levels affected FTYPs' service-seeking behaviors. The nature and extent of influence varied by health service type. Cross-cutting social factors affecting service use/non-use included gender dynamics, pressures from mothers, in-laws, and family tradition, and adolescent stigmatization for too-early pregnancy. Structural and economic factors included limited awareness of and lack of trust in available services, unfriendliness of services, and FTYPs' limited financial resources. A socio-ecological program perspective can inform tailoring of activities to address broader SRH issues, including how relationships, gender, power, and intergenerational dynamics influence service use
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Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 11 Desigualdades e iniquidades na saúde
Base de dados:
AIM (África)
Assunto principal:
Comportamento Sexual
/
Serviços de Saúde Reprodutiva
/
Monitorização de Parâmetros Ecológicos
/
Madagáscar
Tipo de estudo:
Pesquisa qualitativa
Aspecto:
Determinantes sociais da saúde
/
Equidade e iniquidade
País/Região como assunto:
África
Idioma:
Inglês
Revista:
African Journal of Reproductive Health
Ano de publicação:
2019
Tipo de documento:
Artigo