Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar

作者: Phyu Phyu Thin Zaw , Tippawan Liabsuetrakul , Thien Thien Htay , Edward McNeil

DOI: 10.1186/1472-6963-12-458

关键词: Nursing researchReproductive healthPublic healthMedicineHealth administrationDeveloping countryFamily planningProgram evaluationEnvironmental healthPopulation

摘要: Inequity of accessibility to and utilization reproductive health (RH) services among youths is a global concern, especially in resource-limited areas. The level inequity also varies by cultural socio-economic contexts. To tailor RH the needs youths, relevant solutions are required. This study aimed assess baseline information on access unmet living resource-limited, suburban communities Mandalay City, Myanmar. A community-based, cross-sectional was conducted all total 444 randomly selected aged between 15 24 years were interviewed for three main outcomes, namely youth's these services. Factors associated with outcomes determined using multivariate logistic regression. Although geographical high (79.3%), financial low (19.1%) resulting overall (34.5%) Two-thirds used some kind at least once past. Levels sexual information, family planning, maternal care HIV testing 62.6%, 31.9%, 38.7% 56.2%, respectively. Youths south or south-western suburbs, having deceased parent, never being married exposed mass media less likely Being young adult, current student, working as waste recycler, ever experienced relationship, married, media, knowledge providers significantly increased likelihood those In addition youths’ socio-demographic characteristics, exposure norm peer types influenced towards Despite availability services, youth’s unsatisfactory. levels alarmingly high.

参考文章(58)
Arunrat Tangmunkongvorakul, Sam-Ang Seubsman, Cathy Banwell, Gordon Carmichael, Matthew Kelly, Iwu Dwisetyani Utomo, Adrian Sleigh, Use and perceptions of sexual and reproductive health services among Northern Thai adolescents Southeast Asian Journal of Tropical Medicine and Public Health. ,vol. 43, pp. 479- 500 ,(2012)
Stanley K. Henshaw, Factors Hindering Access to Abortion Services Family Planning Perspectives. ,vol. 27, pp. 54- 87 ,(1995) , 10.2307/2135905
Tippawan Liabsuetrakul, Myo-Myo-Mon, Factors influencing married youths' decisions on contraceptive use in a rural area of Myanmar. Southeast Asian Journal of Tropical Medicine and Public Health. ,vol. 40, pp. 1057- 1064 ,(2009)
Panitchpakdi P, Kywe B, Sein Uk, Podhipak A, Family planning: knowledge, attitudes and practice survey in Zigone, Myanmar. Southeast Asian Journal of Tropical Medicine and Public Health. ,vol. 24, pp. 636- 646 ,(1993)
M. Adriana Cecília Hernández Hernández, Julio Cesar Carmona, Luis Alfredo Ignacio Hernández Alvarez, Influencia de los factores socioculturales en la morbilidad y/o mortalidad materna y perinatal de adolescentes atendidas en tres estados de la República Mexicana Ginecología y obstetricia de México. ,vol. 70, pp. 320- 327 ,(2002)
Farouk M. Shakhatreh, Unmet need for family planning. Saudi Medical Journal. ,vol. 24, pp. 1268- 1269 ,(2003)
J I B Adinma, E D Adinma, Impact of Reproductive Health on Socio-economic Development: A Case Study of Nigeria African Journal of Reproductive Health. ,vol. 15, pp. 7- 12 ,(2011) , 10.4314/AJRH.V15I1.67851
Nathan J. Heard, Ulla Larsen, Dairiku Hozumi, Investigating access to reproductive health services using GIS: proximity to services and the use of modern contraceptives in Malawi. African Journal of Reproductive Health. ,vol. 8, pp. 164- 179 ,(2004) , 10.2307/3583189
David H. Peters, Ronald H. Gray, Robert E. Black, Connie Gultiano, Stan Becker, The determinants of use of maternal and child health services in Metro Cebu, the Philippines* Health transition review. ,vol. 3, pp. 77- 89 ,(1993)
M Islam, Progress towards achieving Millennium Development Goal 5 in South‐East Asia British Journal of Obstetrics and Gynaecology. ,vol. 118, pp. 6- 11 ,(2011) , 10.1111/J.1471-0528.2011.03108.X