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A COMPARATIVE STUDY ON THE AVAILABILITY AND CHARACTERISTICS OF YOUTHY FRIENDLY HEALTHCARE SERVICES PROVIDED BY GOVERNMENT AND NON-GOVERNMENTAL FACILITIES IN LAGOS STATE.
Abstract
Introduction
Adolescence as a particular stage of development has associated with it characteristics that P community, must have respect for their background and consider all the aspect of their health and well-being. These services are provided in Nigeria by the government and non-governmental organization. This study therefore compared the youth friendly healthcare services provided by the government and non-governmental facilities in Lagos state.
Methods
It was a descriptive comparative study using a mixed method approach consisting of survey of youth friendly facilities assessment, survey of clients utilizing the youth friendly facilities and key informant interview of the provider of YFHS in 5 government and 5 non-governmental youth friendly facilities in Lagos state. Two hundred and ninety four and 273 clients aged 15 to 24 years attending the government and non-governmental youth friendly facilities respectively were consecutively recruited from 10 youth friendly health facilities from August to October 2014. A facility check list, semi structured interviewer administered questionnaire and a key informant interview guide were used for facility assessment, survey of clients attending the youth friendly facilities and interview of the providers of YFHS respectively at the selected youth friendly facilities. Statistical Package for Social Sciences (SPSS) and thematic analysis were used to analyze the quantitative and qualitative data respectively. Ethical approval for the study was obtained from the Health Research and Ethics Committee of the Lagos State University Teaching Hospital.
Results
The mean age (18.5±3.0 years) of respondents attending the government youth friendly facilities was significantly higher than those attending the non- governmental youth friendly
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facilities (17.1±2.5) (p<0.001). The type of model of youth friendly facilities of the GYFF were community based and hospital based health facilities while community based centre and outreach information were the models of youth friendly facilities at the NGYFF. A significantly higher proportion (55.1%) of client attending the government youth friendly facilities accessed sexual and reproductive health services compared with those attending the non-governmental youth friendly facilities(38.8%0 (p <0.05). The privacy and confidentiality of services offered by the government and non-governmental youth friendly facilities were comparable (p>0.05). All the peer educators and staff at the government youth friendly facilities were trained compared with 40% of those at the non-governmental youth friendly facilities (p<0.05)There was no significant difference in the utilization and available health services at the governmental and non-governmental youth friendly facilities. Factors associated with utilization of youth friendly services at the government youth friendly facilities includes marital status, having a child and feeling that information shared with the healthcare providers was kept confidential. While being in school, having a child, feeling that information shared with the healthcare providers was kept confidential and physical accessibility of the facility were the factors associated with utilization of the non-governmental youth friendly facilities. Multivariate analysis showed that clients who felt that information shared with the healthcare providers was kept confidential and were able to access the youth friendly facilities were over two times likely to utilize the youth friendly facilities compared with those that were not sure information shared with the health care providers was kept confidential and who could not easily access the youth friendly facilities. The major challenges of the providers of youth friendly facilities includes; funding, shortage of staff, and lack of sufficient space.
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Conclusion
Although the quality of the youth friendly health services was better at the government facilities, there was no significant difference in the utilization of the government and non-governmental youth friendly facilities. There is need for funding, improvement in the physical structure and provision of trained man power for both the government and non-governmental youth friendly facilities.
Title Page———i
Certification——–ii
Dedication———iii
Acknowledgement——-iv
Abstract ———vi
Table of Content——–vii
Chapter One
1.0 Introduction ——-1
1.1 Statement of Problem——4
1.2 Purpose of the Study——5
1.3 Significance of Study——8
1.4 Limitation——–9
1.5 Scope of Study——-11
Chapter Two
2.0 Review of Related Literature —-12
2.6 Summary of Literature Review—- 19
Chapter Three
3.0 Research Methodology and Procedure—22
3.1 Population ——–22
3.2 Sample and Sampling Technique—-22
3.3 Validation of the Instrument —-23
3.4 Reliability of the Instrument —–23
3.5 Data Analysis——-23
Chapter Four
4.0 Presentation and Discussion of Result—24
4.1 Analysis and interpretaion of Data—25
4.2 Discussion of Results——38
Chapter Five
5.0. Summary, Conclusion, and Recommendation –40
5.1 Summary——–40
5.2 Conclusion——–41
5.3 Recommendation——42
References ———45
Appendix 1——–47
Appendix ———50
