Background: Very little is known about reproductive health service (RHS) availability and adolescents' use of these services in post-conflict settings. Such information is crucial for targeted community interventions that aim to improve quality delivery of RHS and outcomes in post-conflict settings. The objectives of this study therefore was to examine the density of RHS availability; assess spatial patterns of RHC facilities; and identify youth-friendly practices associated with adolescents' use of services in post-conflict Burundi.
Methods: A cross-sectional survey was conducted from a full census of all facilities (n = 892) and provider interviews in Burundi. Surveyed facilities included all public, private, religious and community association owned-centers and hospitals. At each facility efforts were made to interview the officer-in-charge and a group of his/her staff. We applied both geospatial and non-spatial analyses, to examine the density of RHS availability and density, and to explore the association between youth-friendly practices and adolescents' use of RHS in post-conflict Burundi.
Results: High spatial patterning of distances of RHC facilities was observed, with facilities clustered predominantly in districts exhibiting persistent violence. But, use of services remained undeterred. We further found a stronger association between use of RHS and facility and programming characteristics. Community outreach, designated check-in/exam rooms, educational materials (posters, print, and pictures) in waiting rooms, privacy and confidentiality were significantly associated with adolescents' use of RHS across all facility types. Cost was associated with use only at religious facilities and youth involvement at private facilities. No significant association was found between provider characteristics and use of RHS at any facility.
Conclusions: Our findings indicate the need to improve youth-friendly service practices in the provision of RHS to adolescents in Burundi and suggest that current approaches to provider training may not be adequate for improving these vital practices. Our mixed methods approach and results are generalizable to other countries and post-conflict settings. In post-conflict settings, the methods can be used to identify service availability and spatial patterns of RHC facilities to plan for targeted service interventions, to increase demand and uptake of services by youth and young adults.
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http://dx.doi.org/10.1186/s12942-016-0075-3 | DOI Listing |
PeerJ
January 2025
Department of Nursing and Public Health, University of Northern Iowa, Iowa, United States of America.
Background: The risk of non-communicable diseases (NCDs) in conflict and post-conflict settings in Northeastern Nigeria has not been evaluated to date. As this region undergoes recovery, understanding the prevalence of NCDs, such as hypertension, diabetes, depression, and obesity, and the associated behavioral coping mechanisms, is crucial for developing tailored healthcare solutions. Therefore, this study aimed to assess the impact of conflict on the prevalence of NCDs in conflict-exposed areas in Northeastern Nigeria compared with non-conflict regions.
View Article and Find Full Text PDFNutr Health
January 2025
Department of Epidemiology, Faculty of Medicine, University of Pristina Temporarily Seated in Kosovska Mitrovica, Kosovska Mitrovica, Serbia.
Background: Stressors associated with the ongoing ethnic tensions may be the drivers of more frequent night eating, and subsequently, a higher body mass index.
Aim: To examine the association of night eating with body mass index (BMI) and waist circumference among health sciences students in Northern Kosovo.
Methods: A cross-sectional study was carried out at the University of Prishtina in Kosovska Mitrovica from November 2018 to March 2019.
After years of armed conflict in northern Uganda, many local people have turned to Evangelical churches for help with healing and recovery. We observe that the healing practices in these churches encourage particular notions of what the mind is, how the mind works and whether it is bounded or porous to the outside world. In the traditional cultural setting in which these people grew to adulthood, many accept that vengeance can attack supernaturally from without.
View Article and Find Full Text PDFThis review aims to contribute to the understanding of violence against women and girls in conflict-affected and fragile settings through a systematic review and meta-analysis to document the available evidence on the prevalence of intimate partner violence and non-partner sexual violence during periods of armed conflict and in post-conflict periods. A total of 45 studies were included. Inclusion criteria were: population-based, observational studies that collected quantitative data with women (aged 15 years or older), included prevalence data on intimate partner violence or sexual violence, was collected in a conflict-affected context (active conflict or within 10 years after conflict) and was self-reported by women themselves.
View Article and Find Full Text PDFFront Sports Act Living
November 2024
iGEO Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaiso, Chile.
The Colombianitos Foundation (CF) is a pioneering youth development organization that utilizes football as a pedagogical instrument to promote life skills, civic values, and social inclusion in vulnerable communities across Colombia. This study aims to challenge the foundational assumption that sport can catalyze positive change and impart civic values, by investigating the perceived change and efficacy of the CFs Goals for a Better Life program on positive youth development in Colombia. Employing a qualitative research methodology, 28 in-depth interviews with administrators and coaches were conducted, followed by a content analysis to identify thematic patterns.
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