Uncovering and responding to needs for sexual and reproductive health care among poor urban female adolescents in Nicaragua

Tropical Medicine and International Health

Volumn 11, Issue 12, 2006, Pages 1858-1867

  Meuwissen, Liesbeth E ^a,b   Gorter, Anna C ^c   Segura, Zoyla ^c   Kester, Arnold D M ^d   Knottnerus, J A ^d,e  

^a Netherlands Institute for Health Service Research ^*  (Netherlands)

^b NETHERLANDS INSTITUTE FOR HEALTH SERVICES RESEARCH   (Netherlands)

^c Instituto CentroAmericano de la Salud   (Nicaragua)

^d MAASTRICHT UNIVERSITY   (Netherlands)

^e Health Council of the Netherlands   (Netherlands)

Author keywords

Access to care; Adolescents; Nicaragua; Sexual and reproductive health care; Unmet needs; Voucher programme

Indexed keywords

CONTRACEPTIVE AGENT;

ADOLESCENCE; HEALTH CARE; HEALTH SERVICES; LOW INCOME POPULATION; MULTIPLE REGRESSION; REPRODUCTIVE HEALTH; SEXUALLY TRANSMITTED DISEASE; WOMENS HEALTH;

ADOLESCENT; ADOLESCENT PREGNANCY; ADULT; ARTICLE; CONSULTATION; CONTRACEPTION; FEMALE; GENITAL TRACT INFECTION; HEALTH CARE ACCESS; HEALTH CARE NEED; HUMAN; LOWEST INCOME GROUP; MAJOR CLINICAL STUDY; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; NICARAGUA; PATIENT COUNSELING; POVERTY; PREGNANCY TEST; PRENATAL CARE; PRESCRIPTION; PREVALENCE; PRIMARY MEDICAL CARE; REPRODUCTIVE HEALTH; RISK FACTOR; SCHOOL CHILD; SEXUAL BEHAVIOR; SEXUAL HEALTH; SEXUALLY TRANSMITTED DISEASE; STATISTICAL ANALYSIS; URBAN POPULATION;

ADOLESCENT; ADOLESCENT BEHAVIOR; ADOLESCENT HEALTH SERVICES; ADULT; CHILD; CONTRACEPTION BEHAVIOR; DEVELOPING COUNTRIES; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH SERVICES RESEARCH; HUMANS; NICARAGUA; PATIENT ACCEPTANCE OF HEALTH CARE; PRIMARY HEALTH CARE; REPRODUCTIVE HEALTH SERVICES; URBAN HEALTH SERVICES;

CENTRAL AMERICA; MANAGUA [NICARAGUA]; NICARAGUA;

EID: 33751356199     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/j.1365-3156.2006.01741.x     Document Type: Article

References (30)

1. Alcaldía de Managua (2000) Managua a Shared Future (in Spanish) Plan General de Desarrollo Municipal. Alcaldia de Managua, Hermanamiento Amsterdam-Managua, Managua, Nicaragua, pp. 1-10.
2. Ali MM & Cleland J (2005) Sexual and reproductive behaviour among single women aged 15-24 in eight Latin American countries: a comparative analysis. Social Science and Medicine 60, 1175-1185.
3. Baeten JM & Overbaugh J (2003) Measuring the infectiousness of persons with HIV-1: opportunities for preventing sexual HIV-1 transmission. Current HIV Research 1, 69-86.
4. Berglund S, Liljestrand J, Marin FM, Salgado N & Zelaya E (1997) The background of adolescent pregnancies in Nicargua: a qualitative approach. Social Science and Medicine 44, 1-12.
5. Blanc AK & Way AA (1998) Sexual behavior and contraceptive knowledge and use among adolescents in developing countries. Studies in Family Planning 29, 106-116.
6. Buchacz K, Patel P, Taylor M et al. (2004) Syphilis increases HIV viral load and decreases CD4 cell counts in HIV-infected patients with new syphilis infections. AIDS 18, 2075-2079.
7. Che Y, Cleland JG & Ali MM (2004) Periodic abstinence in developing countries: an assessment of failure rates and consequences. Contraception 69, 15-21.
8. Conde-Agudelo A, Belizan JM & Lammers C (2005) Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: cross-sectional study. American Journal of Obstetrics and Gynecology 192, 342-349.
9. Gorter A, Sandiford P, Rojas Z & Salvetto M (2003) Competitive Voucher Schemes for Health, Background Paper. Part of the Toolkit on Competitive Voucher Schemes for Health. World Bank; ICAS/Private Sector Advisory Unit of The World Bank Group, Washington, DC.
10. Gorter AC (2002) Final Project Report: A Voucher Scheme for Adolescents in Nicaragua to Improve the Uptake of Reproductive Health Services Adolescent Project. London School of Hygiene and Tropical Medicine/Department for International Development-UK, London, UK.
11. Hippisley-Cox J, Allen J, Pringle M et al. (2000) Association between teenage pregnancy rates and the age and sex of general practitioners: cross-sectional survey in Trent 1994-1997. BMJ 320, 842-845.
12. Hughes J & McCauley AP (1998) Improving the fit: adolescents' needs and future programs for sexual and reproductive health in developing countries. Studies in Family Planning 29, 233-245.
13. INEC Instituto Nacional de Estadística y Censos & Ministerio de Salud (2001) Demographic Health Survey Nicaragua 2001 (in Spanish), Managua, Nicaragua. Instituto nacional de Estadística and Censos y Ministerio de Salud, Calverton, MD USA; Marco International/DHS+ Program.
14. Langer A (2002) Unwanted pregnancy: impact on health and society in Latin America and the Caribbean (in Spanish). Revista panamericana de salud pública 11, 192-204.
15. Mayor S (2004) Pregnancy and childbirth are leading causes of death in teenage girls in developing countries. BMJ 328, 1152.
16. Meuwissen LE, Gorter AC, Kester AD & Knottnerus JA (2006a) Can a comprehensive voucher program prompt changes in doctors' knowledge, attitudes, and practices related to sexual and reproductive health care for adolescents? A case study from Latin America. Tropical Medicine and International Health 11, 889-898.
17. Meuwissen LE, Gorter AC, Kester AD & Knottnerus JA (2006b) Does a competitive voucher program for adolescents improve the quality of reproductive health care? A simulated patient study in Nicaragua BMC Public Health 6, 204.
18. Meuwissen LE, Gorter AC & Knottnerus JA (2006c) Impact of accessible sexual and reproductive health care on poor and underserved adolescents in Managua, Nicaragua. A quasi-experimental intervention study. The Journal of Adolescent Health 38, 56.
19. Meuwissen LE, Gorter AC & Knottnerus JA (2006d) Perceived quality of reproductive care for girls in a competitive voucher program. A quasi-experimental intervention study, Managua, Nicaragua. International Journal of Quality Health Care 18, 35-42.
20. Ministry of Health, Nicaragua (1999) Direccíon General de Servicios de Salud and Direccíon de atencion integral a la mujer, niñez y adolescencia (1999) Program of integral care for adolescents. Technical and Administrative Norms, First Level of Attention. (in Spanish) Ministry of Health, Managua, Nicaragua, pp. 1-37.
21. MSI, Marie Stopes International (1995) A Cross-Cultural Study of Adolescents' Access to Family Planning and Reproductive Health Education and Services. Final Report to the World Bank, 1995.
22. Pons JE (1999) Contraceptive services for adolescents in Latin America: facts, problems and perspectives. The European Journal of Contraception and Reproductive Health Care 4, 246-254.
23. Rani M, Figueroa ME & Ainsle R (2003) The psychosocial context of young adult sexual behavior in Nicaragua: looking through the gender lens. International Family Planning Perspectives 29, 174-181.
24. Ranjit N, Bankole A, Darroch JE & Singh S (2001) Contraceptive failure in the first two years of use: differences across socioeconomic subgroups. Family Planning Perspectives 33, 19-27.
25. Sandiford P, Gorter A & Salvetto M (2005) A Guide to Competitive Vouchers in Health. The International Bank for Reconstruction and Development/The World Bank, Washington, DC, USA, pp. 1-109.
26. Senderowitz J (1997) Health facility programs on reproductive health for young adults. Research Series. 6-6-2001. FOCUS on young adults, Washington DC, USA, pp. 1-51.
27. Sexton J, Garnett G & Rottingen JA (2005) Metaanalysis and metaregression in interpreting study variability in the impact of sexually transmitted diseases on susceptibility to HIV infection. Sexually Transmitted Disease 32, 351-357.
28. Singh S (1995) Adolescent knowledge and use of injectable contraceptives in developing countries. Journal of Adolescent Health 16, 396-404.
29. UNAIDS Inter-Agency Task Team on Young People (2004) Steady.... Ready..... Go. Department of Child and Adolescent Health and Development, World Health Organisation, Geneva, pp. 1-8.
30. Zelaya E, Pena R, Garcia J et al. (1996) Contraceptive patterns among women and men in Leon, Nicaragua. Contraception 54, 359-365.