دورية أكاديمية
Assessing the experiences of teenage mothers in accessing healthcare in Rwanda.
| العنوان: | Assessing the experiences of teenage mothers in accessing healthcare in Rwanda. |
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| المؤلفون: | Mizero D; School of Medicine, University of Global Health Equity, Kigali, Rwanda. delphine.mizero@student.ughe.org., Dusingize MI; School of Medicine, University of Global Health Equity, Kigali, Rwanda., Shimwa A; School of Medicine, University of Global Health Equity, Kigali, Rwanda., Uwimana A; School of Medicine, University of Global Health Equity, Kigali, Rwanda., Waka TY; Center for Gender Equity, University of Global Health Equity, Kigali, Rwanda., Wong R; Institute of Global Health, University of Global Health Equity, Kigali, Rwanda.; School of Public Health, Yale University, New Haven, USA. |
| المصدر: | BMC public health [BMC Public Health] 2024 Aug 26; Vol. 24 (1), pp. 2309. Date of Electronic Publication: 2024 Aug 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Health Services Accessibility* , Pregnancy in Adolescence*/psychology, Humans ; Female ; Adolescent ; Pregnancy ; Rwanda ; Qualitative Research ; Interviews as Topic ; Mothers/psychology ; Mothers/statistics & numerical data ; Young Adult |
| مستخلص: | Teen mothers are more susceptible to the negative consequences of pregnancy, due to system-wide and socio-cultural barriers to accessing needed services, posing higher pregnancy complications and health risks to the babies and mothers. Understanding their lived experience can inform context-specific health programs and interventions that address their needs and improve the health outcomes. Twenty-three women who had delivered her first child before the age of 18 years were interviewed using semi-structured interview guide. The transcripts were coded, categorized and summarized into four major themes: 1) Many pregnant teen girls were disadvantaged by the system from accessing the healthcare services, 2) Although being judged, many found the health care services positive and important, 3) Faced financial difficulty in accessing health services, despite most medical services are covered by community based health insurance, 4) Health care services focuses mostly on the medical health of pregnancy, the social and psychological needs were mostly not available. The study highlighted the gap in providing mental health services, financial support to the teen mothers as part of a comprehensive health services. Some of them consulted health services for the first time with and did not return for follow up if perceived the services was bad. More sensitive and targeted materials and ANC services can be offered to this unique group of clients. More acceptance training to the health care providers and the public is needed. For health facilities, there is a need to also check their psychological wellbeing when seeking ANC services. Online or mobile phone-based mental health interventions may provide some solutions to the issue. Government should re-evaluate the health insurance system to avoid unintentional exclusion of this group of population. Policy to facilitate men to take responsibilities on teen pregnancy issue is needed. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Adolescent health; Health access; Sexual and reproductive health; Teenage pregnancy; Women of reproductive age |
| تواريخ الأحداث: | Date Created: 20240826 Date Completed: 20240826 Latest Revision: 20240829 |
| رمز التحديث: | 20240830 |
| مُعرف محوري في PubMed: | PMC11345957 |
| DOI: | 10.1186/s12889-024-19769-z |
| PMID: | 39187826 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
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| DOI: | 10.1186/s12889-024-19769-z |