The Role of Health Facility Governing Committees in Overseeing the Provision of Youth Friendly Sexual Reproductive Health Services at Primary Health Care Facilities in Mwanza City, Northwestern Tanzania.
Mungure Catherine Wilfred [Female]
The Role of Health Facility Governing Committees in Overseeing the Provision of Youth Friendly Sexual Reproductive Health Services at Primary Health Care Facilities in Mwanza City, Northwestern Tanzania. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] : 2020 - xiii; 86 Pages Includes References and Appendices
Abstract:
Background: Community participation through health facility governing committees participate in decision making and planning that recognized to improve quality, provision, and utilization of health care services. However, low utilization of youth friendly sexual reproductive health services that contribute to unplanned pregnancy, unsafe abortion, sexual transmitted diseases and maternal death among youth remain a challenge in developing countries including Tanzania. Therefore, the aim of this study was to explore the roles of health facility governing committees in overseeing the provision of youth friendly sexual reproductive health service at primary health care facilities in Mwanza city.
Methods: A case study qualitative design was utilized to explore roles of health facility governing committees in overseeing the provision of youth friendly sexual reproductive health service at primary health care facilities. A systematic random sampling was used to select members of health facility governing committee as study participants from ten primary health care facilities recruited. Data were collected through sixteen key informant’s interviews, four focus groups discussion and ninety three health facility governing committee minutes review. Data were analyzed by NVIVO version 10 software.
Result: The health facility governing committee ensures youth friendly sexual reproductive health service are provided to the youth. Allocate specific day in a week for youth services, promote youth circumcision, and provision of health education to youth through community health workers. However, there is under representation of youth in these committees, which count 20% of visited facilities reported to have a youth as member of committee as majority of members were adults or elders. This was influenced by the misconception that youth are not fit to represent their community. This could lead to a weak contribution of youth in planning and decision making with regard to youth friendly sexual reproduction health services.
Conclusion: Youth friendly sexual reproductive health services are provided to youth despite the existing unfriendly environment in the primary health care facilities. Youth participation and influence in decision making remain a challenge due to under representation in health facility governing committees meetings.
= Operational definitions Health facility: are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers. Operational definitions Health facility governing committee: Is a forum that links community and health service delivery team. It comprises of eight people such as; three community representative where among them one should be women as a member, one representative from non-governmental organization, one representative from faith based organization, one representative from private health facility, one representative from ward/village development committee and health facility in charge. Operational definitions Primary health care facilities: are the health facilities in primary levels which include health centers and dispensaries. Operational definitions Youth: In this study, youth are people who are aged 21-24 years that are eligible to be member of health facility governing committee Operational definitions Youth friendly sexual reproductive health services: are the services that may attract youth, meet their needs comfortably and responsively, and succeed in retaining them for continuing care. Key words Key Words: Youth representative, health facility governing committee, primary health care facility, youth friendly health service = Abbreviations and Acronyms AIDS Acquired immunodeficiency syndrome ANC Antenatal Clinic ARV Antiretroviral BMC Bugando Medical Centre BPDP Bachelor degree in Population and Development Planning CTC Care and Treatment Clinic CUHAS Catholic University of Health Allied and Science HFGC Health Facility Governing committees HIV Human Immunodeficiency Virus ICPD International Conference for Population and Development MDG Millennium Development Goals PHC Primary Health Care RCH Reproductive and child health SRHS Sexual Reproductive Health Services SDG Sustainable Development Goals STI/D Sexual Transmitted Infection/ Diseases TDHS Tanzania Demographic and Health Survey UNICEF United Nation Children’s Fund UNFPA United Nation Population Fund WHO World Health Organization YFSRHS Youth Friendly Sexual Reproductive Health Service
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Public Health
The Role of Health Facility Governing Committees in Overseeing the Provision of Youth Friendly Sexual Reproductive Health Services at Primary Health Care Facilities in Mwanza City, Northwestern Tanzania. - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] : 2020 - xiii; 86 Pages Includes References and Appendices
Abstract:
Background: Community participation through health facility governing committees participate in decision making and planning that recognized to improve quality, provision, and utilization of health care services. However, low utilization of youth friendly sexual reproductive health services that contribute to unplanned pregnancy, unsafe abortion, sexual transmitted diseases and maternal death among youth remain a challenge in developing countries including Tanzania. Therefore, the aim of this study was to explore the roles of health facility governing committees in overseeing the provision of youth friendly sexual reproductive health service at primary health care facilities in Mwanza city.
Methods: A case study qualitative design was utilized to explore roles of health facility governing committees in overseeing the provision of youth friendly sexual reproductive health service at primary health care facilities. A systematic random sampling was used to select members of health facility governing committee as study participants from ten primary health care facilities recruited. Data were collected through sixteen key informant’s interviews, four focus groups discussion and ninety three health facility governing committee minutes review. Data were analyzed by NVIVO version 10 software.
Result: The health facility governing committee ensures youth friendly sexual reproductive health service are provided to the youth. Allocate specific day in a week for youth services, promote youth circumcision, and provision of health education to youth through community health workers. However, there is under representation of youth in these committees, which count 20% of visited facilities reported to have a youth as member of committee as majority of members were adults or elders. This was influenced by the misconception that youth are not fit to represent their community. This could lead to a weak contribution of youth in planning and decision making with regard to youth friendly sexual reproduction health services.
Conclusion: Youth friendly sexual reproductive health services are provided to youth despite the existing unfriendly environment in the primary health care facilities. Youth participation and influence in decision making remain a challenge due to under representation in health facility governing committees meetings.
= Operational definitions Health facility: are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers. Operational definitions Health facility governing committee: Is a forum that links community and health service delivery team. It comprises of eight people such as; three community representative where among them one should be women as a member, one representative from non-governmental organization, one representative from faith based organization, one representative from private health facility, one representative from ward/village development committee and health facility in charge. Operational definitions Primary health care facilities: are the health facilities in primary levels which include health centers and dispensaries. Operational definitions Youth: In this study, youth are people who are aged 21-24 years that are eligible to be member of health facility governing committee Operational definitions Youth friendly sexual reproductive health services: are the services that may attract youth, meet their needs comfortably and responsively, and succeed in retaining them for continuing care. Key words Key Words: Youth representative, health facility governing committee, primary health care facility, youth friendly health service = Abbreviations and Acronyms AIDS Acquired immunodeficiency syndrome ANC Antenatal Clinic ARV Antiretroviral BMC Bugando Medical Centre BPDP Bachelor degree in Population and Development Planning CTC Care and Treatment Clinic CUHAS Catholic University of Health Allied and Science HFGC Health Facility Governing committees HIV Human Immunodeficiency Virus ICPD International Conference for Population and Development MDG Millennium Development Goals PHC Primary Health Care RCH Reproductive and child health SRHS Sexual Reproductive Health Services SDG Sustainable Development Goals STI/D Sexual Transmitted Infection/ Diseases TDHS Tanzania Demographic and Health Survey UNICEF United Nation Children’s Fund UNFPA United Nation Population Fund WHO World Health Organization YFSRHS Youth Friendly Sexual Reproductive Health Service
Wurzburg Road 35, BMC Premises, Post Code: 33102: P. O Box 1464, Mwanza – Tanzania: Phone: +255 28 298 3384: Fax: +255 28 298 3386: Email: vc@bugando.ac.tz : www.bugando.ac.tz
--Public Health