TY  - BOOK
AU  - Mungure Catherine Wilfred
AU  - Konje, Eveline 
AU  - Nyanza, Elias 
TI  - 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
PY  - 2020///
CY  - Mwanza, Tanzania:  
PB  - Catholic University of Health and Allied Sciences [CUHAS - Bugando]
KW  -  
N2  - 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.



ER  -