Examining the effectiveness of government provided ASRH services: a case study of Pearl Project, Bushenyi District
Mparana, Linda Brenda
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ASRH service provision is very important in improving the Reproductive Health status of a community especially that of young people. In Bushenyi District, a large portion of young people are sexually active yet their reproductive health needs are less met and their parents do not regularly discuss with them issues relating to their sexuality. The study’s general objective was to assess the effectiveness of Government/PEARL provided ASRH services in Bushenyi District taking the case of Kyabugimbi sub-county. The study was a descriptive cross sectional study employing both qualitative and quantitative methods of data collection. Multistage simple random sampling was used and a total of 108 adolescents were interviewed. Semi-structured interviews were used for quantitative data and FGD and KI guides for qualitative data. Data was coded, entered and analysed using SPSS soft ware. Master sheet analysis was used for analyzing qualitative data. The ASRH services in Kyabugimbi Sub County were fairly available, especially through most of the programmes and activities such as adolescent clubs, guidance and counseling services, condom distributions, prevention and management of STI/STDs by Government health facility in collaboration with PEARL, PSI, ICOBI, among others. However, as regards the delivery room, the Health Service Providers pointed out the lack of an equipped theatre that makes it hard for service to attend to the expecting mothers especially in case of an emergency as they have to drive all the way to Nchwanga Hospital in Ishaka town which is about 40km from Kyabugimbi health centre. Young people’s needs include, access to information, counseling and guidance services, family planning services, STI/STD treatment and prevention, accessibility to the health centre in case of emergencies, availability of youth friendly services and friendly service providers, availability of medicines among others. Health service providers need to be trained more in adolescent youth friendly service provision especially in aspects of privacy and confidentiality and gentleness while handling adolescents as they are very sensitive people. The government should put more funding in to the health sector Programmes so that government facilities such as ambulances are well equipped to handle any emergencies that may arise in order to achieve two of the millennium development goals like decreased child mortality and maternal mortality by 2015. Emphasis should be put more on the adolescent youth friendly service provision because despite the available services, the aspect of adolescent friendly services should be there. Parent peer educators should talk to their fellow parents and encourage them to talk to their children because the available ASRH services lack the component of Adolescent Youth Friendly service provision. Kyabugimbi Sub County health centre IV especially had the need for a well equipped theatre which is already built but lacks equipment to handle delivery emergencies when they arise. Parents need to be involved in planning for the RH Programmes in the community, as this will help expose them to the urgency of RH services and possibly own the Programmes and participate and approve their presence in the community.