Nezal Azh1, Fatemeh Nahidi2, Giti Ozgoli2, Gelayol Ardalan3. 1. PhD Student, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran. 2. Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University, Tehran, Iran. 3. Pediatrician, Ministry of Health and Medical Education, Islamic Republic of Iran, Tehran, Iran.
Abstract
INTRODUCTION: Providing health services for adolescents requires exploration of hidden factors from the perspective of adolescents, providers, and key individuals. Understanding the process of providing health services from adolescents point of view will help receiving and continuation of services. Although many studies have been conducted in Iran on adolescents health needs, few studies have dealt with provision of these services to adolescents. AIM: The present study aimed to explain the adolescents and key informants' perception of healthcare provision. MATERIALS AND METHODS: The present qualitative study was conducted according to grounded theory. Data were collected using deep semi-structured individual interviews and group discussion. Participants were selected through purposive sampling followed by theoretical sampling. Participants in present study were 65 adolescents, nine youths (19-24-year-old), and 19 parents and key people involved in providing health services. Adolescents and their parents were selected from different parts of Tehran. Data collection continued until data saturation, and was analysed using Corbin-Strauss (2008) method. RESULTS: Issues relating to adolescents perception of the process of providing services included health concerns, society's inappropriate behaviours, and weakness of the health services system in responding to adolescents needs, which as underlying factors contributed to adolescents confusion in receiving services and their proper coping with puberty. CONCLUSION: Due to lack of education on how to manage puberty by parents, schools, society, and the health system, participating adolescents from Tehran were confused about receiving information and unable to manage puberty problems. Solving this problem requires continuity of services and interaction of family, school and community.
INTRODUCTION: Providing health services for adolescents requires exploration of hidden factors from the perspective of adolescents, providers, and key individuals. Understanding the process of providing health services from adolescents point of view will help receiving and continuation of services. Although many studies have been conducted in Iran on adolescents health needs, few studies have dealt with provision of these services to adolescents. AIM: The present study aimed to explain the adolescents and key informants' perception of healthcare provision. MATERIALS AND METHODS: The present qualitative study was conducted according to grounded theory. Data were collected using deep semi-structured individual interviews and group discussion. Participants were selected through purposive sampling followed by theoretical sampling. Participants in present study were 65 adolescents, nine youths (19-24-year-old), and 19 parents and key people involved in providing health services. Adolescents and their parents were selected from different parts of Tehran. Data collection continued until data saturation, and was analysed using Corbin-Strauss (2008) method. RESULTS: Issues relating to adolescents perception of the process of providing services included health concerns, society's inappropriate behaviours, and weakness of the health services system in responding to adolescents needs, which as underlying factors contributed to adolescents confusion in receiving services and their proper coping with puberty. CONCLUSION: Due to lack of education on how to manage puberty by parents, schools, society, and the health system, participating adolescents from Tehran were confused about receiving information and unable to manage puberty problems. Solving this problem requires continuity of services and interaction of family, school and community.
Entities:
Keywords:
Adolescent’s health; Developing country; Grounded theory; Health care systems
Authors: Michael L Booth; Diana Bernard; Susan Quine; Melissa S Kang; Tim Usherwood; Garth Alperstein; David L Bennett Journal: J Adolesc Health Date: 2004-01 Impact factor: 5.012