Filipa de Castro1, Jean Marie Place2, Betania Allen-Leigh1, Tonatiuh Barrientos-Gutierrez1, Kiya Dues3, Marcela Eternod Arámburu4, Mauricio Hernández-Avila1. 1. Reproductive Health Division, Center for Population Health Research, National Institute of Public Health, Cuernavaca, Mexico; Universidad No. 655 Colonia Santa Maria Ahuacatitlan, Cerrada Los Pinos y Caminera, C.P. 62100 Cuernavaca, Morelos, Mexico. 2. Ball State University, Department of Nutrition and Health Science, Muncie, IN, USA; Department of Nutrition and Health Science, Cooper Science Building, CL 325, Ball State University, Muncie, IN 47306, USA. Electronic address: jsplace@bsu.edu. 3. Ball State University, Department of Nutrition and Health Science, Muncie, IN, USA; Department of Nutrition and Health Science, Cooper Science Building, CL 325, Ball State University, Muncie, IN 47306, USA. 4. National Institute of Women of Mexico, Blvd. Adolfo Lopez Mateos 3325, Piso 5., San Jeronimo Lidice, Distrito Federal. CP 10200, Mexico.
Abstract
OBJECTIVE: To examine adolescent simulated clients' perceived barriers to quality care as they sought information on contraceptives in public-sector healthcare facilities and pharmacies in Mexico. STUDY DESIGN: We used a qualitative research design and conducted semi-structured interviews with eight young women who posed as simulated clients at health centers and pharmacies in Mexico City. Grounded Theory was used to analyze the transcripts. RESULTS: Barriers to receiving information about contraceptives included healthcare professionals who gave administrative pretexts to avoid providing services. Simulated clients also felt judged by healthcare professionals and reported a lack of simple, understandable and pertinent information. Healthcare professionals did not ensure clients understood and had no further questions about using contraceptives, which resulted in clients' poor perceived self-efficacy, as well as a lack of confidence in the healthcare system to help them. CONCLUSIONS: When healthcare professionals fail to provide services according to the World Health Organization's five basic criteria of adolescent friendly care, adolescents perceive important barriers in their access to contraceptive methods. Quality of sexual health care in Mexico would benefit from efforts to improve healthcare professionals' knowledge, attitudes and skills related to adolescent friendly service delivery.
OBJECTIVE: To examine adolescent simulated clients' perceived barriers to quality care as they sought information on contraceptives in public-sector healthcare facilities and pharmacies in Mexico. STUDY DESIGN: We used a qualitative research design and conducted semi-structured interviews with eight young women who posed as simulated clients at health centers and pharmacies in Mexico City. Grounded Theory was used to analyze the transcripts. RESULTS: Barriers to receiving information about contraceptives included healthcare professionals who gave administrative pretexts to avoid providing services. Simulated clients also felt judged by healthcare professionals and reported a lack of simple, understandable and pertinent information. Healthcare professionals did not ensure clients understood and had no further questions about using contraceptives, which resulted in clients' poor perceived self-efficacy, as well as a lack of confidence in the healthcare system to help them. CONCLUSIONS: When healthcare professionals fail to provide services according to the World Health Organization's five basic criteria of adolescent friendly care, adolescents perceive important barriers in their access to contraceptive methods. Quality of sexual health care in Mexico would benefit from efforts to improve healthcare professionals' knowledge, attitudes and skills related to adolescent friendly service delivery.
Authors: Sebastián Sanz-Martos; Isabel María López-Medina; Cristina Álvarez-García; María Zoraida Clavijo-Chamorro; Antonio Jesús Ramos-Morcillo; María Mar López-Rodríguez; Ana Fernández-Feito; Silvia Navarro-Prado; María Adelaida Álvarez-Serrano; Laura Baena-García; María Ángeles Navarro-Perán; Carmen Álvarez-Nieto Journal: Int J Environ Res Public Health Date: 2020-08-13 Impact factor: 3.390
Authors: Reyna Sámano; Hugo Martínez-Rojano; Gabriela Chico-Barba; Bernarda Sánchez-Jiménez; Selene Sam-Soto; Ana Lilia Rodríguez-Ventura; Laura Mejía-Luna; Sylvia Sclavo-Melo Journal: Int J Environ Res Public Health Date: 2019-03-20 Impact factor: 3.390