Comparing youth-friendly clinics to the standard of care for adolescent girls and young women in Malawi

A qualitative analysis

Dados Bibliográficos

ID15540813
AutoresTwambilile Phanga (0000-0002-9519-7672, University of Malawi), Caroline McKay (University of North Carolina at Chapel Hill), Dhrutika Vansia (0000-0003-1370-0180, Baylor College of Medicine Children’s Foundation, autor correspondente), Nivedita L Bhushan (0000-0002-3417-3263, RTI International), Bertha Maseko (0000-0003-2864-3844, Malawi-Liverpool-Wellcome Trust Clinical Research Programme), Linda Kamtsendero (0009-0002-4031-2837, University of Malawi), Lauren A Graybill (0000-0002-8679-642X, University of North Carolina at Chapel Hill), Mina C Hosseinipour (0000-0003-2174-313X, University of Malawi), Linda-Gail Bekker (0000-0002-0755-4386, University of Cape Town), Audrey Pettifor (0000-0002-3387-0817, University of North Carolina at Chapel Hill), Nora E Rosenberg (0000-0002-9759-9966, University of Malawi)
Ano2025
Volume20
Fascículo1
Páginas2481466-2481466
Data de publicação2025-03-26
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2025.2481466
PMID40138518
OpenAlexW4408907228
IdiomaEN
Citações recebidas3
Referências citadas31

Adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) face difficulties accessing sexual and reproductive health (SRH) services. Youth-friendly service delivery models may prove an alternative to increase SRH service uptake. This analysis utilises evidence from the Girl Power-Malawi study, a study designed to compare the impact of different models of service delivery on SRH service uptake for AGYW. Three intervention clinics trained providers in youth-friendly health services (YFHS), engaged young peer educators in patient outreach, expanded hours and integrated various services into youth-dedicated spaces. A standard of care (SOC) clinic was included as a comparator. This paper draws on qualitative data from in-depth interviews with 60 participants (15 per clinic) and 8 focus group discussions (2 per clinic). Thematic analysis identified three key themes regarding SRH service acceptability: having peer educators made AGYW feel more comfortable seeking services; AGYW perceived services at intervention clinics to be more private; and clinic modifications such as free services, longer operating hours and integration of different SRH services made services easier to access. Adolescents expressed that these factors contributed to higher service uptake in intervention clinics. Youth-friendly service provisions are needed to ensure AGYW find care-seeking acceptable

Family medicine · Qualitative research · Sociology · Adolescent and Pediatric Healthcare · Adolescent Sexual and Reproductive Health · Medicine · Poverty, Education, and Child Welfare · Psychology