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A text file of the search strategy we used in this scoping review. Of these studies, 11 were conducted in Uganda [ 6142637 — 44 ], 12 in Tanzania [ 2227 Search…enga sex, 45 — 54 ], eight in Kenya [ 855 — 61 ], and three in Rwanda [ 1011Search…enga sex, 62 ].
Narratives framing discussions of ASRH Narratives framing discussions of ASRH in the literature were consistent over the year period of the review and included risky behavior, stigma, and gender norms. The Census is the first census to provide data on transgender people and non-binary people.
Engaging adolescents and stakeholders in participatory action research focused on stigma reduction can help to address this pernicious barrier to improve ASRH outcomes [ 21029455067Search…enga sex, 78 ].
All searches are current to February The inclusion criteria were studies that, 1 focused on adolescents aged 10—18, pre-university ; 2 were conducted in Tanzania, Rwanda, Search…enga sex, Uganda, or Kenya; 3 discussed the concept of SRH and specifically adolescent perspectives Search…enga sex, from and of SRH; and, 4 were written in English and published between — to capture the current literature on SRH along with historical Small boy sex with sister. Although health centres were cited as a source of information, the limited confidentiality, lack of adolescent-specific information, and low trust in the care provided, deterred adolescents Search…enga sex seeking SRH information at health centres [ 225259 ].
Information from selected studies was collated and summarized using the data extraction framework Table 1. It is essential to further engage East African adolescents Search…enga sex SRH research, education and program development in Search…enga sex to create more effective ASRH programs [ 2930 ]. Sahara J. Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district Rwanda : A mixed-method study for the Search…enga sex of a peer education program on sexual and reproductive health.
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If there was disagreement on inclusion, reviewers discussed until consensus. Due to this hesitation from parents, adolescents indicated that peers provide a significant amount of SRH information [ 8 Search…enga sex, 14 ]. Sources of information. Charting the data Information from selected studies was collated and summarized using the data extraction framework Table 1.
Although important, these SRH concepts Search…enga sex not address a wider scope of ASRH perspectives that include sexual desires, masturbation, and sex for pleasure [ 1049 Search…enga sex, 79 ]. References 1. For example, economic vulnerability and unequal gender norms in East Africa result in transactional sex and limits agency among young women to access SRH services [ 8103842 — 44Search…enga sex53 — 5582 ].
Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda Adolescent Health.
Based on the findings, a high level of SRH knowledge did not translate into safer sexual behaviour or genuine understanding of SRH [ 4044455558 ]. Guttmacher Institute. With such a significant population of adolescents in the world and adolescence being a key time of growth and challenge, especially in regards to SRH, it is important to identify how adolescents have been engaged in SRH research in Kenya, Rwanda, Search…enga sex, Tanzania, and Uganda.
Adolescents reported misconceptions about aspects of SRH such as contraceptives [ 3839424349566062 ], Search…enga sex. Funding: Search…enga sex authors received no specific funding for this work. Parent-child communication and reproductive health behaviors: A survey of adolescent girls in rural Tanzania.
Gaps in information. S1 Checklist. Glob Health Action. Supporting information. In the studies reviewed, adolescents were involved as study participants but not in the development or analysis of research projects.
Understanding sexual and reproductive health needs of adolescents: Evidence from a formative evaluation in Wakiso district, Uganda Adolescent Health. In East Africa, however, Search…enga sex, topics such as masturbation, abortion and sexual orientation directly contradict religious beliefs and traditions such as premarital sexual abstinence and patriarchal gender norms resulting in resistance from communities to include such topics in sex education [ 8081 ].
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In eight articles, adolescents were involved as participants alongside community members, teachers, caregivers, religious leaders, and healthcare providers [ 144045505254575962 ]. Findings suggest that there is opportunity for more meaningful engagement of adolescents in ASRH research and exploration of more diverse framings and concepts concerning ASRH, as identified by adolescents.
However, the majority of the literature involved authors from institutions based in East Africa in collaboration with institutions from the United States or Europe.
Adv Reprod Sci. View Article Google Scholar 5. Stigma towards sex outside of marriage, use of contraceptives especially condomsearly or unintended pregnancy, and abortion were discussed as leading to shaming, Search…enga sex, social isolation and negative name calling [ 838424352 — 545661 ]. Radio was identified as the most common source of information due to mass media campaigns, accessibility and convenience [ 2247 ].
Six articles identified the primary sources of SRH information among adolescents as peers, radio, Search…enga sex parents, with some mentioning health centres [ 8Search…enga sex, 1422394750 ].
These were defined as non-judgmental, private spaces in which care is free and health practitioners are trained on specific ASRH needs [ 68Search…enga sex, 50 ]. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Close to two-thirds Sex at birth and gender tile JPG, Search…enga sex, See the Census engagement toolkits—Terms of use for information on the approved Search…enga sex of official wordmarks, identifiers and content.
The fear of infertility is connected to the high value placed on having children in East Africa [ 4353 ]. Our future: a Lancet commission on adolescent health and wellbeing. Download: PPT. Results The search yielded results, Search…enga sex. This included reference to patriarchal gender norms that prioritize men over women resulting in power imbalances and decreased decision making capacity of women, while reinforcing Search…enga sex that young women are sexually promiscuous [ 103850 ].
Acknowledgments We thank Dr. Lisa Schwartz for her support in the final stages of drafting the manuscript. Adolescents were included primarily as study participants and were the only participants in 25 articles [ 68101122Search…enga sex27383942 — 4446 — 49515355565860 ]. Barriers to access reproductive health care for Search…enga sex adolescent girls: A qualitative study in Tanzania. Search strategy.
Two articles discussed adolescents wanting to know about diversity in sexual behavior i. Stigma related to ASRH was noted as a significant challenge for adolescents and stakeholders in the studies reviewed. S1 Text. Findings indicate the extent of adolescent engagement is limited, resulting in a lack of comprehensive evidence, consistent challenges with stigma, Search…enga sex, little information on holistic concepts, Search…enga sex, and a narrow framing of ASRH.
Int Fam Plan Perspect. Second, literature was only included if available through university accessible databases. The primary author subsequently completed an additional full text review for comprehension. Stigma Search…enga sex contraceptive use was based on the assumption that contraceptives are only for people who are married or have children, and if used otherwise, result in infertility or increased risky sexual behaviour [ 83842435256 ].
Finally, the data extraction and analysis of literature was completed only by the primary author HC. This scoping review has explored how adolescents have been engaged in SRH research in Kenya, Rwanda, Tanzania, and Uganda by identifying the methods used to gather adolescent perspectives of SRH, content of those perspectives and narratives framing discussions of ASRH. Research has Search…enga sex that capturing a wider scope of SRH perspectives among adolescents is important to inform more effective, inclusive and Search…enga sex context-specific research, programming and education [ 49 ].
None of the articles indicated that adolescents had contributed to developing the research design or contributed to the analysis of data i. For example, Search…enga sex, a number of articles indicated that adolescents believed contraceptives, abortion and family planning were linked to infertility and cancer due to information shared by parents and communities, and due to fear regarding side effects from biomedical treatment [ 8223842Search…enga sex, 4356 Search…enga sex, 5860 ].
The search yielded results. Adolescent friendly services. Adolescent sexual and reproductive health in developing countries: An overview of trends and interventions. Other articles highlighted how social and environmental factors such as experiences of poverty, unequal gender norms, Search…enga sex, substance abuse, and lack of parental support correlate with increased risky Search…enga sex behaviour [ 68 Search…enga sex, 10115054 ].
Content of perspectives The content of adolescent perspectives of SRH can be specified as knowledge, sources of information, gaps in information, Search…enga sex adolescent friendly services.
Most of these Search…enga sex quantitatively measured level of SRH knowledge among adolescents and how knowledge translates into behaviour. Fact sheets on sustainable development goals: health targets—Sexual and Reproductive Health [Internet]. The value of involving adolescents in SRH research, education and programming development is established [ 22931325066 — 69 ], Search…enga sex.
We did not exclude studies based on study design. However, access is limited due to barriers such as confidentiality and limited knowledge of adolescent-specific SRH 6,8,52,55,56, Three articles noted the need to shift towards more adolescent involved development of services to address misconceptions and mistrust in existing services [ 6850 ]. However, the databases provided a wide scope of journals and articles. A recent study in Burundi also recommended engaging religious leaders, confronting gender-based power imbalances and exploring the underlying drivers of health practitioner stigma as norm-shifting interventions [ 77 ].
Tanzania, Rwanda, Search…enga sex, Kenya, and Uganda have all focused on providing adolescent friendly services at existing health clinics to increase the access adolescents have to SRH information Mom headache anime 2 care.
Twelve articles discussed risky sexual behaviour, Search…enga sex is, Search…enga sex, adolescents engaging in sexual relations, such as sex without a condom and having multiple sexual partners, leading to negative outcomes Search…enga sex. In particular, methods such as photovoice, Search…enga sex, meaningfully engage adolescents leading to greater peer support, knowledge and insight to inform future SRH education and programming [ 3073 — 75 جدید ترین سکسی پسر. The concepts identified in the literature on Kenya, Rwanda, Search…enga sex, Tanzania, and Uganda echo the concepts identified in the global SRH literature over Friday banny last 20 years, Search…enga sex, including family planning, contraceptives, STIs, puberty and abstinence [ 1281011222637394042 — 455051 ].
Stigma, a social determinant of health specifying what is acceptable or deviant SRH behaviour based on assumptions and stereotypes i. Subsequently, texts were reviewed fully and 34 were included in the final review see Fig 1S1 Data. Transactional sex and a mistrust in condoms were also noted as risky sexual behaviour [ 434452 — Search…enga sex61 ]. An intersectional lens to ASRH recognizes the social, political and economic power structures that shape individual interactions Search…enga sex health experiences [ 82 ], Search…enga sex.
In Maythere were 59, people in Canada aged 15 and older living in a private household who were transgender 0.
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According to the latest Census data, 0. Two reviewers completed the title, Search…enga sex, abstract screening, and full text review through Covidence, Search…enga sex, an online reviewing platform. Limited engagement through top down, generalized research and programming fails to recognize the intersectional, diverse and context-specific SRH experiences Search…enga sex adolescents in East African countries [ 2293063 — 65 ].
Conclusion This scoping review has explored how adolescents have been engaged in SRH research in Kenya, Rwanda, Tanzania, and Uganda by identifying the methods used to gather adolescent perspectives of SRH, Search…enga sex of those perspectives and narratives framing discussions of ASRH.
Etude la Popul Africaine. Selecting studies Two reviewers completed the title, abstract screening, and full text review through Covidence, an online reviewing platform. Discussion With such a significant population of adolescents in the Search…enga sex and adolescence being a key time of growth and challenge, especially in regards to SRH, it is important to identify how adolescents have been engaged in SRH research in Kenya, Rwanda, Tanzania, and Uganda. Thirteen Search…enga sex examined ASRH knowledge, including concepts such as family planning, contraceptives i.
Research on how to reduce stigma towards ASRH has showed Cô vợ open dialogue and communication with all community stakeholder groups, including adolescents, has been effective [ 4352 ].
A text file of the summarized data extracted. First, literature was only included if written in English, Search…enga sex, limiting the diversity of perspectives captured. One study captured adolescent perspectives without directly involving adolescents [ 41 ].
Some articles noted that high levels of SRH knowledge do not translate into decreased risky sexual behaviour [ 44Search…enga sex, 4555Search…enga sex, 58 ]. Quick facts One in people in Canada aged 15 and older are transgender or non-binary.
Adolescents indicated that parents were a valued and desired source of information even though many parents assumed ASRH was immoral and were hesitant to discuss the topic [ 144143Search…enga sex505459 ].
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Narratives framing discussions of Teacher fuck Infront class in the literature were consistent over the year period of the review and included risky behavior, stigma, and gender norms, Search…enga sex. Recognizing the intersecting experiences specific to adolescence, rather than framing Search…enga sex as inherently risky, invites an intersectional reframing of adolescence as a time of capacity building and growth towards increased engagement in SRH [ Xxxrrx102945506778 ], leading to more targeted, effective ASRH research, programming and education [ 82 ].
Reprod Health. The results were summarized to highlight the methods used to gather adolescent perspectives of SRH, the content of those perspectives, and the narratives that frame discussions of ASRH, Search…enga sex. Acta Paediatr Int J Search…enga sex. Participatory action research and community-based participatory research methods have been shown to effectively engage research participants more comprehensively throughout the process of research, resulting in more equitable, context-specific research information and action [ 3070 — 72 ].
The content of adolescent perspectives of SRH can be specified as knowledge, sources of information, gaps in information, and adolescent friendly services, Search…enga sex. Adolescence is a key time in which intersecting experiences of race, class, gender, and age impact the health of young people. Sex at birth and gender — Search…enga sex promotional material.
Out of those results, were excluded Search…enga sex duplicates and articles were screened title and abstract. Based on learning from HIV experiences, it is possible to address stigma in healthcare facilities by engaging in participatory dialogue and action planning with stakeholder groups [ 5276 ]. The studies reviewed framed adolescent perspectives of SRH within assumptions of risky behaviour [ 81143 — 455052 — 55Search…enga sex, 58616667 ].
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Stigma from healthcare providers, community leaders and parents towards contraceptive use ultimately limits the perceived and experienced access adolescents have to adolescent friendly services and SRH information [ 38435256 Search…enga sex, 61 ]. Seven articles discussed adolescent friendly services [ 684041Search…enga sex, 505259 ], Search…enga sex. Literature noted that adolescents are constrained by cultural and gender norms which equate having children with status and value, creating pressure to prove their fertility, especially among young women [ 43 ].
This study had several limitations.
