Skip to main content

Table 4 Analysis of the context in which the health service utilization by adolescents was measured, who measured it, how the measurement was done, and what the findings of the measurement were

From: Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

Country

Context in which health service utilization by adolescents was measured

Who did the measurement?

Methods used in the measurement

Results of the measurement of service utilization by adolescents

Bangladesh [18]

National quality and coverage assessment

A research institution with support from WHO

Household coverage survey

Though 49 % of the youth in the intervention areas and 54 % in the comparison areas reported visiting a health service provider in the period six months prior to the survey, this difference was not significant

India [19]

State level quality and coverage assessment study

Nongovernment organization with support from WHO

Household coverage survey carried out in the catchment area of health facilities - 10 village clusters around 10 intervention sub-centres and 10 village clusters around 10 comparison sub-centres

For government-run health facilities, the utilization of health services in the intervention health facilities was higher than that in than the comparison facilities.

Indonesia [20]

Managers and staff of 62 health facilities surveyed reported that service-utilization by adolescents was increasing but there was no data to back up their impressions. (20)

Data on health service utilization was not available from the Ministry of Health. Data from a project in Aceh province, Indonesia showed both improvements in quality and increases in service/utilization [26].

Malawi [21]

District level project on improving access to sexual and reproductive health services for adolescent girls

Joint United Nations programme on adolescent girls in conjunction with the Ministry of Health at the national and Chikwawa district level

Assessment of service statistics

In 2011, there were 12 visits by girls aged 10–14 years and 330 visits by girls aged 15–19 years. In 2012 there were 163 visits by girls aged 10–14 years and 512 visits by girls aged 15–19 years.

Moldova [22]

External review of a project to scale up adolescent friendly health services nationwide

Independent team of consultants engaged by the Swiss Development Cooperation Agency with support from the Ministry of Health

Household coverage survey and assessment of service statistics

In 2009 - 5 % young people reported using youth friendly health services (30 % boys and 70 % girls). In 2012, 12 % (38.7 % boys and 61.3 girls) did so.

Mongolia [23]

Nationwide survey of quality and coverage of health service provision for adolescents

Consultant team engaged by Ministry of Health and supported by WHO

Assessment of service statistics from 82 health facilities complemented by a school based coverage survey

The number of boys aged 14 – 18 who used services increased from 15,575 in 2008) to 30,741 in 2010. The number of girls aged 14 – 18 years who used services increased from 29,852 in 2008 to 57,236 in 2010. Similarly, the number of boys aged 18–24 s who used services increased from 6,914 in 2008 to 17,381 in 2010. And the number of girls aged 18 –24 who used services increased from 13,876 in 2008 to 32,072 in 2010.

Tanzania [24]

Data on health service utilization was not available from the Ministry of Health. Data from a multisite project in the country showed both improvements in quality and increases in service/utilization [27].

Ukraine [25]

National level quality assessment study - repeat evaluation

Academic institution with the support of the Ministry of Health and UNICEF

Analysis of service statistics

Data emanating from evaluations carried out in 2008, 2009 and 2010, show a steady trend in the increase in service utilization both for the younger and the older age groups of adolescents.