Browsing by Author "Muyenga, Marry L."

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    An Assessment of the Adolescent Participation, Adolescent Friendly Health Service Providers, and Adolescent Friendly Environment components of the AFHS Standards by Nurses in Otjozondjupa Region of Namibia
    (University of Namibia, 2017) Muyenga, Marry L.
    Adolescents are sensitive people who can easily get derailed by a number of challenges which can sometimes lead to detrimental results if they are not taken care of appropriately. Despite the existence of the National Standards for Adolescent Friendly Health Services which is supposed to assist in reducing teenage pregnancy, disturbing figures of adolescents getting pregnant continue to rise. This study aimed at assessing the implementation of the Adolescent Active Participation, Adolescent Friendly Health Care Provider and the Adolescent Friendly Environment components of the Adolescent Friendly Health Services by nurses in Otjozondjupa Region, Namibia. A quantitative descriptive, analytical cross-sectional study design was done. The study triangulated data from three data sources. The first population was the 38 nurses at the health centres and clinics who implement the Adolescent Friendly Health Services in Otjozondjupa Region. The second study population were all the 3 health centres and 16 Clinics where the Adolescent Friendly Health Services are implemented. The third study population was the 4 995 school-going teenage girls as potential users of the Adolescent Friendly Health Services in the 21 Secondary Schools of Otjozondjupa Region. Data for the teenage girls and the nurses was collected using self-administered structured questionnaires of open and close ended questions. A sample of 540 from the teenage girls’ population and universal sampling of 38 nurses and 19 health facilities was applied. The data on the third component-the health facilities was collected through a checklist. Variables which are related to either the use or the provision of Adolescent Friendly Health Services were selected from the questionnaires and the checklist. A multivariate, analytical descriptive method was followed to analyse the data from the three data sources, using SPSS Version 16 data base. Variables from each of the three components were analysed and described. The relationships of the selected variables were analysed. The findings indicated that there was limited active involvement and participation of the adolescents in the Adolescent Friendly Health Services as the majority of the adolescents as users of this service did not know about the service. The findings further indicated that almost half of the nurses in the service were not formally trained in Adolescent Reproductive and Sexual Health issues. Additionally, health facility environments were not adolescent friendly. In conclusion, this study revealed that although the standards for the implementation of AFHS exist, they are not being effectively implemented by Nurses in Otjozondjupa Region. Based on the conclusions which were drawn from this study, recommendations were made with regard to the improvement of adolescent active participation, marketing strategies for Adolescent Friendly Health Services, training of current and prospect adolescent health care providers in matters of adolescent friendly health services and improvement of the adolescent friendly environment in health care facilities.
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    Deliverance of the adolescent friendly health service standards by nurses in Otjozondjupa region of Namibia
    (2017) Muyenga, Marry L.; Amakali, Kristofina; Wilkinson, Wilma
    Despite the implementation of the national standards for Adolescent Friendly Health Services (AFHS) towards the prevention among others teenage pregnancy the, problem continues to rise across the regions of Namibia. This article presents the findings of a quantitative, cross-sectional, descriptive, analytical study regarding the implementation of the components on Adolescent Friendly Health Care Providers and the Adolescent Friendly Environment of the Adolescent Friendly Health Services standards by nurses in Otjozondjupa Region of Namibia. Quantitative data were collected from 12 registered nurse midwives and 23 enrolled nurse-midwives who implement the AFHS at the health care facilities (through structured self-interview questionnaire) and 18 health care facilities that implement the AFHS in Otjozondjupa Region (through checklist) for triangulation of the data. The data were analysed using the SPSS Version 16 data base. Descriptive and inferential statistics were performed on selected variables to determine the relationship of variables. The findings indicated that only 30% of the registered nurse-midwives compared to 75% of the enrolled nurses who implement the AFHS were formally trained in adolescent reproductive and sexual health issues. The findings further indicated that although 75% and 87% of the respective categories of nurse respondents indicated that they conduct school outreach activities, the initiative seems not being implemented effectively as can be inferred from only 14% of the registered nurse who indicated that they do conduct health education at schools. In the same vein, 90% of the health facilities had no spaces that were designated for the adolescent health services. Therefore, the recommendations were made in respect of the implementation of these two components of the AFHS standards at the health care facilities in the region.