Quality of counselling of young clients in Zimbabwe

Y. M. Kim, C. Marangwanda, A. Kols

Research output: Contribution to journalArticlepeer-review

Abstract

Researchers observed 418 consultations with clients aged 12-24 years at 38 health facilities throughout Zimbabwe and interviewed both the clients and providers. Less than one per cent of clients at these facilities were aged 12-14 years; between 5% and 20% were aged 15-19 years. Compared with older clients, those aged 12 - 16 years came more often for antenatal care and medical problems and less often for family planning. In sessions with 12 - 16 years, the most common topics were STDs (48%) and school (46%), while sessions with older clients focused more on family planning (56-68%). Providers rarely discussed adolescence or nonsexual problems such as alcohol and drugs. Younger clients were less likely than older clients to ask questions without prompting (16%), expressed their concerns (27%), and they were more likely to appear embarrassed (58%) and shy (64%). Most service providers believed that the parents should be notified if a young, unmarried client was pregnant (89%), had HIV/AIDS (74%), or engaged in sex at "an early" age (73%). The findings suggest that young people may be reluctant to seek advice at health facilities because of legitimate concerns about privacy, providers' attitudes, and narrow focus on reproductive health.

Original languageEnglish (US)
Pages (from-to)514-518
Number of pages5
JournalEast African medical journal
Volume74
Issue number8
StatePublished - Aug 1 1997

ASJC Scopus subject areas

  • Medicine(all)

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