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Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study

Boltena, Andualem Tadesse; Khan, Farhad Ali; Asamoah, Benedict Oppong LU and Agardh, Anette LU (2012) In BMC Public Health 12.
Abstract
Background: Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling. Methods: This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the... (More)
Background: Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling. Methods: This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services. Results: Two out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (p-value 0.01) in barriers faced by students originally from rural versus peri-urban/urban areas in seeking medical care (acceptability: 64.8%/74.5%, accessibility: 22.0%/12.6%, availability 13.2%/12.9%, respectively). Students who reported poor self-rated health encountered barriers in seeking both medical care and sexual health counselling that were significantly different from their other counterparts (p-value 0.001 and 0.007 respectively). Conclusions: Barriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
keywords
Acceptability, Accessibility, Availability, Unmet medical care need, Sexual health counselling need, Self-rated health, Youth-friendly, Uganda
in
BMC Public Health
volume
12
publisher
BioMed Central
external identifiers
  • wos:000313440900001
  • scopus:84869054137
ISSN
1471-2458
DOI
10.1186/1471-2458-12-986
language
English
LU publication?
yes
id
4bc3694e-1602-43c6-a2f3-bce3172b6964 (old id 3492319)
date added to LUP
2013-03-01 07:50:57
date last changed
2017-10-29 03:58:41
@article{4bc3694e-1602-43c6-a2f3-bce3172b6964,
  abstract     = {Background: Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling. Methods: This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services. Results: Two out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (p-value 0.01) in barriers faced by students originally from rural versus peri-urban/urban areas in seeking medical care (acceptability: 64.8%/74.5%, accessibility: 22.0%/12.6%, availability 13.2%/12.9%, respectively). Students who reported poor self-rated health encountered barriers in seeking both medical care and sexual health counselling that were significantly different from their other counterparts (p-value 0.001 and 0.007 respectively). Conclusions: Barriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups.},
  articleno    = {986},
  author       = {Boltena, Andualem Tadesse and Khan, Farhad Ali and Asamoah, Benedict Oppong and Agardh, Anette},
  issn         = {1471-2458},
  keyword      = {Acceptability,Accessibility,Availability,Unmet medical care need,Sexual health counselling need,Self-rated health,Youth-friendly,Uganda},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Public Health},
  title        = {Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study},
  url          = {http://dx.doi.org/10.1186/1471-2458-12-986},
  volume       = {12},
  year         = {2012},
}