Rights based-approach understanding of sexual and reproductive health and rights among adolescents in Thua Thien Hue province, vietnam

Mai Thuy Doan To, Cong Hoang Quach

Abstract


Introduction: After more than twenty years of exploring and promoting globally Sexual and Reproductive Health and Rights (SRHR), the majority of Vietnam adolescents are still not able to claim their rights. The study evaluates youth’s knowledge, attitude, and demand; and determine the factors which infl uence the current knowledge, attitude of adolescents about SRHR. Methods: This is a cross-sectional study using a mixed method approach. For quantitative research, 3080 students (aged 1118 years) fi lled in a self-administered structured questionnaire. A two-stage sampling method was performed, based on the student proportion of high schools in Thua Thien Hue Province, Vietnam. For qualitative research, focus group discussions were conducted with four distinct groups of students and six personal interviews were held with teachers and local authorities. Result: The research revealed that 68.8% of students wanted access to servicesbut only 32.2% of the students actually knew about SRHR. The knowledge of students about SRHR
was associated with age of the students and the education level of their respective mothers. The attitude of students to SRHR was related to the age and gender of the students; the marital status of their parents and the education level of mothers. Conclusion: As a fundamental human right, the improvement in the awareness and capacity of adolescents on SRHR plays a vital role in the promotion of sexual and reproductive comprehensive healthcare systems accessibility towards young people.


Keywords


Sexual reproductive health and rights; knowledge; attitude; demand; adolescents; accessibility and law

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References


Briefi ng Cards: Sexual and Reproduc ve Health and Rights (SRHR) and the Post-2015 Development Agenda. 2015.

Interna onal Planned Parenthood Federa on (IPPF). Charter Guidelines on Sexual and Reproduc ve Rights. 1994. London: IPPF Regent’s College, Inner Circle, Regent’s Park; 1996.

Ac on for the Rights of Children (ARC). ARC resource pack: Cri cal issue module 4 - Sexual and reproduc ve health, 2009. Available at: h p:// www.refworld.org/docid/4b55d1c32.html. Accessed 14 August 2017.

Save the children. Adolescent sexual and reproduc ve health and rights (ASRHR). 2014. Available at: h p://www.savethechildren. org/a /cf/%7B9def2ebe-10ae-432c-9bd0df91d2eba74a%7D/ASRHR%20UPDATE%202014. PDF . Accessed February 2, 2016.

Bulle n of the World Health Organiza on 2010;88:551-555. doi: 10.2471/ BLT.09.063412.

Stop aids now. What is: Evidence and rights based approach? Available at: h p://www.stopaidsnow. org/node/211. Accessed February 2, 2016.

Interna onal Planned Parenthood Federa on (IPPF). Sexual rights: an IPPF declara on. 2011.

Ministry of Health. Na onal Standards and Guidelines on Reproduc ve Health Care. 2009: p.339.

United Na ons Popula on Fund Vietnam Young people’s need for sexual and reproduc ve health. Available at: h p://vietnam.unfpa.org/en/topics/ young-people%E2%80%99s-need-sexual-andreproduc ve-health.

Ministry of Health, GSO, and ADB, Survey Assessment of Viet Namese Youth 2 (SAVY2). 2010.

Center for Crea ve Ini a ves in Health and Popula on (CCIHP). Sexual and Reproduc ve Rights of peopple with disabili es, Ha Noi, Vietnam. 2011.

Using a Project Example: “Ethnic Minori es in Ha

Giang Province, Vietnam and Reproduc ve Health Care .

Adolescent Sexual and Reproduc ve Health toolkit for Humanitarian Se ngs. A Companion to the Inter-Agency Field Manual on Reproduc ve Health in Humanitarian Se ngs. UNFPA and Save the Children USA; 2009. h p://www.unfpa.org/sites/ default/fi les/pub-pdf/UNFPA_ASRHtoolkit_english.pdf. Accessed 2 February 2016. 14 Essen al Packages Manual: Sexual and Reproduc ve Health and Rights Programmes for Young People.

Sarosh Iqbal, Rubeena Zakar, Muhammad Zakria Zakar, Florian Fischer. Percep ons of adolescents’ sexual and reproduc ve health and rights: a cross-sec onal study in Lahore District, Pakistan. BMC Interna onal Health and Human Rights. h ps://doi.org/10.1186/s12914-017-01137.

World Popula on Founda on Pakistan. Endline Assessment report on the status of Sexual and Reproduc ve Health Rights of young people in Pakistan. Pakistan: Rutgers WPF; 2013.

Ogunlayi AM. An Assessment of the Awareness of Sexual and Reproduc ve Rights among Adolescents in South Western Nigeria. Afr J Reprod Health. 2005;9(1):99–112.

Yendaw E, Mar n-Yeboah E, Bagah D. Knowledge and Percep on of Adolescents on sexual and reproduc ve health rights in Ghana: A Case Study of Yamoransa in the Mfantseman Municipality, Ghana. Br J Educ Soc Behav Sci. 2015;8(3):147-58.

ARROW. Advocacy Brief: Sexuality diversity educa on for be er adolescent and youth sexual health and rights 2015. Available at h p://arrow.org.my/ wp-content/uploads/2015/04/Sexuality-DiversityEduca on_Advocacy-Brief_Vietnam_2013.pdf. Accessed 2 February 2016.

United Na ons Vietnam. Brief Explana on of a Human Rights-Based Approach (HRBA). Available at h p://www.un.org.vn/images/stories/pub_trans/ HRBA_Toolkit_-_Vietnamese.pdf. Accessed 7 June 2016.