The online version of this article (doi:10.1186/s12884-017-1268-x) contains supplementary material, which is available to authorized users.
Healthcare workers may affect the utilization of sexual and reproductive healthcare (SRH) services, and quality of care thereof, for example by their behaviours or attitudes they hold. This can become a hindrance to accessing and utilizing SRH services, particularly by young people, and thus a better understanding of these behaviours and associated factors is needed to improve access to and utilization of SRH services.
A systematic review of literature was conducted to identify studies focusing on healthcare workers’ behaviors and personal determinants associated with providing adequate SRH services in sub-Saharan Africa (January 1990 - October 2015). Five databases were searched until 30th October 2015, using a search strategy that was adapted based on the technical requirements of each specific database. Articles were independently screened for eligibility by two researchers. Of the 125-screened full-text articles, 35 studies met all the inclusion criteria.
Negative behaviours and attitudes of healthcare workers, as well as other personal determinants, such as poor knowledge and skills of SRH services, and related factors, like availability of essential drugs and equipment are associated with provision of inadequate SRH services. Some healthcare workers still have negative attitudes towards young people using contraceptives and are more likely to limit access to and utilization of SRH by adolescents especially. Knowledge of and implementation of specific SRH components are below optimum levels according to the WHO recommended guidelines.
Healthcare workers’ negative behaviours and attitudes are unlikely to encourage women in general to access and utilize SRH services, but more specifically young women. Knowledge of SRH services, including basic emergency obstetric care (EmOC) is insufficient among healthcare workers in SSA.
A protocol for this systematic review was registered with PROSPERO and the registration number is: CRD42015017509.
Kuruvilla S, Bustreo F, Kuo T, Mishra CK, Taylor K, Fogstad H, Gupta GR, Gilmore K, Temmerman M, Thomas J, Rasanathan K. The Global strategy for women’s, children’s and adolescents’ health (2016–2030): a roadmap based on evidence and country experience. Bull World Health Organ. 2016;94(5):398–400. CrossRefPubMedPubMedCentral
The World Health Organization (WHO), UN Sustainable Development Summit 2015. http://www.who.int/mediacentre/events/meetings/2015/un-sustainable-development-summit/en/. Accessed on 09 Feb 2016.
World Health Organization (WHO). Maternal, newborn, child and adolescent health. http://www.who.int/maternal_child_adolescent/topics/maternal/adolescent_pregnancy/en/. Accessed on 14 Jan 2016.
World bank Data. Maternal mortality ratio (modeled estimate, per 100,000 live births). 2015. http://data.worldbank.org/indicator/SH.STA.MMRT. Accessed on 19 Feb 2016.
Yeji F, Shibanuma A, Oduro A, Debpuur C, Kikuchi K, Owusu-Agei S, Gyapong M, Okawa S, Ansah E, Asare GQ, Nanishi K. Continuum of care in a maternal, newborn and child health program in Ghana: Low completion rate and multiple obstacle factors. PloS One. 2015;10(12):e0142849. CrossRefPubMedPubMedCentral
United Nations Population Fund. Motherhood in Childhood: Facing the challenge of adolescent pregnancy. New York: UNFPA; 2013.
Keeney GB, Cassata L, McElmurry BJ. Adolescent health and development in nursing and midwifery education. Geneva: WHO; 2004.
Chaibva CN, Ehlers VJ, Roos JH. Midwives’ perceptions about adolescents’ utilisation of public prenatal services in Bulawayo, Zimbabwe. Midwifery. 2010;26(6):16–20. CrossRef
Geary RS, Gómez-Olivé FX, Kahn K, Tollman S, Norris SA. Barriers to and facilitators of the provision of a youth-friendly health services programme in rural South Africa. BMC Health Serv Res. 2014;14(1):1. CrossRef
Zielinski Gutierrez E, Magnani R, et al. Who Can We Trust With Our Problems?: Barriers to Adolescent Use of Reproductive Health Services in Three Bolivian Cities. Washington, DC: Focus on Young Adults Program/Pathfinder International; 2001.
Singh S, Bankole A, Woog V. Evaluating the need for sex education in developing countries: sexual behaviour, knowledge of preventing sexually transmitted infections/HIV and unplanned pregnancy. Sex Educ. 2005;5:307–31. CrossRef
Jonas K, Crutzen R, Van den Borne B, Reddy P. Healthcare workers’ behavior and personal determinants associated with providing sexual and reproductive healthcare services to teenagers in sub-Saharan Africa: a systematic review. PROSPERO 2015. CRD42015017509 Available from http://www.crd.york.ac.uk/PROSPERO_REBRANDING/display_record.asp?ID=CRD42015017509. Accessed 19 Feb 2016.
Okokon IB, Oku AO, Agan TU, Asibong UE, Essien EJ, Monjok E. An Evaluation of the Knowledge and Utilization of the Partogragh in Primary, Secondary, and Tertiary Care Settings in Calabar, South-South Nigeria. Int J Fam Med. 2014;2014:105853.
Fawole AO, Hunyinbo KI, Adekanle DA. Knowledge and Utilization of the Partograph among obstetric caregivers in South West Nigeria. Afr J Reprod Health. 2009;12(1):22–9.
Fawole AO, Adekanle DA, Hunyinbo KI. Utilization of the partograph in primary health care facilities in southwestern Nigeria. Nigerian J Clin Pract. 2010;13:2.
Yisma E, Dessalegn B, Astatkie A, Fesseha N. Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, Ethiopia. BMC Pregnancy Childbirth. 2013;13(1):1. CrossRef
Wakgari N, Amano A, Berta M, Tessema GA. Partograph utilization and associated factors among obstetric care providers in North Shoa Zone, Central Ethiopia: a cross sectional study. African Health Sci. 2015;15(2):552–9. CrossRef
Opiah MM, Ofi AB, Essien EJ, Monjok E. Knowledge and utilization of the partograph among midwives in the Niger Delta Region of Nigeria. Afr J Reprod Health. 2012;16:125–32. PubMed
Nyango DD, Mutihir JT, Laabes EP, Kigbu JH, Buba M. Skilled attendance: the key challenges to progress in achieving MDG-5 in north central Nigeria. Afr J Reprod health. 2014;14(2):129–38.
Mirkuzie AH, Sisay MM, Reta AT, Bedane MM. Current evidence on basic emergency obstetric and newborn care services in Addis Ababa, Ethiopia; a cross sectional study. BMC Pregnancy Childbirth. 2014;14(1):1. CrossRef
Ameh C, Adegoke A, Hofman J, Ismail FM, Ahmed FM, van den Broek N. The impact of emergency obstetric care training in Somaliland, Somalia. Int J Gynecol Obstet. 2012;117(3):283–7. CrossRef
Haile-Mariam A, Tesfaye N, Otterness C, Bailey PE. Assessing the health system's capacity to conduct neonatal resuscitation in Ethiopia. Ethiop Med J. 2012;50(1):43–55. PubMed
Maramagi CA, Lubanga RG, Kiguli S, Ekwaru PJ, Heggenhougen K. Health providers' counselling of caregivers in the Integrated Management of Childhood Illness (IMCI) programme in Uganda. Afr Health Sci. 2004;4(1):31–9.
Ijadunola KT, Ijadunola MY, Esimai OA, Abiona TC. New paradigm old thinking: the case for emergency obstetric care in the prevention of maternal mortality in Nigeria. BMC Women's Health. 2010;10(1):1. CrossRef
Ndikom CM, Onibokun A. Knowledge and behaviour of nurse/midwives in the prevention of vertical transmission of HIV in Owerri, Imo State, Nigeria: a cross-sectional study. BMC Nurs. 2007;6(1):1. CrossRef
Traoré M, Arsenault C, Schoemaker-Marcotte C, Coulibaly A, Huchon C, Dumont A, Fournier P. Obstetric competence among primary healthcare workers in Mali. Int J Gynecol Obstet. 2014;126(1):50–5. CrossRef
Mngadi PT, Faxelid E, Zwane IT, Höjer B, Ransjo‐Arvidson AB. Health providers' perceptions of adolescent sexual and reproductive health care in Swaziland. Int Nursing Rev. 2008;55(2):148–55. CrossRef
León FR, Lundgren, R., & Jennings, V. Provider selection of evidence-based contraception guidelines in service provision: A study in India, Peru, and Rwanda. Evaluation & the health professions. 2007
Evens E, Otieno-Masaba R, Eichleay M, McCARRAHER DONNA, Hainsworth G, Lane C, Makumi M, Onduso P. Post-abortion care services for youth and adult clients in Kenya: a comparison of services, client satisfaction and provider attitudes. J Biosoc Sci. 2014;46(01):1–15. PubMed
Chalmers BE, McIntyre JA, Meyer D. South African obstetricians' views on caesarean section. South Afr Med J. 1992;82((3):161–3.
Mannava P, Durrant K, Fisher J, Chersich M, Luchters S. Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review. Glob Health. 2015;11(1):36. CrossRef
Lawani LO, Eze JN, Anozie OB, Iyoke CA, Ekem NN. Obstetric analgesia for vaginal birth in contemporary obstetrics: a survey of the practice of obstetricians in Nigeria. BMC Pregnancy Childbirth. 2014;14(1):1. CrossRef
Davis D, O'Brien MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? JAMA. 1999;282(9):867–74. CrossRefPubMed
- Healthcare workers’ behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: a systematic review
Bart van den Borne
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
Mail Icon II