From: Assessing youth-friendly sexual and reproductive health services: a systematic review
Domains and Indicators | Total |
---|---|
Accessiblea | 18 |
 • Convenient opening hours (after school, weekends) | 14 |
 • Distance/availability of transport to facility | 11 |
 • Services are affordable or free | 10 |
 • Outreach in the community | 7 |
 • Awareness of location, hours and services | 5 |
 • Appointment drop in available | 5 |
 • Dedicated services (LARC insertion, HIV testing) available at certain times of the day/week | 3 |
 • Youth-only hours | 3 |
 • Appointments available online or by text | 2 |
 • Social media presence for education and services | 1 |
 • Facilities open during entire posted time | 1 |
 • Partners welcome | 1 |
Acceptablea | 13 |
 • General satisfaction | 6 |
 • Provider demographics reflect clients (young, similar gender) | 6 |
 • Client would recommend the clinic to friend | 6 |
 • Community members understand benefits and support provision of YFHS | 3 |
 • Client willingness to return to clinic | 3 |
 • Clinic has good reputation | 1 |
 • No corruption in facility | 1 |
 • All expectations of service are met | 1 |
Appropriatea | 8 |
 • Package of care fulfills needs either at point of develiry or through referral linkages | 7 |
 • Client has choice of treatment options | 2 |
 • Data collected to determine young people’s health needs in community | 1 |
Equitablea | 8 |
 • Welcome regardless of age | 4 |
 • Welcoming services for young men | 3 |
 • Open to all racial groups | 1 |
 • Open to all religious groups | 1 |
 • Welcome regardless of marital status | 1 |
 • Welcome regardless of relationship status | 1 |
 • Open to persons of all sexual orientations | 1 |
 • Females and males receive equal access to family planning services | 1 |
 • Males and females receive similar service care and respect | 1 |
 • Policies and guidelines for staff on SRH rights of young people | 1 |
Effectivea | 8 |
 • Supplies available onsite (medical testing) | 6 |
 • Providers are medically competent | 2 |
 • Provider takes client history | 2 |
 • Client follows caregivers advice, adherence to treatment | 1 |
 • Equipment to provide services available | 1 |
 • Process for ongoing quality improvement | 1 |
 • Client receives correct treatment | 1 |
 • Infection control procedures are followed | 1 |
 • Provider takes appropriate physical examination according to guidelines | 1 |
Administrative proceduresb | 12 |
 • Waiting times | 9 |
 • Choice and availability to be seen with same clinician during return visit | 5 |
 • Plan for follow up care explained and scheduled | 4 |
 • Referral care available, explained, and scheduled | 4 |
 • Sufficient time for consultation | 3 |
 • Frequency of appointments is convenient | 1 |
 • Do not need appointment for refills | 1 |
 • Number of times needed to return to clinic to obtain test results | 1 |
 • Hormonal contraceptive provision without appointment for pelvic exam | 1 |
Staff characteristics and compentency | 20 |
 • Non judgemental | 12 |
 • Client recieves adequate information from provider | 11 |
 • Friendly | 9 |
 • Respectful | 9 |
 • Welcome/greeting | 8 |
 • Client has opportunity to ask all questions | 7 |
 • Listens to client problems | 7 |
 • Number of staff trained in YFHS | 7 |
 • Positive attitude | 7 |
 • Comfort in communicating | 6 |
 • Provider uses language that is understandable to clients | 5 |
 • Interested in client | 3 |
 • Willing to help | 3 |
 • Provider develops relationship with client | 3 |
 • Support and supervision for staff available on ongoing basis | 3 |
 • Responsive | 2 |
 • Client given time for test results to be absorbed and undertrstood | 2 |
 • Client is able to express opinion | 2 |
 • Provider answers questions to client’s satisfaction | 2 |
 • Explanation of services and treatment | 1 |
 • Training plan in place that meets needs of staff | 1 |
 • Provider perceives he/she has sufficient ability to provide services to youth | 1 |
 • Trustworthy | 1 |
 • Staff trained on how to communicate with teens over the phone | 1 |
Confidentiality and Privacy | 19 |
 • Confidentiality is respected | 8 |
 • Client consultation cannot be heard or seen by other clients or staff | 8 |
 • Privacy is respected | 6 |
 • Staff explains services are confidential | 4 |
 • Parental consent is not required | 3 |
 • Consultation is not interrupted by outside staff or clients | 3 |
 • Passive disclosure of services avoided (being seen in the waiting room discloses reason client is seeking service) | 3 |
 • Tests are handled confidentialy | 2 |
 • Privacy asking for services in reception | 1 |
 • Staff uses shielded language when calling for appointment or follow-up | 1 |
Educational Activitiesb | 8 |
 • Understandable and accurate SRH materials available | 7 |
 • Text message for follow-up or education | 1 |
Environmentb | 12 |
 • Comfortable | 6 |
 • Reading and/or entertainment materials available | 4 |
 • Clean | 4 |
 • Youth-only space | 3 |
 • Young people specific décor and materials | 3 |
 • Private waiting room for young people | 2 |
 • Ease of finding services within the facility | 1 |
 • Adequate lighting and ventilation | 1 |
 • Toilet facility quality | 1 |
 • Clean piped water | 1 |
 • Good phone access | 1 |
 • No overcrowding | 1 |
Services Providedb | 12 |
 • Counselling (prevention, condom demonstration, test results) | 7 |
 • Contraceptive services | 7 |
 • STI services (counselling, testing, treatment and prevention) | 7 |
 • VCT available/HIV services | 4 |
 • Pregnant and parenting teen services | 4 |
 • Holistic approach (services available beyond reproductive health including mental, psychosocial, lifeskills etc) | 3 |
 • Pap smears and pregnancy tests | 2 |
 • Non-health services (youth development services, domestic violence) | 2 |
 • Emergency contraception | 1 |
 • Abortion services | 1 |
 • Mental heath services | 1 |
 • Treatment for minor ailments | 1 |
Youth Involvementb | 7 |
 • Youth have input on service delivery | 4 |
 • Peer educator on staff | 3 |
 • Youth organize outreach | 2 |
 • Peer educator program in clinic | 1 |