Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights?
BACKGROUND AND OBJECTIVES: Adolescent sexual and reproductive health and rights (SRHR) are of particular relevance given their potential short-term or long-term health consequences. This study evaluates recommendations and policies regarding access to care in this area in 31 European countries (Euro...
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ftpubmed:oai:pubmedcentral.nih.gov:6951236 2023-05-15T16:51:29+02:00 Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? Michaud, Pierre-André Visser, Annemieke Vervoort, Johanna Kocken, Paul Reijneveld, Sijmen Blair, Mitch Alexander, Denise Rigby, Michael Weber, Martin Jansen, Danielle 2020-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951236/ http://www.ncbi.nlm.nih.gov/pubmed/31270093 https://doi.org/10.1136/archdischild-2019-317073 en eng BMJ Publishing Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951236/ http://www.ncbi.nlm.nih.gov/pubmed/31270093 http://dx.doi.org/10.1136/archdischild-2019-317073 © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. CC-BY Original Article Text 2020 ftpubmed https://doi.org/10.1136/archdischild-2019-317073 2020-01-26T01:18:35Z BACKGROUND AND OBJECTIVES: Adolescent sexual and reproductive health and rights (SRHR) are of particular relevance given their potential short-term or long-term health consequences. This study evaluates recommendations and policies regarding access to care in this area in 31 European countries (European Union (EU) plus Iceland, Norway and Switzerland). METHODS: As part of the EU funded Models of Child Health Appraised project, data were gathered using a 43-item questionnaire sent to experts responsible for collecting information in each country. RESULTS: Ten countries have not developed any formal policy or recommendation that guarantee the respect of confidentiality and the possibility of consulting a physician without parents knowing. Nearly half of the countries do not have centres specialised in adolescent healthcare, tackling comprehensive health issues or focusing specifically on SRH. Access to emergency contraception and information regarding pregnancy, including testing, is easy in most countries. However, oral contraception is delivered free of charge in only 10 countries. Twenty-three countries do not meet current standards in terms of providing policy-based pregnancy care, and only 13 have set up special programmes for pregnant adolescents. In only seven countries can adolescents definitely have their pregnancy terminated without their parents knowing (and in another seven countries in selected situations). CONCLUSION: The provision and availability of adolescent-friendly SRHR care are far from optimal in around half of the surveyed countries. These results call for the review and implementation of policies, specialised healthcare centres and training initiatives for primary care providers. Text Iceland PubMed Central (PMC) Norway Archives of Disease in Childhood 105 1 40 46 |
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Original Article Michaud, Pierre-André Visser, Annemieke Vervoort, Johanna Kocken, Paul Reijneveld, Sijmen Blair, Mitch Alexander, Denise Rigby, Michael Weber, Martin Jansen, Danielle Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
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Original Article |
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BACKGROUND AND OBJECTIVES: Adolescent sexual and reproductive health and rights (SRHR) are of particular relevance given their potential short-term or long-term health consequences. This study evaluates recommendations and policies regarding access to care in this area in 31 European countries (European Union (EU) plus Iceland, Norway and Switzerland). METHODS: As part of the EU funded Models of Child Health Appraised project, data were gathered using a 43-item questionnaire sent to experts responsible for collecting information in each country. RESULTS: Ten countries have not developed any formal policy or recommendation that guarantee the respect of confidentiality and the possibility of consulting a physician without parents knowing. Nearly half of the countries do not have centres specialised in adolescent healthcare, tackling comprehensive health issues or focusing specifically on SRH. Access to emergency contraception and information regarding pregnancy, including testing, is easy in most countries. However, oral contraception is delivered free of charge in only 10 countries. Twenty-three countries do not meet current standards in terms of providing policy-based pregnancy care, and only 13 have set up special programmes for pregnant adolescents. In only seven countries can adolescents definitely have their pregnancy terminated without their parents knowing (and in another seven countries in selected situations). CONCLUSION: The provision and availability of adolescent-friendly SRHR care are far from optimal in around half of the surveyed countries. These results call for the review and implementation of policies, specialised healthcare centres and training initiatives for primary care providers. |
format |
Text |
author |
Michaud, Pierre-André Visser, Annemieke Vervoort, Johanna Kocken, Paul Reijneveld, Sijmen Blair, Mitch Alexander, Denise Rigby, Michael Weber, Martin Jansen, Danielle |
author_facet |
Michaud, Pierre-André Visser, Annemieke Vervoort, Johanna Kocken, Paul Reijneveld, Sijmen Blair, Mitch Alexander, Denise Rigby, Michael Weber, Martin Jansen, Danielle |
author_sort |
Michaud, Pierre-André |
title |
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
title_short |
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
title_full |
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
title_fullStr |
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
title_full_unstemmed |
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
title_sort |
do european union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights? |
publisher |
BMJ Publishing Group |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951236/ http://www.ncbi.nlm.nih.gov/pubmed/31270093 https://doi.org/10.1136/archdischild-2019-317073 |
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Norway |
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Norway |
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Iceland |
genre_facet |
Iceland |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951236/ http://www.ncbi.nlm.nih.gov/pubmed/31270093 http://dx.doi.org/10.1136/archdischild-2019-317073 |
op_rights |
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1136/archdischild-2019-317073 |
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Archives of Disease in Childhood |
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105 |
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1 |
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40 |
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46 |
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