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BMC Health Services Research
Published in: BMC Health Services Research 1/2019

Open Access 01-12-2019 | Human Immunodeficiency Virus | Research article

Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa

Authors: Busisiwe Nkosi, Janet Seeley, Nothando Ngwenya, S. Lerato Mchunu, Dumile Gumede, Jane Ferguson, Aoife M. Doyle

Published in: BMC Health Services Research | Issue 1/2019

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Abstract

Background

We use the ‘candidacy framework’ to describe adolescents’ and young people’s (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.

Methods

A qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (n = 70), community leaders (n = 15), school health teams (n = 10), and health service providers (n = 6).

Results

Findings indicate tacit understanding among AYP that they are candidates for general health services. However, HIV stigma, apprehensions and misconceptions about sexual and reproductive health, and socio-cultural views which disapprove of AYP pre-marital sex undermine their candidacy for sexual and reproductive services.

Conclusion

Consideration and understanding of the vulnerabilities and reasons AYP exclude themselves will inform interventions to address their health needs. AYP’s participation in the design of health services will increase their acceptability and encourage uptake of services.
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Metadata
Title
Exploring adolescents and young people’s candidacy for utilising health services in a rural district, South Africa
Authors
Busisiwe Nkosi
Janet Seeley
Nothando Ngwenya
S. Lerato Mchunu
Dumile Gumede
Jane Ferguson
Aoife M. Doyle
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-019-3960-1

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