Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights?

Details

Serval ID
serval:BIB_BABCECCF7642
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Do European Union countries adequately address the healthcare needs of adolescents in the area of sexual reproductive health and rights?
Journal
Archives of disease in childhood
Author(s)
Michaud P.A., Visser A., Vervoort J., Kocken P., Reijneveld S., Blair M., Alexander D., Rigby M., Weber M., Jansen D.
ISSN
1468-2044 (Electronic)
ISSN-L
0003-9888
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
105
Number
1
Pages
40-46
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
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).
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.
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).
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.
Keywords
Abortion, Legal, Adolescent, Adolescent Health/ethics, Adolescent Health Services/organization & administration, Contraception, European Union, Female, Health Policy, Health Services Accessibility/organization & administration, Health Services Needs and Demand, Humans, Male, Patient Rights, Pregnancy, Pregnancy in Adolescence, Reproductive Health, Sexual Health, Surveys and Questionnaires, adolescent, health care, policy, rights, sexual and reproductive health
Pubmed
Web of science
Open Access
Yes
Create date
21/07/2019 16:31
Last modification date
20/06/2020 5:18
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