Predisposing, Supporting and Driving Factors for Utilization of Adolescent Care Health Services in South Kuta

Abstract

Background and purpose: Targetted adolescent health services (PKPR) at the South Kuta Health Center havebeen offered since 2007. However, these are rarely accessed (less than 5 visits per month) whereas adolescent healthincidents/concerns such as abortion, HIV/AIDS and drug use are reportedly increasing. This study aimed to determinethe predisposition, supporting and reinforcing factors of PKPR utilization.Methods: Study was qualitative and conducted among 27 students in four sessions of focus group discussions, as wellas in-depth interviews with four key informants. Data collected consisted of knowledge, attitudes and views ofparticipants on PKPR facilities. Thematic analysis was conducted to identify predisposition, supporting and enforcingPKPR utilization factors.Results: The study participants intimated that their knowledge about PKPR was low, although they recognised thebenefits of such a service. They also acknowledged that the quality of facilities/infrastructure were poor, the IECmaterial was interesting but the deliverance unclear and the attitude of providers unfriendly. Funds, inappropriateclinic hours and labor provided were minimal. Schools, health centers and the government health office stronglysupported PKPR activities and the role of peer counselors. School health programs also encouraged students to takeadvantage of PKPR.Conclusion: Local schools, health centers and the government health office were supportive of PKPR activities,however the student's knowledge about PKPR was low because coverage of PKPR was very limited. &nbsp