Serkan Köksoy
Unused, expired pharmaceuticals and their disposal practices among the general public in Burdur-Türkiye: a cross-sectional study
BMC public health
little known healthcare providers hcps contraceptive views adolescents haiti experience high rates unintended pregnancy sought describe hcps perspectives barriers facilitators contraceptive care delivery rural haiti conducted crosssectional survey qualitative interviews hcps two rural communities haiti 082021032022 assessed demographics clinical practice behaviors explored contraception perspectives according theory planned behavior constructs attitudes subjective norms perceived behavioral control eg peoples perceptions ability perform given behavior barriers facilitators behavior1517 used descriptive statistics report proportions responses likert scale multiplechoice questions guided content analysis analyzed interview transcripts thematic inductive coding team debriefing among 58 respondents 90 n 52 female 53 n 31 nurses reported always n 16 28 often n 21 36 obtaining sexual history adolescents majority agreedstrongly agreed clinicians discuss pregnancy prevention n 45 78 highrisk sexual behaviors n 40 69 prescribe contraception n 41 71 adolescents frequently cited providerlevel barriers ie significant somewhat barrier included insufficient contraception knowledge n 44 77 time n 37 64 hcps concerned barriers patientlevel eg adolescents fear parental notification n 37 64 adolescents give inaccurate information sexual behaviors n 25 43 systemlevel eg resistance providing care administration n 33 57 interviews n 17 hcps generally supported contraception care adolescents many hcps echoed quantitative findings concerns privacy confidentiality hcps reported concerns lack contraception education leading misconceptions community parental judgement hcps expressed interest contraception training resources noted importance providing youthfriendly contraceptive care hcps support contraceptive care identified actionable barriers improve care adolescents rural haiti future efforts include increasing hcp knowledge training community parent coalition building increase contraception support offering youthfriendly contraceptive care offset risk related adverse health outcomes adolescents rural haiti