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Availability and accessibility of public health services for adolescents and young people in South Africa
Institution:1. Human Sciences Research Council of South Africa, P/Bag X41, Pretoria 0001, South Africa;2. Health Systems Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg 7505, South Africa;3. School of Public Health and Family Medicine, University of Cape Town, South Africa;4. Human Sciences Research Council of South Africa, Private Bag X9182, Cape Town 8000, South Africa;1. Department of Sociology, Center on Assets, Education, and Inclusion, University of Kansas, 716 Fraser Hall, 1415 Jayhawk Blvd, Lawrence, KS 66045, United States;2. Center on Assets, Education, and Inclusion, School of Social Welfare, University of Kansas, Twente Hall 309, 1545 Lilac Lane, Lawrence, KS 66044, United States;3. Center on Assets, Education, and Inclusion, University of Kansas, 110 Watkins Home, 1545 Lilac Lane, Lawrence, KS 66045, United States;4. Wabash City Schools, PO Box 744, Wabash, IN 46992, United States;5. George W. Brown School of Social Work, Washington University in St. Louis, 13127 Bent Lane, Fort Wayne, IN 46845, United States;1. School of Applied Human Sciences, University of KwaZulu Natal, Durban 4041, South Africa;2. Zayed University, PO Box 19282, Dubai, United Arab Emirates;1. National Center on Adoption and Permanency (Northern California Office), 129 Calvert Court, Oakland, CA 94611, USA;2. Department of Psychology, Clark University, 950 Main Street, Worcester, MA 01610, USA
Abstract:Against the background of increasing international calls for the development and implementation of age-appropriate programmes that address both quality and access issues to improve adolescent and youth health, this paper explores the extent to which public health facilities are available and accessible to adolescents and youth in South Africa. The impetus for the study was the current evidence that there was generally poor utilisation of services offered at public health facilities by young people in the country. The overall findings are that despite the country's comprehensive legal and policy framework and commitment to improve the health of young people, there continues to be some structural and systemic factors that hamper effective provision and programming of adolescent and youth friendly services. The paper concludes with recommendations for policy and practice.
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