Intersectoral strategies between health and education for preventing adolescent pregnancy in Chile: Findings from a qualitative study

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dc.contributor.authorObach, Alexandra
dc.contributor.authorSadler, Michelle
dc.contributor.authorCabieses, Báltica
dc.date.accessioned2022-06-13T21:45:34Z
dc.date.available2022-06-13T21:45:34Z
dc.date.issued2019
dc.description.abstractBackground: In Chile, despite its steady decrease overall, adolescent pregnancy is concentrated in the most vulnerable population. Efforts in intersectoral collabora-tion between health and education to address the problem are being developed, but they have not been assessed.Objective: To describe intersectoral strategies between health and education to ad-dress adolescent sexual and reproductive health, prevent adolescent pregnancy, and to explore adolescents’ and health professionals’ perceptions regarding those strategies.Design: A qualitative ethnographic study was carried out in five municipalities in the Metropolitan Region of Chile. A sample of five key informants, 23 health profession-als and 50 adolescents participated in a total of 38 semi-structured interviews and five discussion groups.Results: Two intersectoral strategies to respond to adolescents’ sexual and repro-ductive health needs were identified: (a) the “in- and-out” strategy, where health pro-fessionals provide health care mostly in health centres and carry out specific actions in schools and (b) the school- based strategy in which health professionals carry out continuous actions in schools as part of the curriculum. The second is perceived as responding better to adolescents’ needs in sexual and reproductive health issues and in preventing adolescent pregnancy.Discussion: The school- based strategy, with the constant presence of health profes-sionals and lack of bureaucratic procedures, facilitates adolescents to access sexual and reproductive health care. This strategy enables sexual and reproductive health to be understood as an integral dimension of adolescents’ lives, and it reinforces a holistic idea of health in which it is approached as a wholees
dc.description.versionVersión Publicadaes
dc.identifier.citationObach A, Sadler M, Cabieses B. Intersectoral strategies between health and education for preventing adolescent pregnancy in Chile: Findings from a qualitative study. Health Expect. 2019 Apr;22(2):183-192. doi: 10.1111/hex.12840es
dc.identifier.urihttps://doi.org/10.1111/hex.12840es
dc.identifier.urihttp://hdl.handle.net/11447/6215
dc.language.isoenes
dc.subjectAdolescent healthes
dc.subjectAdolescent health serviceses
dc.subjectIntersectoral collaborationes
dc.subjectPregnancy in adolescencees
dc.subjectQualitative researches
dc.subjectReproductive healthes
dc.subjectSexual healthes
dc.titleIntersectoral strategies between health and education for preventing adolescent pregnancy in Chile: Findings from a qualitative studyes
dc.typeArticlees
dcterms.sourceHealth Expectationses

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