Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE credits
Introduction: Swedish youth clinics have an unique opportunity to
provide youth friendly healthcare services (YFHS), however, no
previous studies have been conducted assessing how accessible they
are for youths and what issues are important to ensure it. Accessibility
is a key component of youth-friendliness, and by ensuring YFHS the
likelihood for youth to access the available services they need
increases.
Aim: The aim of this thesis is to identify the best combination of
conditions for making youth clinics more accessible for youths. Both
access to services related to sexual & reproductive health (SRH) and
services related to psychosocial health will be explored.
Methods: A mixed-methods will be used. Outcomes from a survey
answered by youths who have visited youth clinics in northern
Sweden will be assessed. Conditions for accessibility will also be
identified by a literature review. Qualitative Comparative Analysis will
then be used to identify the link between youth clinics’ conditions and
their outcomes.
Results: The truth table analysis (TTA) showed that the best
combination of conditions for ensuring accessibility to sexual &
reproductive health services is Location, Drop-in, Appointments and
Outreach activities (Raw coverage 0.29, consistency 0.73). For
ensuring accessibility to psychosocial health services; Drop-in,
Appointments and Outreach activities was identified as the best
combination of conditions (Raw coverage 0.13, consistency 0.92).
Conclusion: The combination of conditions that is important for
ensuring accessibility to psychosocial health services is slightly
different compared to the best combination of conditions for ensuring
accessibility to sexual & reproductive health services. YCs do not have
to be separated from other healthcare facilities for ensuring
accessibility to psychosocial health services, thus, accessibility to
sexual & reproductive health services increases if the YC is separated
from other healthcare facilities. However, the combination of the
conditions; Drop-in, Appointments and Outreach activities is
identified as a key combination for ensuring accessibility to both
psychosocial, - and sexual & reproductive health services.
2017. , p. 38
2017-05-22, Dentistry building, 9th floor room A, Norrlands University Hospital, Umeå, 10:00 (English)