Perceptions of Young People on the Use of Mobile Phones to Access Reproductive Health Care: A Qualitative Study in Tamale, Ghana

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John Stephen Agbenyo
Daniel Nzengya

Abstract

Young people, 10-24 years, go through many physical, psychosocial and emotional changes
as they transition to adulthood. This period is also critical for young people as they gradually
establish health-promoting behaviours that will contribute to their present and future wellbeing. Africa has the largest number of young people who face the worst health challenges.
Technology can help us address the health challenges that young people face. This study
explored how young people use mobile phones to access reproductive health in Tamale,
Ghana. The research used a qualitative method in three communities in Tamale: Tishigu,
Tutingli, and Warizehi, in the Northern region of Ghana. Data were collected from 18 Focus
Group Discussions (FGDs) with young people of ages between 10-14, 15-19 and 20-24 in
three locations in Tamale and triangulated with nine (9) in-depth interviews with key
informants (KII) working with non-governmental mHealth service providers and researchers.
All respondents were selected through purposive sampling. The interviews were taperecorded, fully transcribed, and uploaded into NVivo Pro 11. The results showed that the
prime health care risks young people face are sexually transmitted diseases, teenage
pregnancy, and early marriage. The issues which young people sought healthcare
information most for were female reproductive health and menstruation issues. The issue of
shame was a major reason why young people failed to discuss their reproductive health
needs with others. Illiteracy posed a communication barrier to young people accessing
reproductive health services. Young people faced financial constraints in accessing
reproductive health information and services. The poor attitude of healthcare providers
towards young people was a concern. The top most social media platforms for sharing
reproductive health information were WhatsApp, Facebook and Instagram. There is a need to
ensure that health service providers get trained to provide youth-friendly health services to
young people. Reproductive health service providers and policymakers need to incorporate
technology in addressing the challenges faced in accessing reproductive health.
Keywords: mHealth, Reproductive Health, Young people, Healthcare.

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How to Cite
Agbenyo, J. S. ., & Nzengya, D. . (2023). Perceptions of Young People on the Use of Mobile Phones to Access Reproductive Health Care: A Qualitative Study in Tamale, Ghana. African Multidisciplinary Journal of Research, 1(1), 166–191. https://doi.org/10.71064/spu.amjr.1.1.196

References

  1. Akazili, J., Kanmiki, E. W., Anaseba, D., Govender, V., Danhoundo, G., & Koduah, A. (2020). Challenges and facilitators to the provision of sexual, reproductive health and rights services in Ghana. Sexual and Reproductive Health Matters, 28(2), 1846247.
  2. Alhassan, R. K., Abdul-Fatawu, A., Adzimah-Yeboah, B. (2019). Determinants of use of mobile phones for sexually transmitted infections (STIs) education and prevention among adolescents and young adult population in Ghana: implications of public health policy and interventions design. Reprod Health, 16 (120)
  3. Aninanya, G. A., Debpuur, C. Y., Awine, T., Williams, J. E., Hodgson, A., Howard, N. (2015). Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community- Randomised Trial. PLoS ONE 10(4): e0125267
  4. Baku, E. A., Adanu, R. M., & Adatara, P. (2017). Socio-Cultural Factors affecting Parent Adolescent Communication on Sexuality in the Accra Metropolis, Ghana.
  5. Blum, R. W., Bastos, F. I. P. (2012). Adolescent health in the 21st century. Lancet,
  6. (9826), 1567–1568.
  7. Chandra-Mouli, V., McCarraher, D. R., Phillips, S. J., Williamson, N. E., & Hainsworth, G. (2014). Contraception for adolescents in low- and middle-income countries: needs, barriers, and access. Reproductive health, 11(1), 1-8
  8. Eskenazi, B., Quirós-Alcalá, L., Lipsitt, J. M., Wu, L. D., & Kruger, P. (2014). mSpray: mobile phone technology to improve malaria control efforts and monitor human exposure to malaria control pesticides in Limpopo, South Africa Environment international. Environment International, 68, 219–226.
  9. Feroz, A., Rizvi, N., Sayani, S., & Saleem, S. (2017). Feasibility of mHealth intervention to improve uptake of antenatal and postnatal care services in peri-urban areas of Karachi: a qualitative exploratory study. J Hospit Manage Health Policy, 4(1), 1-11.
  10. Ghana Health Service (GHS). (2021). District Health Information Management System (DHIMS).
  11. Herberholz, C., & Phuntsho, S. (2018). Social capital, outpatient care utilisation and choice between different levels of health facilities in rural and urban areas of Bhutan. Social Science & Medicine, 211, 102–113. https://doi.org/10.1016/ j. socscimed.2018.06.010.
  12. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative health research, 15(9), 1277-1288.
  13. Ippoliti, N. B., & L’Engle, K. (2017). Meet us on the phone: mobile phone programs for adolescent sexual and reproductive health in low-to-middle income countries. Reproductive health, 14(1), 1-8.
  14. Jadhav, A., & Weis, J. (2020). Mobile phone ownership, text messages, and contraceptive use: Is there a digital revolution in family planning? Contraception, 101(2), 97–105. https://doi.org/10.1016/j.contraception.2019.10.004
  15. Kabiru, C. W., Izugbara, C.O., Beguy, D. (2013). The health and wellbeing of young people in sub-Saharan Africa: an under-researched area? BMC Int Health Hum Rights. 2013; 13: 11.
  16. Kismödi, E., Cottingham, J., Gruskin, S., & Miller, A. M. (2015). Advancing sexual health through human rights: the role of the law. Global public health, 10(2), 252-267.
  17. Krippendorff, K. (2004). Reliability in content analysis: Some common misconceptions and recommendations. Human communication research, 30(3), 411-433.
  18. Kyilleh, J. M., Tabong, P. T. N., & Konlaan, B. B. (2018, January 24). Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC International Health and Human Rights. BioMed Central. https://bmcinthealthhumrights.biomedcentral.com/articles/10.1186/s12914-018-0147- 5
  19. Mayring, P. (2014). Qualitative content analysis: theoretical foundation, basic procedures and software solution. https://nbn-resolving.org/urn:nbn:de:0168-ssoar-395173
  20. Mehta, S. D., & Seeley, J. (2001, January 1). Frontiers: Grand Challenges in Adolescent Sexual and Reproductive Health. Frontiers. https://www.frontiersin.org/articles/10.3389/frph.2020.00002/full
  21. Nolan, S., Hendricks, J., Associate, R. M., Ferguson, S., Clinical, M., & Towell, A. (2017). Social networking site (SNS) use by adolescent mothers: Can social support and social capital be enhanced by online social networks? – A structured review of the literature. Midwifery, 48, 24–31. https://doi.org/10.1016/j.midw.2017.03.002
  22. Nouri, S. S., Avila-Garcia, P., Cemballi, A. G., Sarkar, U., Aguilera, A., & Lyles, C. R. (2019). Assessing mobile phone digital literacy and engagement in user-centered design in a diverse, safety-net population: Mixed methods study. JMIR MHealth and UHealth, 7(8). https://doi.org/10.2196/14250
  23. Olivia, J., Anstey, T., Goudge, J., Gómez-olivé, F. X., & Gri, F. (2018). Social Science & Medicine Mobile phone use among patients and health workers to enhance primary healthcare : A qualitative study in rural South Africa. Social Science & Medicine, 198, 139–147. https://doi.org/10.1016/j.socscimed.2018.01.011
  24. Owusu, S. A. (2012). Cultural and religious impediments against sex education. Feature Article Retrieved Wednesday, 5 December, 2012.
  25. Patton, G. C., Coffey, C., Cappa, C., Currie, D., Riley, L., Gore, F., … & Ferguson, J. (2012). The health of the world’s adolescents: a synthesis of internationally comparable data. The Lancet, 379(9826), 1665–1675. https://doi.org/10.1016/S0140-6736(12)60203-7
  26. Peng, W., Kanthawala, S., Yuan, S., & Hussain, S. A. (2016). A qualitative study of user perceptions of mobile health apps. BMC Public Health, 16(1).
  27. Peprah, P., Abalo, E. M., Agyemang-Duah, W., Budu, H. I., Appiah-Brempong, E., Morgan,
  28. A. K., & Akwasi, A. G. (2020). Lessening barriers to healthcare in rural Ghana: Providers and users’ perspectives on the role of mHealth technology. A qualitative exploration. BMC Medical Informatics and Decision Making, 20(1), 1–12.
  29. Peprah, P., Abalo, E. M., Agyemang-Duah, W., Gyasi, R. M., Reforce, O., Nyonyo, J., Amankwaa, G., Amoako, J., & Kaaratoore, P. (2019). Knowledge, attitude, and use of mHealth technology among students in Ghana: A university-based survey. BMC Medical Informatics and Decision Making, 19(1), 220.
  30. Renta, V., Walker, R. J., Nagavally, S., Dawson, A. Z., Campbell, J. A., & Egede, L. E. (2022, May 24). Differences in the relationship between social capital and hypertension in emerging vs. established economies in Sub-Saharan Africa. BMC Public Health. BioMed Central. bmcpublichealth.biomedcentral.com. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13471-8
  31. Rubin, H. J., & Rubin, I. S. (2005). Qualitative Interviewing: The Art of Hearing Data: Second Edition. London, New York: Sage.
  32. Strauss, A., & Corbin, J. (1998). Basics of qualitative research techniques. Thousand Oaks, CA: Sage publications.
  33. Tracy, S. J. (2019). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact. John Wiley & Sons.
  34. Vo, V., Auroy, L., & Sarradon-Eck, A. (2019). Patients’ perceptions of mHealth apps: meta- ethnographic review of qualitative studies. JMIR mHealth and uHealth, 7(7), e13817.
  35. Williamson, N. E. (2013). Motherhood in childhood: facing the challenge of adolescent pregnancy. United Nations Population Fund.
  36. World Health Organization (WHO) (2014). Health for the world’s adolescents. A second chance in the second decade. Geneva: WHO http://apps.who.int/adolescent/second-decade/
  37. World Health Organisation (WHO). (2019, March 15). Reproductive health. Reproductive Health. www.who.int. https://www.who.int/westernpacific/health-topics/reproductive- health#:~:text=Reproductive%20health%20is%20a%20state,to%20its%20functions% 20and%20processes.