Unmet health needs of adolescents who are newly registered to a training primary health care center


89th EGPRN Meeting, 17 - 20 Ekim 2019


Background: All children can access all levels of state health-care without gate-keeping and charge-free. Primary Care physicians and nurses are mandated to do well-child visits. Yet, many parents, prefer private practices of pediatricians. In spite of this buffet of health-care opportunities, adolescents’ health needs might be partially unmet which may result in poor adult health outcomes. Research questions: Which health needs of adolescents, newly registered to a training primary care centre, are unmet? Method: All children, 0-18 years of age and caregivers who are newly registered to a recently established training primary health-care center were invited in this descriptive study. Care-givers or if old enough the children were interviewed face to face. A questionnaire, developed by the researchers based on well child visit guidelines was used. Descriptive statistics of the data were calculated and chi-square, t-test were used in comparative analysis by SPSS 11.5 program. Results: Three hundred and ninety-six children were enrolled, 133(33,5%) were aged 10-18. Majority of the adolescents’ height-weight and blood pressure were not measured (67,7%, 81.2% respectively). They also didn't receive any counseling about physical and sexual growth, nutrition, physical activity, reproductive health and substance abuse (75.9%, 71.4%, 77.4%, 84.2 % and 88,0 respectively). Most of them were also not counseled on injuries and violence as well (85,0%, 92,5% respectively). On the other hand, all small infants' mandatory screening tests were done and 97% of the children had been fully vaccinated. Vaccination and well child visits of small children are endorsed with negative performance by MoH. Conclusions: Offering various healthcare options doesn't meet adolescents’ health needs. Services which are being endorsed by MoH were almost fully covered. Endorsement of counseling topics and encouraging primary care workers to use adolescents’ sick visits as an opportunity for preventive services might be offered.