Provision of Adolescent Mental, Sexual and Reproductive Health Services and Technical Efficiency of Health Facilities in the Use of Resources Mobilized to Provide ASRH Services in Niger: The Case of Maradi and Niamey Regions

Provision of Adolescent Mental, Sexual and Reproductive Health Services and Technical Efficiency of Health Facilities in the Use of Resources Mobilized to Provide ASRH Services in Niger: The Case of Maradi and Niamey Regions | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Provision of Adolescent Mental, Sexual and Reproductive Health Services and Technical Efficiency of Health Facilities in the Use of Resources Mobilized to Provide ASRH Services in Niger: The Case of Maradi and Niamey Regions Nassirou Ibrahim, Roxane Borgès Da Silva, Aïssa Diarra, Ama Pokuaa Fenny, and 7 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4524141/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 4 You are reading this latest preprint version Abstract Background In developing countries, many organizations are attempting to implement interventions to improve adolescent mental, sexual, and reproductive health (ASRH). One of the challenges to implementing these interventions is the efficiency of the use of available resources. Unfortunately, very few or in the case of some of the most resource-constrained contexts such as Niger, no efficiency studies are yet available. To bridge this knowledge gap, this study examined the provision of adolescent mental, sexual, and reproductive health services in Niger. It also analysed the technical efficiency and determinants of public health facilities in providing adolescent sexual and reproductive health services. Method The study was a cross-sectional survey of 160 health facilities (rural and urban) providing ASRHs in the Niamey and Maradi regions. The data were collected from May 31 to June 24, 2022. To examine the supply of mental health and sexual and reproductive health services, a descriptive frequency analysis was conducted. Then, to determine the technical efficiency scores of the health facilities, a stochastic frontier analysis based on the translog function was performed. A fractional logit regression was performed to analyse the determinants of the technical efficiency of the health facilities. Results More than 89% of the health facilities surveyed reported offering sexual and reproductive health services to adolescents in the Maradi and Niamey regions. However, the provision of mental health services remains very mixed, with only one in 10 facilities offering these services in the Maradi and Niamey regions. The stochastic estimation indicates an average technical efficiency score of 45%. The health facilities with higher-than-average scores were in rural areas and were run by men. Conclusion Given that the results indicated a limited provision of mental health services, action needs to be taken to alleviate this issue. Training for health personnel in the management of adolescents suffering from mental disorders. A low technical efficiency score indicates that health facilities can perform better. One way to improve the technical efficiency score is to equip health facilities with rooms for adolescents. Another way is to set up a well-stocked, functional pharmacy stocked with products related to sexual and reproductive health services. Sexual and reproductive health services resource utilization technical efficiency adolescents Niger Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Editorial decision: Revision requested 10 Jun, 2024 Editor assigned by journal 05 Jun, 2024 Submission checks completed at journal 05 Jun, 2024 First submitted to journal 03 Jun, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4524141","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":312469050,"identity":"032ee916-82e4-4c7c-b753-a5007e4d7ba9","order_by":0,"name":"Nassirou 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Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Sexual and reproductive health services, resource utilization, technical efficiency, adolescents, Niger","lastPublishedDoi":"10.21203/rs.3.rs-4524141/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4524141/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground\u003c/h2\u003e \u003cp\u003eIn developing countries, many organizations are attempting to implement interventions to improve adolescent mental, sexual, and reproductive health (ASRH). One of the challenges to implementing these interventions is the efficiency of the use of available resources. Unfortunately, very few or in the case of some of the most resource-constrained contexts such as Niger, no efficiency studies are yet available. To bridge this knowledge gap, this study examined the provision of adolescent mental, sexual, and reproductive health services in Niger. It also analysed the technical efficiency and determinants of public health facilities in providing adolescent sexual and reproductive health services.\u003c/p\u003e\u003ch2\u003eMethod\u003c/h2\u003e \u003cp\u003eThe study was a cross-sectional survey of 160 health facilities (rural and urban) providing ASRHs in the Niamey and Maradi regions. The data were collected from May 31 to June 24, 2022. To examine the supply of mental health and sexual and reproductive health services, a descriptive frequency analysis was conducted. 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