Impact of COVID-19 on household incomes and access to SRHR services by young people

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Figure 41: Who paid for SRH services accessed by young people. As observed in the figure above, a 6% majority (62%) and 6% indeed more than half of the young people Myself 13% who accessed and Parent/Caregiver utilized services paid Partner/Spouse for themselves, RAHU Peer educator followed by those who 13% 62% Other relative were paid for by their parents/caregivers and those whose partners paid, each representing 13%. Only 6% mentioned that the costs for SRH services were borne by the peer educators. This should not be surprising considering that peer educators are more supposed to play a linkage role to facilities that provide the needed service than personally bearing the cost of the service. Of importance to note is the proportion of young people who reported that SRH services were paid by their caregivers/parents. While this is not necessarily high, it may suggest an emerging attitude shift among parents towards access to and utilization of SRH services by young people. In terms of pricing, the data reveals that the highest price paid to access SRH services was 250,000/= (for maternity and child delivery) while the lowest was 100/= (for HIV/AIDS screening and testing). On the other hand, the overall average price for accessing SRH services was 40,470/=. Only one caregiver out of the total (46) whose young people sought and obtained services mentioned that he/she had to pay UGX 55,000 for their dependent’s pregnancy test, a cost that the caregiver found very high. The rest (45) accounting for 97.83% reported that they did not have to pay anything for young people to access SRH services. Associated costs such as transport costs to access SRH services are also an important consideration and can either facilitate or constrain young people’s access to SRH services. Results reveal that the highest associated cost paid to access SRH services was 60,000/=. On the other hand, a majority (17.86%) of the young people who accessed and obtained SRH services did not have to spend any other money. Combined, young people who spent 1000/= or less were 53.58%, while those who spent 2000/= or less were 64.29%. Despite the relatively low associated costs in accessing sexual and reproductive health services, results seem to indicate that vulnerable categories of young people are more negatively affected than their counterparts without disabilities. In an FGD with caregivers of young people with disabilities, one participant observed that:

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Annex 8: Case Study Documentation Guide

1min
page 105

Annex 11: Letter of introduction endorsed by the District Authorities

2min
pages 115-129

Annex 7: Interview Guide for Health Workers / In charges of Health Facilities

1min
page 104

Annex 6: Interview Guide for Peer Educators

3min
pages 102-103

Figure 46: Overall coping strategies adopted by households

10min
pages 70-74

Annex 4: FGD Guide for Caregivers of Young People (Male and Female Annex 5: Interview Guide for District/Sub-county Health Officials and Political Leaders89

5min
pages 99-101

Figure 42: Young people’s satisfaction with SRH services received

1min
page 67

Annex 3: FGD Guide for Young People (Male and Female) Aged 10-24 years

3min
pages 97-98

Figure 21: Community leaders’ support towards SRH of young people

5min
pages 48-50

Figure 41: Who paid for SRH services accessed by young people

2min
page 66

3.4.6 Impact on health spending and utilization of SRH services

2min
page 65

Table 12: Young people’s source of information of SRH during the lockdown

2min
page 47

Figure 8: Reasons for not seeking SRH services

1min
page 32

Figure 11: Contraceptive method used during last 12 months

1min
page 36

Figure 7: SRH services sought and obtained during the lockdown

2min
page 31

Table 4: Demographic characteristics of caregivers

1min
page 23

Figure 6: Young people who sought and obtained SRH services

1min
page 30

1.4.1 Objectives and research questions

2min
page 15

Figure 9: Reasons for not obtaining the services sought

2min
page 33

Figure 2: Forms of paid work engaged in by young people

1min
page 25
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