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A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy

Jimmy-Gama, D B. 2009. An assessment of the capacity of faculty-based youth friendly reproductive health services to promote sexual and reproductive health among unmarried adolescents: evidence from rural Malawi. PhD thesis. Queen Margaret University.

Accessed from: http://etheses.qmu.ac.uk/132/

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AN ASSESSMENT OF THE CAPACITY OF FACILITYBASED YOUTH FRIENDLY REPRODUCTIVE HEALTH SERVICES TO PROMOTE SEXUAL AND REPRODUCTIVE HEALTH AMONG UNMARRIED ADOLESCENTS: EVIDENCE FROM RURAL MALAWI

DIXON BESTER JIMMY-GAMA

A Thesis Submitted in Partial Fulfilment of the Requirements for the Degree of Doctor of Philosophy

QUEEN MARGARET UNIVERSITY

2009

“The world has begun to recognize that the HIV pandemic (and other sexuality-related health problemsi) cannot be confronted simply by applying a disease-based, biomedical, technological model of intervention; a new model must be applied that addresses sexuality, sexual rights and gender power relations” (The Ford Foundation 2005:17)

i

Words in brackets are my own inclusion

ii

Abstract Despite the recognition of the influence of cultural norms on adolescent sexual behaviours in most societies (Kaler 2004; Chege 2005), less attention has been paid to the link between social norms and effectiveness of health facilities to promote adolescent sexual and reproductive health (ASRH). This thesis therefore examines the capacity of...