ArticleBMC international health and human rights2018
Adolescents' reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana.
Article in BMC international health and human rights, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.
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Who cites it
72 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and barriers to the utilization of adolescent and youth-friendly health services in Ghana: systematic review and meta-analysis.Reproductive health · 2025Pooled it
- Are facility service delivery models meeting the sexual and reproductive health needs of adolescents in Sub-Saharan Africa? A qualitative evidence synthesis.BMC health services research · 2025Pooled it
- Experiences and training needs of healthcare providers involved in the care of Ghanaian adolescents living with HIV: an interventional study.BMC pediatrics · 2020Trial
- "I have never heard of this reproductive health": young adults' understanding of the link between sexually transmitted infections and reproductive health in Eastern Cape, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2026Article
- A Qualitative Study on Youth and Healthcare Provider Perspectives on Youth Access to Sexual and Reproductive Health Services in Northern Ghana: Implications for a Peer-Led Intervention.International journal of environmental research and public health · 2026Article
- Perceptions of Sexual and Reproductive Health and Rights among Students at a Higher Learning Institution in Rwanda.Rwanda journal of medicine and health sciences · 2026Article
- Machine learning-based prediction and identification of determinants of teenage pregnancy in ten East African countries.Scientific reports · 2026Article
- Evaluating the technical efficiency of primary health facilities in delivering adolescent mental, sexual and reproductive health services in Burkina Faso.BMC primary care · 2026Article
- Adolescent health services in a primary care facility in Northern Ghana: a qualitative investigation of patients', guardians', and staff's perceptions of care.BMC health services research · 2026Article
- Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.Frontiers in global women's health · 2026Article
- Parent-child communication on sexual and reproductive health: a qualitative study exploring the perspectives of parents, adolescents and young adults in the region of Kaolack, Senegal.BMC public health · 2025Article
- Safe spaces enhancing sexual and reproductive health for youth: a scoping review.Reproductive health · 2025Article
- Adolescent Health Services in a Primary Care Facility in Northern Ghana: A Qualitative Investigation of Patients', Guardians', and Staff's Perceptions of Care.Research square · 2025Article
- "Sexuality education is a double edge-sword…": a qualitative study on perceptions of school teachers on sexual and reproductive health of adolescent girls in Eastern India.Reproductive health · 2025Article
- The red thread: stakeholder perspectives on menstrual health and hygiene in Ghana.BMJ global health · 2025Article
- Sexual and reproductive health (SRH) knowledge of women: a cross-sectional study among the women experienced abortion in urban slums, Dhaka, Bangladesh.Reproductive health · 2025Article
- Services availability and readiness assessment of adolescent sexual and reproductive health in primary healthcare facilities: evidence from selected districts in Ghana.Reproductive health · 2025Article
- Knowledge of sexual and reproductive health and rights among University of Rwanda students: a cross-sectional study.BMJ public health · 2025Article
- Sexual activity and contraceptive use among adolescents: A descriptive survey in a Ghanaian municipality.PLOS global public health · 2025Article
- Multilingual voice-enabled informatics tools: Catalyst for equitable AI in HIV and HIV-comorbidity healthcare management.PloS one · 2025Article
12 more citing papers are in PubMed but not listed here.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ghana, adolescents constitute about a quarter of the total population. These adolescents make reproductive health decisions and choices based on their knowledge and the availability of such choices. These reproductive health decisions and choices can either negatively or positively affect their lives. This study therefore explored adolescents' reproductive health knowledge and choices, the type of choices they make and the factors that affect these choices.
methodsThis qualitative study adopted a narrative approach to qualitative enquiry. Eight focus group discussions (N = 80) were conducted among both in-school and out-of-school adolescents aged 10-19 years. The discussions were stratified by sex and studentship. In addition, nine in-depth interviews were conducted with various stakeholders in reproductive health services and community opinion leaders. Both the focus group discussions and in-depth interviews were recorded, transcribed and analysed using NVivo 11. Thematic analysis was employed in analysing data.
resultsThe study found that knowledge on reproductive health choices was low among respondents with majority of them relying on their peers for information on sexual and reproductive health. Having a sexual partner(s) and engaging in premarital sex was common and viewed as normal. Adolescents engaged in unprotected sexual practices as a way of testing their fertility, assurance of love, bait for marriage and for livelihood. Inserting herbs into the vagina, drinking concoctions and boiled pawpaw leaves were identified as local methods employed by adolescents to induce abortion. Reproductive health services were available in the community but received low utilization because of perceived negative attitude of health workers, confidentiality and social norms.
conclusionsAdolescents in this study generally engaged in risky reproductive health choices that can negatively affect their reproductive health. Adolescents in this part of Ghana have challenges utilizing available reproductive health services because of socio-cultural and health system barriers.
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