ArticleReproductive health2021
What do service providers in Southern Ethiopia say about barriers to using youth-friendly sexual and reproductive health services for adolescents?: Qualitative study.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Barriers to accessing contraceptive services for adolescents in Sub-Saharan Africa: a scoping review.Global health action · 2026Article
- Strengthening interventions to support the sexual and reproductive health and wellbeing of young women involved in sex work amid conflict and distress migration in Ethiopia.Global health action · 2026Article
- Awareness, service use and barriers to sexual and reproductive health among adolescents in the Arsi Zone, Oromia, Ethiopia.African journal of primary health care & family medicine · 2026Article
- Adolescent effective access to sexual and reproductive health and rights in sub-Saharan Africa: a systematic review of legal, institutional and sociocultural barriers.BMJ public health · 2026Article
- A qualitative evaluation of stakeholder perspectives on the implementation of HIV services within adolescent and youth-friendly services for the youth in Nampula, Mozambique.BMC health services research · 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
- Intimate partner violence, reproductive health outcomes, and responsiveness among women living with disabilities in Southern Ethiopia: a qualitative study.Reproductive health · 2025Article
- Quality of Youth-Friendly Service and Associated Factors at the Public Health Facilities of Awi Zone, Northwest Ethiopia: A Mixed Study.Health science reports · 2025Article
- Risk factors of sexual and reproductive health problems, service utilization, and its challenges among street youths in East Gojjam zone, North West Ethiopia: exploratory qualitative study.BMC public health · 2025Article
- Adolescent-Parent Communication on Sexual and Reproductive Health Issues in Nyarugenge and Kamonyi Districts, Rwanda: A Qualitative Exploration of Adolescent Insights.Rwanda journal of medicine and health sciences · 2025Article
- Practices of community pharmacists toward adolescent-friendly sexual and reproductive health services: A cross-sectional study in Ghana.Innovations in pharmacy · 2025Article
- Article
- Using the Nominal Group Technique to Inform Approaches for Enhancing Men's Utilization of Sexual and Reproductive Health Services.International journal of environmental research and public health · 2024Article
- Policies for expanding family planning coverage: lessons from five successful countries.Frontiers in public health · 2024Review
- Article
- Exploring Barriers to Accessing Adolescents Sexual and Reproductive Health Services in South Ethiopia Regional State: A Phenomenological Study Using Levesque's Framework.Adolescent health, medicine and therapeutics · 2024Article
- Factors influencing the utilisation of Youth Friendly Health Services in Blantyre, Malawi.Health SA = SA Gesondheid · 2024Article
- Empowering youth and ensuring health: utilization of youth friendly service among preparatory school students in Gambella, Southwest Ethiopia.Frontiers in reproductive health · 2024Article
- Exploring Providers' Perception Towards Provision of Sexual and Reproductive Health Services for Unmarried Adolescents in Gamo Zone, Southern Ethiopia: A Phenomenological Study.Risk management and healthcare policy · 2021Article
- The practice of menstrual hygiene management and associated factors among secondary school girls in eastern Ethiopia: The need for water, sanitation, and hygiene support.Women's health (London, England)Article
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Abstract
backgroundIn Ethiopia, the utilization coverage of adolescent-friendly health services (AFSRHs) ranged only from 9 to 55% and it was the lowest of all Sub-Saharan African countries in 2016. Little is known why adolescents were not accessing the existing services to the side of healthcare providers.
objectiveThe aim of this study is to explore contextual perceived and actual barriers to accessing AFSRHs by adolescents in Southern Ethiopia.
methodsPhenomenological study design supplemented with observation was used to explore perceived and actual barriers to accessing AFSRHs in 2020. Criterion sampling was used to select study participants. In-depth interviews with healthcare providers and non-specialist sexual and reproductive healthcare providers were conducted. Transcribed interviews and observations were imported to Open Code 4.02 for coding, categorizing, and creating themes. Finally, barriers to accessing existing services were explained using thematic analysis.
resultsThe study explores contextual barriers to accessing sexual and reproductive health services in five emergent themes. According to providers' points of view, the barriers include ranging from providers (e.g. poor providers' competency), health facilities (e.g. supply constraints and unsupportive environment), adolescents (e.g. perceived lack of information and attitude towards SRHs), community (e.g. lack of parental and social support), and broader health system (e.g. poor implementation and multi-sectorial engagement).
conclusionAs to providers, adolescents face multiple barriers to accessing youth friendly sexual and reproductive health services. Healthcare facilities and all levels of the healthcare system should implement varieties of approaches to increase access to the services for adolescents. Given the lack of progress in utilization of adolescents- youth friendly sexual and reproductive services, the existing strategy should be re-evaluated and new interventions at all levels of the healthcare system are needed. Moreover, implementation research is required at system level factors.
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