SynthesisReproductive health2025
Prevalence and barriers to the utilization of adolescent and youth-friendly health services in Ghana: systematic review and meta-analysis.
Synthesis in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- 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
- When policy meets practice: enacting WHO global standards for adolescent reproductive health services in Uganda.Reproductive health · 2026Article
- Exploring the socioeconomic and education-based inequalities in modern and traditional contraceptive use among women in Africa.Contraception and reproductive medicine · 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
- Health issues and needs among adolescents in Ethiopia: A cross-sectional study.PLOS global public health · 2026Article
- Strengthening uptake of adolescent-friendly health services in Blantyre, Malawi.Journal of public health in Africa · 2026Article
- Impact of reproductive health intervention on awareness of sexual and reproductive health service among adolescents in the Greater Accra and Eastern Regions of Ghana.BMC research notes · 2025Article
- Exploring the perspectives of adolescents in high school in Northern Ghana on barriers to accessing substance use services.Discover mental health · 2025Article
- Article
- Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.BMC public 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
- Bridging Participation Gaps: A Community-Led Inception for Integrating Comprehensive Adolescent-Friendly Family Planning and Post-Abortion Care (CAFFP-PAC) into Primary Healthcare Facilities in Northern Uganda.Open access journal of contraception · 2025Article
- Sexual and Reproductive Health Literacy and Service Utilization Among Young People in Southwest Nigeria.SAGE open nursingArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Adolescent and Youth-Friendly Health Services (AYFHS) program in Ghana aims to improve access to reproductive and sexual health services for young people. However, despite its importance, low utilization rates persist. Existing studies report various barriers, but there is a lack of synthesized evidence on AYFHS utilization and the specific barriers in Ghana. This gap limits the development of targeted interventions. Therefore, this study systematically reviews the prevalence and barriers to AYFHS utilization in Ghana to inform context-specific solutions.
methodsThis review adhered to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Four main databases (PubMed, Web of Science, JSTOR, and Scopus) were searched for relevant papers. Papers (peer review and grey literature) on Ghanaian adolescents and young people aged 10-24 years, published online in 2010-2023 and published in English were selected for the review. Finally, 11 records were included in this systematic review and meta-analysis.
resultsSix studies were conducted in the Ashanti region, with most being cross-sectional surveys. Sampling methods varied: three used purposive sampling, one combined purposive and convenience sampling, and another used both purposive and stratified sampling. Random and multi-stage stratified sampling were used in other studies. The overall prevalence rate of AYFHSutilization in Ghana was 42% (CI 24%- 60%). Education and financial constraints significantly affected AYFHS access. Religious beliefs, limited education, financial constraints, negative attitudes, and a lack of parental consent deter its use. Facility-related issues like medicine shortages, long waiting times, and confidentiality concerns acted as barriers. Cultural, religious, and educational norms impact decisions to use AYFHS. CONCLUSION AND RECOMMENDATION: To enhance utilization and align with Sustainable Development Goal Three (ensuring good health and well-being for all), culturally sensitive interventions, improved access, comprehensive sex education, and awareness campaigns are vital.
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