Adolescent-Parent Communication on Sexual and Reproductive Health Issues in Nyarugenge and Kamonyi Districts, Rwanda: A Qualitative Exploration of Adolescent Insights.

Background: The quality of communication between adolescents and parents regarding sexual and reproductive health is a crucial area that needs improvement. Although existing studies emphasize the significance of parent-adolescent communication from parental views, there is a gap in investigating adolescents' perspectives. Understanding their experiences can help develop effective communication strategies that address their developmental needs and promote healthier behaviours. Objective: This study aims to collect detailed information about how adolescents view their communication with their parents, the difficulties they face in these exchanges, and solutions for enhancing adolescent health. Methods: A phenomenological exploratory study design was conducted using eleven focus group discussions among adolescents between December 2020 and January 2021. Findings: The study revealed three key themes, including communication patterns, challenges that make open dialogue difficult, and various solutions to enhance discussions about sexual and reproductive health between parents and adolescents. Conclusion: Improving communication between parents and adolescents about reproductive health is crucial for encouraging healthier behaviours. By addressing challenges such as cultural taboos, limited knowledge, and fear of family and social stigma that leads to poor communication, parents and adolescents will navigate the complexities of sexual and reproductive health issues effectively.