Evidence map›Paper›PMID 40790735›Full record

ArticleBMC health services research2025

Exploring the patterns of availability and provision of sexual and reproductive health services to young people in primary healthcare centers in Ebonyi state, Nigeria.

Joy Nkeiruka Ozughalu, Ozioma Patricia Nwankpa, Chinyere Ojiugo Mbachu, Obinna Onwujekwe

Abstract read
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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Joy Nkeiruka OzughaluHealth Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria. joy.ozughalu.pg00454@unn.edu.ng.ORCID http://orcid.org/0000-0002-2145-4154
Ozioma Patricia NwankpaHealth Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Chinyere Ojiugo MbachuHealth Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.ORCID http://orcid.org/0000-0003-3936-6184
Obinna OnwujekweHealth Policy Research Group, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.ORCID http://orcid.org/0000-0002-1214-4285

Funding

International Development Research Centre Grant Agreement No 109809-001
6 · The paper itself

Abstract

backgroundAdolescents and young people represent a significant portion of the population in Nigeria. Thus, addressing their unique sexual and reproductive health (SRH) needs is imperative for overall national health outcomes, especially given the limited availability of youth friendly services. This study aimed to identify the factors that influence availability and provision of SRH services to young persons in Ebonyi State, Southeast Nigeria.

methodsA cross-sectional quantitative study was used to explore the patterns of health service availability and provision among healthcare providers in primary healthcare centers. Descriptive analysis was used to examine respondents’ socio-demographic characteristics and their provision of differential treatment based on gender and age. Rao-Scott chi-squared test assessed the relationship between the two outcome variables-health service availability and provision. Multiple logistic regression, adjusted for clustering at the facility level, was used to examine associations between dependent variables and independent variables, including age, gender, location, years of formal education, and training in providing youth-friendly sexual and reproductive health services.

resultsRural areas reported higher service availability than urban areas, likely due to targeted national health programs. However, service provision remained inconsistent, especially for post-abortion care and support for survivors. Higher provider education was positively linked to both availability and provision. Youth-friendly training improved reported availability but did not enhance actual service delivery.

conclusionWhile targeted interventions have improved service availability in rural areas, significant gaps remain in actual service provision, particularly for sensitive SRH services. Enhancing provider education and addressing systemic barriers to youth-friendly care are essential to translating availability into meaningful access and quality service delivery.

Indexed as

Health Services AccessibilityPrimary Health CareReproductive Health ServicesAdolescentAdultCross-Sectional StudiesFemaleHumansMaleNigeriaYoung AdultAdolescentAvailabilityHealth serviceProvisionSexual and reproductive health (SRH)Young people

Identifiers

PMID40790735
PMCPMC12341132

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.