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Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana

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  • Innes Agbenu
  • Josephine Kyei
  • Florence Naab

Abstract

Background: Evidence globally indicates that female adolescents face numerous sexual and reproductive health (SRH) risks. Utilization of sexual reproductive health services among adolescents is of global health importance and plays a crucial role in adolescent sexual reproductive health outcomes and their quality of life. Aim: The current study explored sexual reproductive health service utilization concerns among female adolescents in the Tema Metropolis in Southern Ghana using the Anderson and Newman Behavioural model of Health Service Utilization as a guiding framework. Methods: The study utilized a qualitative exploratory descriptive design. Purposive sampling was used to recruit female adolescents. In-depth face-to-face interviews were conducted using a semi-structured interview guide. In all, 12 interviews were conducted. Each interview lasted between 45 and 60 minutes. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. Thematic analysis was guided by the constructs of the Anderson and Newman Behavioural model of health service utilization. Results: Utilization of sexual reproductive health services among female adolescents is low in the Tema metropolis. Factors such as unprotected non-consensual sexual activity or an unwanted pregnancy sometimes triggered the use of these services. Barriers to utilization identified include lack of awareness on sexual reproductive health services, unreliable sources of SRH information, underestimation of the severity of sexual reproductive health problems faced, unmet expectations and poor experiences with service providers. Conclusion: The current study identified poor utilization of sexual reproductive health services among female adolescents within the Tema metropolis of Ghana. There is the need to increase the number of adolescent health corners, increase awareness about SRH services among adolescents, improve parent-child SRH communication and provide adequate training for healthcare providers to improve provider attitude towards adolescent SRH service delivery in order to increase utilization of sexual reproductive health services among female adolescents in the Metropolis.

Suggested Citation

  • Innes Agbenu & Josephine Kyei & Florence Naab, 2024. "Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-16, February.
    • Handle: RePEc:plo:pone00:0292103
    DOI: 10.1371/journal.pone.0292103
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    References listed on IDEAS

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    1. Rokicki, S. & Cohen, J. & Salomon, J.A. & Fink, G., 2017. "Impact of a text-messaging programon adolescent reproductive health: A cluster-randomized trial in Ghana," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 298-305.
    2. Alatinga, Kennedy A. & Allou, Leander A. & Kanmiki, Edmund W., 2021. "Contraceptive use among migrant adolescent girl head porters in Southern Ghana: Policy implications for sexual and reproductive health education and promotion," Children and Youth Services Review, Elsevier, vol. 120(C).
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