Adolescents’ accessibility and use of sexual and reproductive health services in Kaolack and Gossas, Senegal

Diarra Bousso Senghor, Arsène Brunelle Sandie, Barrel Sow Guèye, Ndèye Awa Fall, Sidy Mokhtar Ndiaye, Abdou Aziz Mandiang, Cheikh Mbacké Faye

Abstract

In Senegal, the needs for care related to sexual and reproductive health and rights (SRHR) among adolescents are significant. This study evaluates the accessibility and use of gender-related SRHR services by adolescents in the municipalities of Kaolack and Gossas. It is based on quantitative and qualitative data from 2,263 adolescents in the 2 sites, 84 in-depth individual interviews, 12 focus groups with adolescents and sexual reproductive Health actors, and 4 interviews with key informants. Quantitative analysis consisted of the interpretation of univariate statistics and bivariate analyses, while qualitative analysis relied on the coding and thematic analysis of verbatim statements. The results show low use of health structures (3% and 0.4% in Gossas and Kaolack respectively). This was attributed to the perceptions that services are not suitable to the needs of adolescents, and also because of socio-cultural constraints in the two sites. Additionally, the distribution of access to reproductive health services by sex shows gaps between boys and girls. We conclude that efforts should be made to tailor the sexual and reproductive health services offered to adolescents to their needs and social circumstances.

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References

USAID. Study on Reproductive Health Services Adapted to

Adolescents and Young People in Senegal; 2016:8.

ANSD. Continuous Demographic and Health Survey (EDS

Continue).; 2019:206.

Glik D, Massey P, Gipson J, Dieng T, Rideau A, and Prelip

M. Health-related media use among youth audiences

in Senegal. Health Promot Int. Published online

August

,

doi:10.1093/heapro/dau060

:dau060.

ANSD. Continuous Demographic and Health Survey (EDS

Continue).; 2017:646.

Nouhoun LA and Imorou AB. The sexual and reproductive

health service: a marginal offer to adolescents in

northern Benin. Rev ACAREF. Published online

:131-149.

Dobrzynski MLD. Sexual and reproductive health of

adolescents in Madagascar. Doctors of the World;

:117.

ANSD. Continuous Demographic and Health Survey (EDS

Continue).; 2019.

Avocè J, Kandji M and Mitchell V. Implementing Quality

Improvement Initiatives to Improve the Use of

Adolescent- and Youth-Friendly Health Services in

Zou, Benin. Glob Health Sci Pract. Published online

April 15,

:ghsp;GHSP-D-22-00223v1.

doi:10.9745/GHSP-D-22-00223

UNFPA. Sexual and Reproductive Health Services Adapted

to Adolescents and Young People: Key Elements for

Implementation and Scale-up in West and Central

Africa. UNFPA WCARO; 2020:100.

Woog V, Singh S, Browne A and Philbin J. Adolescent

Women’s Need for and Use of Sexual and

Reproductive Health Services in Developing

Countries. Guttmacher Institute; 2015:63.

Bationo BF. Relations between health professionals and

young girls in Burkina Faso: Stigma, norms and

social control. Agora Youth Debates. 2012;No.

(2):21-33. doi:10.3917/agora.061.0021.

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