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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
“Our mothers do not tell us”: a qualitative study of adolescent girls’ perspectives on sexual and reproductive health in rural Nepal
Sexual and Reproductive Health Matters, Volume 29, No. 2, Article 2068211, Year 2022
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Description
Adolescent girls in low- and middle-income countries continue to face poor sexual and reproductive health (SRH). In Nepal, early marriage and motherhood, gender-based violence, and unmet need for contraception remain pervasive. Adolescent girls in rural areas bear a disproportionate burden of poor reproductive health outcomes, but there are limited context-specific data. This is a qualitative study to identify factors that impact adolescent girls’ utilisation of and access to SRH services in a rural district of Nepal. We conducted 21 individual interviews with adolescent girls aged 15–19 years, and three focus group discussions with community health workers. We used an inductive analytic approach to identify emergent and recurrent themes and present the themes using the social ecological model. Individual-level factors that contribute to low uptake of services among adolescent girls include lack of knowledge, self-perceived lack of need, low decision-making autonomy, and shyness. Interpersonal factors that impact access include unsupportive family norms, absence of open communication, and need for permission from family members to access care. At the community level, disparate gender norms, son preference, and judgment by community members affect adolescent SRH. Inadequate sex education, far travel distance to facilities, lack of female healthcare providers and teachers, and inability to access abortion services were identified as organisational and systems barriers. Stigma was a factor cross-cutting several levels. Our findings suggest the need for multi-level strategies to address these factors to improve adolescent girls’ SRH. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC9225746/bin/ZRHM_A_2068211_SM7429.docx
Authors & Co-Authors
Citrin, David
United States, Seattle
University of Washington
United States, New York
Icahn School of Medicine at Mount Sinai
Goldberg, Alisa B.
United States, Boston
Brigham and Women's Hospital
United States, Boston
Harvard Medical School
Vreeman, Rachel Christine
United States, New York
Icahn School of Medicine at Mount Sinai
United States, New York
Arnhold Institute for Global Health
Maru, Sheela
United States, New York
Icahn School of Medicine at Mount Sinai
United States, New York
The Mount Sinai Medical Center
Statistics
Citations: 1
Authors: 4
Affiliations: 9
Identifiers
Doi:
10.1080/26410397.2022.2068211
ISSN:
26410397
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Exploratory Study
Study Approach
Qualitative
Participants Gender
Female