Gration, Adroph Rutechura
(2025)
Examining the Utilization of Sexual and Reproductive Health Services among Adolescents in Nyamagana District, Tanzania.
Masters thesis, The Open University of Tanzania.
Abstract
This study aimed at assessing the utilization of sexual and reproductive health (SRH) services among adolescents in Nyamagana district as a case study. Specifically, the study assessed: the level of awareness of adolescents in accessing SRH services; accessibility of SRH services by adolescents; and challenge facing the adolescents in accessing SRH services. The study was guided by Social Cognitive Theory developed by Albert Bandura. Interprevitism philosophy and cross-sectional design. Qualitative approach was employed whereby 30 participants were involved. In addition, a non-probability sampling strategy specifically purposive sampling was used to select parents/guardians, and healthcare providers. Data were collected by using a semi-structured interview. Data analysis involved thematic analysis. Results indicated that utilization to SRH services by adolescents was influenced by the level of awareness such as awareness of the right to information and education on SRH service, freedom of thoughts on SRH, and right to decide number and spacing of children, and free from violence. The study also found the access to SRH services depended on availability of healthcare providers, adolescent-friendly SRH service, life skills and education programmes, and stock-out commodities. Results also indicated the challenges that hindered access to SRH among adolescents to include intrapersonal, interpersonal, and institutional level. The study concludes that utilization to SRH services in Nyamagana district was influenced by adolescent’s level of awareness of SRHS services, and access to SRH service. The study recommends that the government under the Ministry of Health of Tanzania and other health practitioners in Nyamagana district should inform adolescents about the importance of getting SRH services.
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