Socio-Ecological Analysis of Barriers to Access and Utilization of Adolescent Sexual and Reproductive Health Services in Sub-Saharan Africa: A Qualitative Systematic Review

References

• World Health Organization, WHO recommendations on adolescent sexual and reproductive health and rights; 2018.
   Google Scholar
• Stierman EK, Kalbarczyk A, Oo HNL, et al. Assessing barriers to effective coverage of health services for adolescents in low-and middle-income countries: a scoping review. J Adolesc Health. 2021;69(4):541–548. doi:10.1016/j.jadohealth.2020.12.135
   PubMed Web of Science ®Google Scholar
• Napit K, Shrestha KB, Magar SA, et al. Factors associated with utilization of adolescent-friendly services in Bhaktapur district Nepal. J Health Popul Nutr. 2020;39(1):1–9. doi:10.1186/s41043-020-0212-2
   PubMed Web of Science ®Google Scholar
• Hayrumyan V, Grigoryan Z, Sargsyan Z, et al. Barriers to utilization of adolescent friendly health services in primary healthcare facilities in Armenia: a qualitative study. Int J Public Health. 2020;65(8):1247–1255. doi:10.1007/s00038-020-01499-9
   PubMed Web of Science ®Google Scholar
• Chandra-Mouli V, Neal S, Moller A-B. Adolescent Sexual and Reproductive Health for All in Sub-Saharan Africa: A Spotlight on Inequalities. Springer; 2021.
   Google Scholar
• Sundewall J, Kaiser H. Sexual and reproductive health and rights:: an essential element of universal health coverage. Background document for the Nairobi Summit on ICPD25-accelerating the promise; 2019.
   Google Scholar
• Starrs AM, Ezeh AC, Barker G, et al. Accelerate progress—sexual and reproductive health and rights for all: report of the Guttmacher–Lancet Commission. Lancet. 2018;391(10140):2642–2692.
   PubMed Web of Science ®Google Scholar
• UNFPA. Accelerating the promise: the report on the Nairobi Summit on ICPD25. New York: UNFPA; 2020.
   Google Scholar
• World Health Organization. Handbook for conducting an adolescent health services barriers assessment (AHSBA)‎ with a focus on disadvantaged adolescents: knowing which adolescents are being left behind on the path to universal health coverage, and why. World Health Organization; 2019.
   Google Scholar
• World Health Organization. Leave no one behind: strengthening health systems for UHC and the SDGs in Africa; 2017.
   Google Scholar
• Mbeba RM, Mkuye MS, Magembe GE, et al. Barriers to sexual reproductive health services and rights among young people in Mtwara district, Tanzania: a qualitative study. Pan Afr Med J. 2012;13(Suppl 1):1.
   Google Scholar
• Manguro G, Mwaisaka J, Okoro D, et al. Failing the rights: sexual vulnerability, access to services and barriers to contraceptives among adolescents in Narok County, Kenya. Int J Hum Rights Healthc. 2021;14:374–386. doi:10.1108/IJHRH-11-2020-0099
   Google Scholar
• Ezenwaka U, Mbachu C, Ezumah N, et al. Exploring factors constraining utilization of contraceptive services among adolescents in Southeast Nigeria: an application of the socio-ecological model. BMC Public Health. 2020;20(1):1–11. doi:10.1186/s12889-020-09276-2
   PubMed Web of Science ®Google Scholar
• Onasoga OA. Challenges and barriers to adolescents’ post-abortion care services: implications for reproductive health policy in Nigeria; 2017.
   Google Scholar
• Thongmixay S, Essink DR, Greeuw TD, et al. Perceived barriers in accessing sexual and reproductive health services for youth in Lao People’s Democratic Republic. PLoS One. 2019;14(10):e0218296. doi:10.1371/journal.pone.0218296
   PubMed Web of Science ®Google Scholar
• Ndayishimiye P, Dine RD, Dukuze A, et al. Perceptions and barriers toward sexual reproductive health services accessibility, availability and quality among adolescents in selected cities of Rwanda; 2020.
   Google Scholar
• Mohamed S, Nmadu AG, Usman NO. Barriers to adolescents’ access and utilisation of reproductive health services in a community in north-western Nigeria: a qualitative exploratory study in primary care. Afr J Prim Health Care Fam Med. 2020;12(1):1–8.
   Web of Science ®Google Scholar
• Abuosi AA, Anaba EA. Barriers on access to and use of adolescent health services in Ghana. J Health Res. 2019;33(3):197–207. doi:10.1108/JHR-10-2018-0119
   Web of Science ®Google Scholar
• Decker MJ, Atyam TV, Zárate CG, et al. Adolescents’ perceived barriers to accessing sexual and reproductive health services in California: a cross-sectional survey. BMC Health Serv Res. 2021;21(1):1–12. doi:10.1186/s12913-021-07278-3
   PubMed Web of Science ®Google Scholar
• McLeroy KR, Bibeau D, Steckler A, et al. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–377. doi:10.1177/109019818801500401
   PubMedGoogle Scholar
• Odimegwu CO, Ugwu NH. A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa. Reprod Health. 2022;19(1):119. doi:10.1186/s12978-022-01407-9
   PubMed Web of Science ®Google Scholar
• Seers K. Qualitative systematic reviews: their importance for our understanding of research relevant to pain. Br J Pain. 2015;9(1):36–40. doi:10.1177/2049463714549777
   PubMed Web of Science ®Google Scholar
• Butler A, Hall H, Copnell B. A guide to writing a qualitative systematic review protocol to enhance evidence‐based practice in nursing and health care. Worldviews Evid Based Nurs. 2016;13(3):241–249. doi:10.1111/wvn.12134
   PubMed Web of Science ®Google Scholar
• Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10(1):1–11. doi:10.1186/s13643-021-01626-4
   PubMed Web of Science ®Google Scholar
• Berhan Y, Ali M, Tassew A, et al. Universal health coverage policy and progress towards the attainment of universal sexual and reproductive health and rights services in Ethiopia. Ethiop J Health Sci. 2022;32(1):181–200. doi:10.4314/ejhs.v32i1.19
   PubMed Web of Science ®Google Scholar
• World Bank. World bank country and lending groups-2021; 2021.
   Google Scholar
• Polanin JR, Pigott TD, Espelage DL, et al. Best practice guidelines for Abstract screening large‐evidence systematic reviews and meta‐analyses. Res Synth Methods. 2019;10(3):330–342. doi:10.1002/jrsm.1354
   Web of Science ®Google Scholar
• Lockwood C, Munn Z, Porritt K. Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation. JBI Evid Implement. 2015;13(3):179–187.
   Google Scholar
• Tong A, Flemming K, McInnes E, et al. Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Med Res Methodol. 2012;12:181. doi:10.1186/1471-2288-12-181
   PubMed Web of Science ®Google Scholar
• Challa S, Manu A, Morhe E, et al. Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana. Women Health. 2018;58(4):434–450. doi:10.1080/03630242.2017.1306607
   PubMed Web of Science ®Google Scholar
• Long HA, French DP, Brooks JM. Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Res Methods Med Health Sci. 2020;1(1):31–42. doi:10.1177/2632084320947559
   Google Scholar
• Hailemariam S, Gutema L, Agegnehu W, et al. Challenges faced by female out-of-school adolescents in accessing and utilizing sexual and reproductive health service: a qualitative exploratory study in Southwest, Ethiopia. J Prim Care Community Health. 2021;12:21501327211018936. doi:10.1177/21501327211018936
   Google Scholar
• Silumbwe A, Nkole T, Munakampe MN, et al. Community and health systems barriers and enablers to family planning and contraceptive services provision and use in Kabwe District, Zambia. BMC Health Serv Res. 2018;18(1):1–11. doi:10.1186/s12913-018-3136-4
   PubMedGoogle Scholar
• Mukanga B, Nkonde H, Daka V. Exploring the multilevel factors influencing women’s choices and utilisation of family planning services in Mufulira district, Zambia: a socio-ecological perspective. Cogent Public Health. 2023;10(1):2168589. doi:10.1080/27707571.2023.2168589
   Google Scholar
• Dioubaté N, Manet H, Bangoura C, et al. Barriers to contraceptive use among urban adolescents and youth in Conakry, in 2019, Guinea. Front Glob Womens Health. 2021;2021:42.
   Google Scholar
• McGranahan M, Bruno-McClung E, Nakyeyune J, et al. Realising sexual and reproductive health and rights of adolescent girls and young women living in slums in Uganda: a qualitative study. Reprod Health. 2021;18(1):1–11. doi:10.1186/s12978-021-01174-z
   PubMed Web of Science ®Google Scholar
• Schriver B, Meagley K, Norris S, et al. Young people’s perceptions of youth-oriented health services in urban Soweto, South Africa: a qualitative investigation. BMC Health Serv Res. 2014;14(1):1–7. doi:10.1186/s12913-014-0625-y
   PubMedGoogle Scholar
• Amankwaa G, Abass K, Gyasi RM. In-school adolescents’ knowledge, access to and use of sexual and reproductive health services in Metropolitan, GhanaKumasi. J Public Health. 2018;26(4):443–451. doi:10.1007/s10389-017-0883-3
   Google Scholar
• Munea AM, Alene GD, Debelew GT, et al. Socio-cultural context of adolescent sexuality and youth friendly service intervention in West Gojjam Zone, Northwest Ethiopia: a qualitative study. BMC Public Health. 2022;22(1):1–11. doi:10.1186/s12889-022-12699-8
   PubMed Web of Science ®Google Scholar
• Jonas K, Roman N, Reddy P, et al. Nurses’ perceptions of adolescents accessing and utilizing sexual and reproductive healthcare services in Cape Town, South Africa: a qualitative study. Int J Nurs Stud. 2019;97:84–93. doi:10.1016/j.ijnurstu.2019.05.008
   PubMed Web of Science ®Google Scholar
• Mutea L, Ontiri S, Kadiri F, Michielesen K, Gichangi P. Access to information and use of adolescent sexual reproductive health services: qualitative exploration of barriers and facilitators in Kisumu and Kakamega, Kenya. PLoS One. 2020;15(11):e0241985. doi:10.1371/journal.pone.0241985
   PubMed Web of Science ®Google Scholar
• Ahumuza SE, Matovu JK, Ddamulira JB, et al. Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda. Reprod Health. 2014;11(1):1–9. doi:10.1186/1742-4755-11-59
   PubMedGoogle Scholar
• Mehus CJ, Aldrin S, Steiner RJ, et al. Parents’ sources of adolescent sexual health information and their interest in resources from primary care. Acad Pediatr. 2022;22(3):396–401. doi:10.1016/j.acap.2021.09.007
   PubMed Web of Science ®Google Scholar
• Mwaisaka J, Wado YD, Ouedraogo R, et al. “Those are things for married people” exploring parents’/adults’ and adolescents’ perspectives on contraceptives in Narok and Homa Bay Counties, Kenya. Reprod Health. 2021;18(1):1–13. doi:10.1186/s12978-021-01107-w
   PubMed Web of Science ®Google Scholar
• Coast E, Jones N, Francoise UM, et al. Adolescent sexual and reproductive health in Ethiopia and Rwanda: a qualitative exploration of the role of social norms. SAGE Open. 2019;9(1):2158244019833587. doi:10.1177/2158244019833587
   Web of Science ®Google Scholar
• Nyblade L, Stockton M, Nyato D, et al. Perceived, anticipated and experienced stigma: exploring manifestations and implications for young people’s sexual and reproductive health and access to care in North-Western Tanzania. Cult Health Sex. 2017;19(10):1092–1107. doi:10.1080/13691058.2017.1293844
   PubMed Web of Science ®Google Scholar
• Onokerhoraye AG, Dudu JE. Perception of adolescents on the attitudes of providers on their access and use of reproductive health services in Delta State, Nigeria. Health. 2017;9(1):88.
   Google Scholar
• Blum RW, Astone NM, Decker MR, et al. A conceptual framework for early adolescence: a platform for research. Int J Adolesc Med Health. 2014;26(3):321–331. doi:10.1515/ijamh-2013-0327
   PubMedGoogle Scholar
• Kågesten A, Gibbs S, Blum RW, et al. Understanding factors that shape gender attitudes in early adolescence globally: a mixed-methods systematic review. PLoS One. 2016;11(6):e0157805. doi:10.1371/journal.pone.0157805
   PubMed Web of Science ®Google Scholar
• Shatilwe JT, Mashamba-Thompson TP. Mapping evidence on access to healthcare information by women of reproductive age in low-and-middle-income countries: scoping review protocol. Syst Rev. 2019;8(1):1–7. doi:10.1186/s13643-019-1203-5
   PubMed Web of Science ®Google Scholar
• Ganle JK, Baatiema L, Quansah R, et al. Barriers facing persons with disability in accessing sexual and reproductive health services in sub-Saharan Africa: a systematic review. PLoS One. 2020;15(10):e0238585. doi:10.1371/journal.pone.0238585
   PubMed Web of Science ®Google Scholar
• Rizvi F, Williams J, Maheen H, et al. Using social ecological theory to identify factors associated with risky sexual behavior in cambodian adolescent girls and young women aged 10 to 24 years: a systematic review. Asia Pac J Public Health. 2020;32(2–3):71–80. doi:10.1177/1010539520911493
   PubMed Web of Science ®Google Scholar
• Bhatt N, Bhatt B, Neupane B, et al. Perceptions of family planning services and its key barriers among adolescents and young people in Eastern Nepal: a qualitative study. PLoS One. 2021;16(5):e0252184. doi:10.1371/journal.pone.0252184
   PubMed Web of Science ®Google Scholar
• Jonas K, Duby Z, Maruping K, et al. Perceptions of contraception services among recipients of a combination HIV-prevention interventions for adolescent girls and young women in South Africa: a qualitative study. Reprod Health. 2020;17(1):1–14. doi:10.1186/s12978-020-00970-3
   PubMed Web of Science ®Google Scholar
• Garney W, Wilson K, Ajayi KV, et al. Social-ecological barriers to access to healthcare for adolescents: a scoping review. Int J Environ Res Public Health. 2021;18(8):4138. doi:10.3390/ijerph18084138
   PubMed Web of Science ®Google Scholar
• Aventin Á, Gordon S, Laurenzi C, et al. Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators. BMC Public Health. 2021;21(1):1–22. doi:10.1186/s12889-021-11306-6
   PubMed Web of Science ®Google Scholar
• Alomair N, Alageel S, Davies N, Bailey JV. Factors influencing sexual and reproductive health of Muslim women: a systematic review. Reprod Health. 2020;17(1):1–15. doi:10.1186/s12978-020-0888-1
   PubMed Web of Science ®Google Scholar