The lack of access to adolescent and youth-friendly services is a global concern due to its negative impact on adolescent health. Adolescents and youth-friendly services have been identified as responsible for improving access to sexual and reproductive health services for the adolescent population. Less research has been done to determine how accessible these services are. This study explored adolescents’ perceptions regarding access to Adolescent and Youth-Friendly Services in the eThekwini district. A quantitative descriptive design using a probability random sampling technique was adopted. A self-administered questionnaire was used to collect data from 377 adolescents between 16 and 24 years old. Descriptive analysis was used to analyse data. Most respondents (57%) agree that policies and procedures were in place. Most (79%) perceived respect and equal treatment, 62% stated convenient operational hours, shorter waiting times and swift referrals and 77% disclosed that the service package, information, and education resources were available. In comparison, 47% indicated involvement in decision-making, 72% confirmed the competency of healthcare providers, 73% revealed sufficient consultation time, 66% reflected on sufficient equipment and suppliers, and 86% confirmed the aesthetical environment. Adolescents in this study appreciated accessing the Adolescent and Youth-Friendly Services. This study highlights the necessity of implementing adolescent-focused policies and processes to increase service access. It also stresses the importance of community outreach initiatives to empower adolescents and increase access to services and adolescents’ involvement in the facilities. Further studies should be conducted to elucidate the reasons behind the elevated levels of adolescents pregnancies when services are accessible.
Khuzwayo et al. (Wed,) studied this question.