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March 5, 20260 citations

Young people's perceptions of access to sexual and reproductive health services in Manzini, Eswatini: a qualitative study.

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SFSimangele FakudzeUniversity of South AfricaRMRose Mmusi-PhetoeUniversity of South Africa

Key Points

  • The study aims to explore young people's perceptions of accessing sexual and reproductive health services in eSwatini.
  • Convenience purposive sampling of 14 young people aged 10-24
  • Data collected through semi-structured, face-to-face interviews
  • Audiotaped interviews conducted in October 2017
  • Data analyzed using Colaizzi's seven steps of analysis
  • Barriers to access included low health literacy and stigma
  • Concerns about privacy and confidentiality hindered service utilization
  • Community outreach and health education were identified as enablers of access
  • The healthcare system has potential for better service delivery to young people

Abstract

Despite the global agreements on adolescents' sexual and reproductive health and rights (SRHR), access to and utilisation of these services among the young people including adolescents remain unsatisfactory in low- and middle-income countries including eSwatini. This study aimed to explore and describe young people's aged 10-24 perceptions of accessing SRHR services. Convenience purposive sampling was used to recruit fourteen (14) participants who were seeking SRHR services at Family Life Association of Swaziland clinic in Manzini. Semi-structured interviews were used through face-to-face in-depth and audiotaped interviews, in October 2017. Colaizzi's seven steps of data analysis was used. Barriers to service access include low health literacy, stigma, privacy and confidentiality. Enablers of utilisation of the services were mostly structural in nature which included community outreaches and health education. Providing young people with SRHR information and services through the existing healthcare system, presents an opportunity that should be further optimised.

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Cite This Study

Fakudze et al. (2026) studied this question.

synapsesocial.com/papers/69a91d9bd6127c7a504c0886https://doi.org/10.29063/ajrh2026/v30i4.2
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