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July 23, 2026BMC Health Services ResearchOpen Access

Health facility capacities for providing adolescent sexual and reproductive health services in Southwestern Uganda

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Authors

DADaniel AtwineVNViola Nilah NYAKATOCBCaroline Birungi

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Overview

Cross-sectional study assesses capacity and service delivery gaps for adolescents in health facilities, indicating a need for improvements.

Key Points

  • This research aims to evaluate the capacity of primary health care facilities to provide adolescent-friendly health services in Southwestern Uganda and assess the prevalence of repeat adolescent pregnancies.
  • Cross-sectional study conducted from April to May 2023 at 43 healthcare facilities (33 HC III and 10 HC IV) in 4 districts.
  • Interviews were administered using structured questionnaires, and data was collected from facility registers for a 6-month period.
  • Assessment of availability of family planning services and medical equipment using a checklist.
  • Adolescents accounted for 4.9%, 16.3%, and 14.8% of repeat pregnancy, post-abortion, and post-natal consultations, respectively, at PHCs.
  • 79% of HC IIIs lacked adolescent peer educators, and 60.5% lacked counsellors, highlighting workforce deficiencies.
  • 90.7% of health workers were willing to provide family planning without parental consent, but 41.9% feared that this could promote sexual promiscuity.

Cite This Study

Atwine et al. (2026) studied this question.

synapsesocial.com/papers/6a61aeeefaa9903c51169e7bhttps://doi.org/10.1186/s12913-026-15167-w
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1When policy meets practice: enacting WHO global standards for adolescent reproductive health services in Uganda2026
  2. 2ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH AT THE FEDERAL MEDICAL CENTRE, GUSAU: A QUALITATIVE ASSESSMENT OF SERVICE AVAILABILITY AND PROVIDER ATTITUDES2026
  3. 3Services Availability and Readiness Assessment of Adolescent Sexual and Reproductive Health in Primary Healthcare facilities: Evidence from Selected Districts in Ghana2024
  4. 4Stakeholder Perspectives on Adolescent Sexual and Reproductive Health Service Utilisation in Uganda's Busoga Region: A Qualitative Exploratory Study2025
  5. 5Estimating abortion incidence and unintended pregnancy among adolescents living in refugee settlements in Uganda2026