Types, Processes, and Factors Influencing Access to Youth-Friendly Sexual and Reproductive Health Services in Nigeria: A Qualitative Exploration of Young People and Health Providers’ Perspectives

irene Eze, Alex Ekwueme Federal University Ndufu-Alike Ikwo Abakaliki
Chinyere Mbachu, Health Policy Research Group, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria
Aloysius Odii, Demography and Population Studies, Sociology/Anthropology Department, University of Nigeria, Nsukka, Enugu State, Nigeria
Nkoli Ezumah, Health Policy Research Group, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria
Obinna Onwujekwe, Health Policy Research Group, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria

Objective: This study explored young people’s and health providers’ perspectives on what, how, and factors influencing delivery of youth-friendly sexual and reproductive health services (SRHS) in Ebonyi State southeast Nigeria. Methods: Employing qualitative study design, data was collected through twenty in-depth interviews and ten focus group discussions with SRHS providers and young people and analyzed using thematic analysis. Results: Various SRHS - sexuality education, contraception, and sexually transmitted infections are provided to young people in a systematic, yet swift process of reception, registration, and consultation. The services are delivered in a courteous, empathic, friendly, and respectful manner, ensuring confidentiality and privacy. Whereas free or subsidized costs for donor-supported services facilitated utilization, inadequate workforce and infrastructure/equipment, high service costs, and sociocultural factors constrained access. Conclusions: Young people are provided with youth-friendly SRHS. However, inadequate resources limit access. Governments should provide more supportive environment, adequate resources, and affordable costs to improve access.