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. 2025 May 5:51:2.
doi: 10.11604/pamj.2025.51.2.47467. eCollection 2025.

Adolescents' knowledge and perceptions of sexual and reproductive health rights and access to services in the Greater Banjul Area, the Gambia

Binta Jallow  1 , Olutosin Alaba Awolude  2 , Haddy Tunkara Bah  3 , Million Teklay Solomon  1 , Iacane Bampoque  1 , Ines Nshimirimana  1
Affiliations

Adolescents' knowledge and perceptions of sexual and reproductive health rights and access to services in the Greater Banjul Area, the Gambia

Binta Jallow et al. Pan Afr Med J. .

Abstract

Introduction: adolescents in the Gambia face significant challenges in accessing sexual and reproductive health (SRH) services, hindered by sociocultural barriers, inadequate education, and systemic limitations. Despite representing a significant proportion of the population, limited research addresses the sociocultural and institutional factors shaping their SRH awareness and access. This study bridges these gaps by assessing adolescents' knowledge, perceptions, and access to SRH services while identifying the associated barriers and determinants in the Greater Banjul Area.

Methods: this cross-sectional study included 424 secondary school students aged 15-19 years in grades 10 and 11 of selected private and public schools. Data were collected using structured questionnaires and analyzed with descriptive statistics, chi-square tests, and logistic regression.

Results: revealed that only 34.2% of participants were aware of SRH rights, and only 12.7% had attended formal SRH training. Knowledge gaps were evident, with only 24.1% aware of contraception rights and 23.6% understanding consent rights. Barriers associated with these findings included lack of information (41.5%), cultural taboos (34.9%), and fear of judgment (22.9%). Only 22.4% accessed SRH services, mainly in public clinics (8.3%), with a satisfaction rate of 15.1%. Logistic regression showed public school students had less access (AOR = 0.320, 95% CI: 0.190-0.539, p < 0.001) and fewer barriers (AOR = 0.253, 95% CI: 0.107-0.601, p =0.002).

Conclusion: this study emphasizes the need for age-appropriate SRH education, expanded youth-friendly services, and community engagement to reduce cultural barriers and improve equitable access for Gambian adolescents.

Keywords: Adolescents; Gambia; health-seeking behaviours; sexual and reproductive health (SRH); sexual and reproductive health education.

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Conflict of interest statement

The authors declare no competing interests.

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References

    1. Banspach S, Zaza S, Dittus P, Michael S, Brindis CD, Thorpe P. CDC Grand Rounds: Adolescence-Preparing for Lifelong Health and Wellness. MMWR Morb Mortal Wkly Rep. 2016 Aug 5;65(30):759–62. - PubMed
    1. Inchley JC, Stevens GWJM, Samdal O, Currie DB. Enhancing Understanding of Adolescent Health and Well-Being: The Health Behaviour in School-aged Children Study. J Adolesc Health. 2020 Jun;66(6S):S3–S5. - PubMed
    1. Lowe M, Grant PI, Awolaran O, Médessi Mongo YA. Sexual and reproductive health of adolescents and young people in Gambia: a systematic review. Pan Afr Med J. 2021 Dec 13;:40–221. - PMC - PubMed
    1. Munea AM, Alene GD, Debelew GT, Sibhat KA. Socio-cultural context of adolescent sexuality and youth friendly service intervention in West Gojjam Zone, Northwest Ethiopia: a qualitative study. BMC Public Health. 2022 Feb 11;22(1):281. - PMC - PubMed
    1. Terefe B. The prevalence of teenage pregnancy and early motherhood and its associated factors among late adolescent (15-19) years girls in the Gambia: based on 2019/20 Gambian demographic and health survey data. BMC Public Health. 2022 Sep 17;22(1):1767. - PMC - PubMed