Comprehensive Assessment of Adolescent and Youth Friendly Sexual Reproductive Health Services in South Sudan.

Abstract Introduction: Adolescent and Youth Friendly Sexual Reproductive Health and Rights (SRHR) services play a crucial role in addressing the unique health needs of young people. This study aimed to comprehensively assess the availability, perception, quality, and utilization of these services in South Sudan. Methods: The study employed a mixed-methods approach, combining both quantitative and qualitative data collection techniques to provide a comprehensive understanding of the current state of these services. The study utilized a purposive sampling strategy to select young people (aged 10–24 years) seeking SRH services at health facilities. The minimum sample size was calculated to be 294 individuals. Data collection methods included client interviews, focus group discussions, and a desk-based review of secondary data. Supervisors and research assistants were trained to ensure quality data collection, and ethical considerations were prioritized throughout the study. Findings: The study revealed several key findings, including demographic characteristics of the adolescents, factors influencing their utilization of youth-friendly health services, and their access to reproductive health services. The study also highlighted challenges faced by pregnant adolescents and the performance of health facilities in providing services to adolescents. Conclusion: The study's findings underscore the importance of addressing barriers such as limited access to education, lack of awareness and education on sexual and reproductive health, and challenges in accessing health services. The study also generated recommendations to improve adolescent youth-friendly health services, emphasizing the need for comprehensive strategies to promote the well-being of adolescents in South Sudan.