Assessing the impact of cultural beliefs influence on adolescent girls assess to sexual reproductive health services in choto village area 25

This study examined the impact of cultural beliefs on adolescent girls’ access to Sexual and Reproductive Health services in Choto Village, Area 25, Lilongwe District, Malawi. Adolescents in many communities continue to face significant barriers when seeking Sexual and Reproductive Health services, particularly due to deeply rooted cultural norms and beliefs. The study aimed to explore how these beliefs influence health-seeking behavior and limit access to essential services among adolescent girls.

A qualitative research design was employed to gain an in-depth understanding of the experiences and perceptions of adolescent girls regarding Sexual and Reproductive Health services. Data were collected through in-depth interviews and focus group discussions with adolescent girls aged 10 to 19 years. Key informant interviews were also conducted with community leaders, parents, and health care providers to obtain broader perspectives on cultural practices and community attitudes. Thematic analysis was used to analyze the data.

The findings revealed that cultural beliefs play a significant role in restricting adolescents’ access to Sexual and Reproductive Health services. Many participants reported being taught that using family planning methods before marriage leads to permanent infertility and future reproductive problems. Seeking Sexual and Reproductive Health services was also associated with shame, moral judgment, and fear of being labeled as sexually active. These beliefs were strongly reinforced by parents, elders, and community leaders, discouraging open discussions about sexual health. In addition, limited parental support, fear of negative attitudes from health workers, lack of privacy at health facilities, and inadequate youth-friendly services further reduced adolescents’ willingness to seek care.
The study concludes that cultural beliefs and community norms significantly influence adolescent girls’ health-seeking behavior and contribute to low utilization of Sexual and Reproductive Health services. Addressing these barriers requires community-based interventions that engage parents, elders, and traditional leaders to challenge harmful beliefs. The study recommends strengthening youth-friendly health services, promoting comprehensive Sexual and Reproductive Health education, and encouraging open communication between adolescents and parents. These measures are essential for improving access to Sexual and Reproductive Health services and enhancing the overall well-being of adolescent girls in the community.