|Introduction: The overall adolescent’s sexual and reproductive health status is poor in Nepal. This shows the demand for the adolescent sexual and reproductive health services but at the same time the utilization of existing by adolescent is low.
Objective: The study aim at finding the challenges and barriers for adolescent friendly sexual and reproductive health services for girls in order to identify the reasons behind low utilization of services by girls from public health institutions in the community.
Methods: Purposive sampling method was carried out for the selection of all participants including health workers and girls based on the purpose of research objectives. Data was collected through six interviews, nine focus group discussion and two observation study.
Findings: The findings of this study elaborate the various challenges health worker face during the implementation of the ASRH program. Lack of resources within the program, lack of prioritization of program and characteristics related to individual health were the major challenges for the ASRH program. Lack of training of health workers, poor programmatic strategies, poor monitoring and supervision of the program, lack of acceptance of ASRH program in the community as well as judgmental attitude of health workers were found making the process of implementation of ASRH more challenging. On the other hand, girls were found experiencing the various barriers form different aspects of society including their own family, school, health sector and their own characteristics. Hence, poor sexual and reproductive health knowledge, strict gender role in community, lack of adolescent friendly health services, stigmatization of SRH services in community were the potential barrier girls were facing during utilization of services.
Conclusion: The poor accessibility of adolescent friendly SRH services and adolescent unfriendly family, school and society leads to low utilization of SRH services in community