Quest Journals
Journal of Medical and Dental Science Research
Volume 8~ Issue 11 (2021) pp: 61-70
ISSN(Online) : 2394-076X ISSN (Print):2394-0751
www.questjournals.org
*Corresponding Author: WANKASI, Helen Idubamo (PhD) 61 | Page
Research Paper
Barriers And Solutions To Sexual And Reproductive
Health Education Of Adolescents In Community
Secondary School Amassoma, Bayelsa State
WANKASI, Helen Idubamo (PhD)
Orcid.org 0000-0002-8403-5555
Department of Community Health Nursing, Faculty of Nursing Sciences, Niger Delta University, Wilberforce
Island, Bayelsa State, Nigeria
EFEUNU, Efemena Nora
Federal Medical Center Yenagoa. Bayelsa State, Nigeria
BEREDUGO, Ikiomoye Leticia
Department of Community Health Nursing, Faculty of Nursing Sciences, Niger Delta University, Wilberforce
Island, Bayelsa State, Nigeria
ABSTRACT
Introduction- Barriers are peculiar elements inimical to implementation and achievement of meaningful
programme objectives in every field of human endeavour and it is not uncommon with sexual and reproductive
health education programmes. Thus, it is essential that school health gladiators explore and elicit barriers from
adolescents’ point of view and proffer solutions as key steps towards prevention of avoidable global
adolescents` death and promotion of health. Therefore, the purpose of this article was to explore barriers and
proffer solutions to sexual and reproductive health education of secondary school adolescents in Bayelsa State.
Method- A descriptive qualitative design was adopted for this study using purposive sampling technique with a
sample of 10 participants in a public secondary school. Source of data was a semi-structured interview guide
and voice recorder. Data was analyzed thematically in six consecutive steps.
Findings- Two (2) themes namely: barriers to sexual and reproductive health education; solutions that would
reduce the barriers to sexual and reproductive health education with six (6) sub-themes emerged. Conclusion-
Findings indicate that adolescents in secondary schools lack confidence and trust on health care providers,
their teachers and parents. Not only that, lack of parental and societal education which translates to general
lack of knowledge on safe sex practice to sexual and reproductive health education are some of the barriers
inimical to effective sexual and reproductive health education. However, in adolescents` perception, effective
sexual and reproductive health education, effective counseling programmes and provision of secondary school
adolescents’ friendly services by government as well as periodic organization of seminars on sexual and
reproductive health are solutions identified in this study that would reduce the barriers to a low ebb. Keywords:
barriers, health education, sexual and reproductive health, solutions
Received 12 November, 2021; Revised: 25 November, 2021; Accepted 27 November, 2021 © The
author(s) 2021. Published with open access at www.questjournals.org
I. INTRODUCTION
Barriers are peculiar elements inimical to implementation and achievement of meaningful programme
objectives in every field of human endeavour and it is not uncommon with sexual/ reproductive health education
programmes. The perceived barriers to sexual and reproductive health programmes among young adults are in
fourfold, which Thongmixay, Essink, Greeuw et al., (2019) describes as: - 1. Access to facility with regards to
site, hours and secrecy. Access to facility is further categorized into: - (a) Cognitive accessibility- The cognitive
accessibility barriers according to Thongmixay, Essink, Greeuw et al., (2019) are: lack of sexual awareness and
knowledge of services. (b) Psychosocial accessibility - Under psychosocial accessibility there is general feeling