Abstract

Adolescents face unique reproductive health challenges, including limited access to effective contraceptive services tailored to their needs. This study assesses the knowledge, attitudes, and utilization of adolescent-friendly contraceptive services among secondary school students in Buea, Cameroon. It aims to understand adolescents’ awareness of contraceptive methods, their perceptions regarding adolescent contraceptive use, and the extent of utilization of available services. By identifying barriers to access and use, the study seeks to inform policies that enhance the provision of youth-friendly reproductive health services in school settings.

The study employs a cross-sectional survey design, sampling  students aged 13-19 years from various secondary schools in Buea. Data collection is carried out through structured questionnaires designed to assess participants’ knowledge of contraceptive methods, attitudes toward contraceptive use, and experiences with accessing adolescent-friendly services. The study also explores factors affecting contraceptive use, including cultural beliefs, perceived stigma, access to information, and parental influence. Data analysis includes both descriptive and inferential statistics to examine correlations between knowledge levels, attitudes, and service utilization rates.

Preliminary findings reveal that while most participants have basic knowledge of contraceptive methods, misconceptions about side effects and limited understanding of service availability remain widespread. Approximately 40% of respondents expressed positive attitudes toward the importance of contraceptive use among adolescents. However, only 25% reported ever accessing adolescent-friendly contraceptive services, primarily due to perceived stigma, lack of privacy, and fear of judgment from healthcare providers. Additionally, cultural taboos and parental disapproval emerged as significant barriers, limiting open discussion and reducing adolescents’ willingness to seek contraception.

The study concludes that despite some awareness of contraceptive options, there are substantial gaps in the accessibility and perceived acceptability of adolescent-friendly contraceptive services. Recommendations include increasing school-based education on reproductive health, training healthcare providers on adolescent-friendly practices, and establishing confidential, stigma-free spaces where adolescents can seek contraceptive advice and services. By addressing these factors, Buea’s healthcare and educational systems can support informed decision-making among adolescents and promote healthier reproductive choices, reducing unintended pregnancies and related health risks.

Keywords: Adolescent contraceptive use, knowledge and attitudes, adolescent-friendly services, reproductive health, secondary school students, Buea, Cameroon.