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Table 3 Barriers to Sexual and reproductive health in Vulnerable Adolescent Girls

From: Barriers to vulnerable adolescent girls’ access to sexual and reproductive health

Code

Sub-category

Main category

Undeveloped parenting style

  

Troubled family

Unstable family

 

Missing a parent (divorce, death, prison)

 

Family challenges

Family values vs. vulnerable adolescent girls

Family rejection

Absence of effective leadership in the family

When in Rome, do as the Romans do

Not to be left behind by the group of friends)

Peer pressure

Being obedient to the wishes of peers

The influence of peers on beliefs, behaviors and value systems of the adolescents

Defenseless against bad peers

Deceptive and misleading friends

Neglect of sex training in the education system

Absence of a sexual question and answer context in the family

Passivity of the national media on adolescent sexual and reproductive health issues

Unanswered sexual questions

Adolescents’ inability to make informed decisions about sex and fertility

Early sexual arousal through unreliable information sources

Inability in timely use of problem-solving skills

Defective life skills

Weakness in correct use of communication skills with the opposite sex

Poor awareness of using contraceptive methods

  

Lack of skills in using the correct method of contraception

Unwanted pregnancy during adolescence

Lack of awareness of sexual and reproductive health threats

Lack of awareness of reproduction

Possibility of abortions

 

Lack of awareness of the risk of infertility

Lack of awareness of unsafe sex

Lack of awareness of sexually transmitted infections

Sexual and gender minorities

Being different from cultural norms

Psychosocial threats to reproductive health

Unrestrained sex

Depression

Isolation

Wounded psyche

Rumination after sexual harassment

Lack of organizational structure in the health system

Ineffectiveness of key organizations in providing sexual and reproductive health services

 

Misbehavior of the healthcare providers

Absence of a specialized team in welfare centers

Unawareness of service providers at rehabilitation centers

Lawmakers’ inattention to issues related to vulnerable adolescents

 

Neglecting the girls’ sexual and reproductive health

Deficiency of existing laws

Lack of legal, political and social support

Lack of legal oversight on the health sector’s performance

Poor performance of policymakers

Lack of supportive policies

Loss of golden opportunities in life caused by the lack of social support

Lack of residential protection

Social taboos