Adolescent Sexual and Reproductive Health Care Service Availability and delivery in Public Health Facilities of Plateau State Nigeria

Abstract To assessed the availability, accessibility, appropriateness and quality of ASRH services in Primary health care facilities in Plateau State, Nigeria, a cross sectional study was conducted in 230 PHCs across the three senatorial zones of Plateau state. Primary data was obtained through face to face interview with heads of facilities from December 2018 to May 2019 using an adapted questionnaire from WHO with five domains ascertaining the extent that ASHR services were available and provided. The questionnaires were administered to the head of the facilities. Very few PHCs in the state had space (1.3%) and equipment (12.2%) for ASRH services. The proportion of PHCs offering counselling on sexuality was 11.3%, counselling on safe sex was 17%, counselling on contraception was 11.3%, and management of gender based violence was 3%. Most facilities were not operating at convenient time for adolescents. Only 2.6% PHCs had posters targeted at ASRH and just 7% of the PHCs had staff trained on ASRH. It was concluded that majority of the PHCs surveyed in Plateau State Nigeria lacked dedicated space, basic equipment and essential sexual and reproductive health care services for ASRH