Insight into migrant peer social network influence on adolescent sexual and reproductive health service utilisation in Accra, Ghana

What is it about?

Although peer networks are known to influence adolescent sexual and reproductive health (SRH), little is known about how this works for migrant adolescents. This study explored the role of peer networks in shaping SRH service use among migrant adolescents living in one of Ghana's densely populated urban slums in Accra, Old Fadama/Agbogloshie.Using a qualitative approach with 22 participants, including adolescents and community gatekeepers, the study found that adolescents often held negative attitudes towards SRH services due to limited cultural sensitivity in care. Because outreach activities rarely reach them directly, they relied heavily on peers for information. However, this peer-based information sometimes reinforced misconceptions and reduced confidence in accessing services.The study argues for the need to strengthen peer-led and community-based strategies to provide accurate information and improve access to SRH services for migrant adolescents in similar settings.

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