Stakeholder Perspectives on Adolescent Sexual and Reproductive Health Service Utilisation in Uganda's Busoga Region: A Qualitative Exploratory Study

ObjectiveTo explore adolescents attitudes, perceptions, and preferences regarding sexual and reproductive health (SRH) services in Busoga, Uganda, and to examine community leaders and health providers perspectives to inform youth-friendly interventions. DesignExploratory qualitative study under a constructivist paradigm, using key informant interviews (KIIs) and focus group discussions (FGDs). Analysis was inductive, following Braun and Clarkes six-step thematic approach, and guided by the Health Belief Model and Andersens Behavioural Model. SettingRural and urban sites in Iganga and Bugweri districts, Uganda. ParticipantsSix KIIs with community leaders and six with health providers; four FGDs with adolescents (n=39). ResultsFive themes emerged: (1) positive attitudes toward SRH but persistent misconceptions; (2) structural and interpersonal barriers including distance, cost, and judgemental providers; (3) preference for free, peer-led, school/community-based services with gender-matched staff; (4) sociocultural constraints such as early marriage and religious prohibitions; and (5) system gaps including commodity shortages and limited staff training. ConclusionAdolescents are motivated to protect their SRH but face multilevel barriers. Culturally sensitive, adolescent-friendly strategies, peer engagement, and reliable supply chains are urgently needed. Key questionsO_ST_ABSWhat is already known on this topicC_ST_ABSO_LIAdolescents in sub-Saharan Africa face stigma, cost, and distance barriers to SRH services. C_LI What this study addsO_LIAdolescents in Busoga prefer free, peer-led, school/community-based services and describe persistent myths about contraception. C_LI How this study might affect research, practice, or policyO_LIMulti-stakeholder partnerships, including faith and cultural leaders, are essential for adolescent-friendly SRH policy and programming. C_LI