ABSTRACT
Background and Aim: The World Health Organization (WHO) defines an Adolescent as “an individual between 10-19 years of age”. As adolescents are not a homogenous group, their needs vary with their sex, stage of development, life circumstances & their socioeconomic conditions. Inspite of existing Adolescent Friendly Health Services (AFHS), adolescents are reluctant to utilize them because of lack of privacy & confidentiality. Aims of this study are (1) To study reproductive health needs of adolescent girls (2) To assess awareness & utilization of AFHS. Methodology: Community based cross sectional study was conducted in Urban Health Training Centre (UHTC) field practice area of Govt. Medical College, Bhavnagar among 532 Adolescent girls during February 2014 to August 2014. Information about their reproductive health needs, awareness about AFHS & its utilization were collected by pretested prestuctured questionnaire. Data entry & analysis done in Epi info software (version3.2). Results: In the present study regarding reproductive health needs, more than half (54.71%) girls desired correct information about reproductive health system , problems & hygiene & most of the girls (53.20%) choose seminar as best source to provide such information. 21.99% girls desired supply of sanitary pads at lower cost than market. An important finding was that very few (14.1%) girls were aware of AFHS. Among those who were aware of AFHS, 38.67% girls had visited & satisfied with services. The major reason for not utilizing AFHS was shyness among 54.35% girls. Conclusion: Information about reproductive health (54.71%) & supply of sanitary pad at lower prices than market (21.99%) are two important reproductive health needs of adolescent girls. Awareness & utilization of AFHS is very less among adolescent girls due to various barriers.