Young people’s unawareness and poor utilisation of sexual and reproductive health and rights (SRHR) services is one of the contributing variables that increase the susceptibility of youths to many challenges in SRHR. This study sought to assess young people’s level of awareness and utilisation of available sexual and reproductive health and rights services in Calabar South Local Government Area of Cross River State, Nigeria. The available SRHR services in the study area were identified. A communitybased cross-sectional descriptive design was adopted for the study, whereby a sample of 325 youths aged 15-24 years were recruited from households within the 6 selected out of 12 political wards of Calabar Local Government Area, using a multistage sampling technique. A validated self-developed questionnaire was used for data collection which were analysed using SPSS version 22.0. Findings revealed low awareness (94.8%) of young people to available SRHR services, and the proportion of SRHR services utilisation by youths was also low (21.5%). There was a statistically significant influence of SRHR services awareness on youth’s utilisation (P<0.05). Also, in the logistic regression, the P-value for all the variables showed that there is no significant influence of the predictor variables (age, religion, marital status, educational qualification, means of livelihood, mother’s, and father’s educational background) on the outcome variable (awareness and utilization). Limited awareness on SRHR services was a rationale for low utilisation of such services among young people. The study recommended training of health care providers on SRHR services with periodic monitoring to ensure that providers are maintaining standards of care. More community enlightenment through government-community partnership is required to strengthen the concept of SRHR, increase awareness for service utilisation and sustainable development. (Afr J Reprod Health 2023; 27 [5s]: 58-70)

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The International Women’s Health Coalition. Providing

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adolescent sexual and reproductive health services:

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reproductive maternal newborn and child health:

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Nsemo AD and Akpaninyang VI. Social and health

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implications of teenage pregnancy in Calabar south

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Local Government Area of Cross River state, Nigeria. Academic Journal of Interdisciplinary

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Studies. 2011; 3 (1), 109-121.

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Thin Zaw PP, Liabsuetrakul T, Htay TT and McNeil E.

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Equity of access to reproductive health services

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among youths in resource-limited suburban

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communities of Mandalay City, Myanmar. BMC

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health services research. 2012;12:1-2.

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International Planned Parenthood Federation. (2013).

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Youth-friendly services. Retrieved July 25, 2016,

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from http://www.ippf.org/our-work/what-wedo/adolescents/services

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Atuyambe LM, Kibira SP, Bukenya J, Muhumuza C, Apolot

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RR and Mulogo E. Understanding sexual and

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reproductive health needs of adolescents: evidence

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from a formative evaluation in Wakiso district,

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Uganda. Reproductive health. 2015;12(1):1-0.

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Brhane T, Assefav B and Birhan N. Reproductive health

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behaviour of street youth and associated factors in

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Gondar city, Northwest Ethiopia. International

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Journal of Medicine and Biomedical Research.

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;3(1):28-37.

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Ayehu A, Kassaw T and Hailu G. Level of young people

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sexual and reproductive health service utilization

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and its associated factors among young people in

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Awabel District, Northwest Ethiopia. Plos one.

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;11(3):e0151613.

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Cherie N, Tura G and Aderajew NT. Reproductive health

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needs and service utilization among youths in West

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Badewacho Woreda, Hadiya Zone, South Ethiopia.

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Journal of public health and epidemiology.

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;7(4):145-53.

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Tegegn A and Gelaw Y. Adolescent reproductive health

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services in jimma city: accessibility and utilization.

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Ethiopian Journal of Health Sciences. 2009;19(2).

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Advocates for Youth.Youth and the state of culture (2008).

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Retrieved July 30, 2016, from:

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http://www.advocatesforyouth.org/publications/

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public cations-a-z/453-youth-and-the-state-ofculture

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Cross River State Government of Nigeria State Primary

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Health Care Development Agency.Statistics of staff

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strength and health facilities in Cross River

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State.2017-2020 multi-year budget framework.

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; Calabar, Cross River State, Nigeria.

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National Population Commission. Distribution of

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population by single years of age and sex. National

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Population Census, 2006 priority table IV. 2010;

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Calabar, Cross River State: Nigeria

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Okonta PI. Adolescent sexual and reproductive health in

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the Niger Delta region of Nigeria-Issues and

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challenges. African journal of reproductive health.

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;11(1):113-24.

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Omobuwa O, Asekun-Olarinmoye EO and Olajide FO.

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Knowledge and perception of reproductive health

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services among in-school adolescents in Ile-Ife,

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Osun State, Nigeria. Journal of Medicine and

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Medical Sciences. 2012;3(7):481-8.

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United States Agency for International Development.

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(2012). Youth in Development.

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USAID Policy Youth.Retrieved July 25, 2016, from

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https://www.usaid.gov/sites/default/files

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/documents/1870/Youth_in_Development_Policy.p

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df

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Roudsari RL, Javadnoori M, Hasanpour M, Hazavehei SM

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and Taghipour A. Socio-cultural challenges to

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sexual health education for female adolescents in

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(mysql): SELECT * FROM metadata_descriptions WHERE assoc_type = 1048579 AND assoc_id = 114824 ORDER BY metadata_description_id DESC  

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Iran. Iranian journal of reproductive medicine. 2013

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Feb;11(2):101.

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De Belmonte LR, Gutierrez EZ, Magnani R and Lipovsek

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V. Barriers to adolescents’ use of reproductive

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health services in three Bolivian cities. Washington:

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Focus on Young Adults/Pathfinder International.

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University of Chicago Medical Centre. (2011). Youth

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awareness of a

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minor’s right to access reproductive health services

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independently. Retrieved August 13,

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, fromhttp://familyplanning.uchicago.edu/polic

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y/publicationsresources/Teen%20Knowledge%

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of%20Minor %20Consent%20Laws.pdf

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Bam K, Haseen F, Bc RK, Newman MS, Chaudhary AH,

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Thapa R and Bhuyia I. Perceived sexual and

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reproductive health needs and service utilization

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among higher secondary school students in urban

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Nepal. American Journal of Public Health Research.

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;3(2):36-45.

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Abiodun O, Olu-Abiodun O, Ani F and Sotunsa O. Sexual

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and reproductive health knowledge and service

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utilization among in-school rural adolescents in

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Nigeria. Journal of AIDS and Clinical Research.

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;7(6).

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Phongluxa K, Langeslag G, Jat TR, Kounnavong S, Khan

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MA and Essink DR. Factors influencing sexual and

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reproductive health among adolescents in Lao PDR.

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Global Health Action. 2020;13(sup2):1791426.

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Nmadu AG, Mohamed S and Usman NO. Barriers to

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adolescents’ access and utilisation of reproductive

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health services in a community in north-western

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Nigeria: A qualitative exploratory study in primary

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care. African Journal of Primary Health Care and

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Family Medicine. 2020;12(1):1-8.

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Alisha G, Krishna S, Sunita D, Sarmila D and Anugraha

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C. Adolescent-Parent Communication on Sexual

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and Reproductive Health and its Associated Factors

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among Higher Secondary School Students of Tokha

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Municipality, Kathmandu, Nepal. Journal of Public

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Health International. 2022; 6(2):1-15.

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Ninsiima LR, Chiumia IK and Ndejjo R. Factors

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influencing access to and utilisation of youthfriendly sexual and reproductive health services in

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sub-Saharan Africa: a systematic review.

Reproductive health. 2021;18(1):1-7