‘Accept the fact that we get older’: adolescents’ and young people’s perspectives of sexual and reproductive health in Cape Town, South Africa

Abstract

Pregnancy rates among adolescents and young people in South Africa remain high despite the widespread availability of sexual and reproductive health information and contraception being free of charge. Knowledge gaps, misconceptions, and insufficient attention to youth voices are critical barriers to informed decision-making. Support for adolescents and young people is often negatively framed, focusing on sexual abstinence before marriage. This paper explores youth perspectives on sexual and reproductive health information and support. It also examines gaps in contraceptive knowledge, providing insights for public health programmes and interventions. Findings highlight significant gaps in contraceptive knowledge, which contribute to low uptake. The quality and nature of relationships between young people and adults also shapes the support and information provided. For adolescents and young people, trust and feeling understood impact whether adults are perceived as valuable sources of information. Suitable interventions include the creation of safe support spaces for adolescents and young people to develop sexual and reproductive health knowledge and communication skills, access accurate information, and address socioeconomic constraints.