The purpose of this study is to explore the limitations to girls' access to adolescent friendly sexual and reproductive health services in public health institutions in Kaski, Nepal. Seven interviews with health workers and eight group interviews with adolescent girls are analysed using the conceptual framework of access to health care by Levesque, Harris, and Russell and an understanding of gender as embedded in all matters and choices concerning sexual and reproductive health. We find that girls demonstrate poor literacy about sexual and reproductive health, and that most challenges and barriers occur before girls reach health institutions. The strict gender norms, stigmatisation and lack of autonomy are the highest barriers for adolescent girls in seeking care. We find that health institutions are not adolescent friendly and have a passive outreach strategy.

中文翻译：

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尼泊尔卡斯基的女孩获得青少年友好的性健康和生殖健康服务

这项研究的目的是探讨尼泊尔卡斯基省公共卫生机构中女孩获得青少年友好的性健康和生殖健康服务的限制。使用Levesque，Harris和Russell的获得医疗保健的概念框架，对性别的理解被纳入了与性工作者和生殖健康有关的所有事项和选择中，从而对卫生工作者进行了七次访谈，对青少年少女进行了八次小组访谈。我们发现，女孩对性健康和生殖健康的素养不佳，大多数挑战和障碍发生在女孩到达卫生机构之前。严格的性别规范，污名化和缺乏自主权是少女寻求照料的最大障碍。