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Title: Exploring adolescents and young people's candidacy for utilising health services in a rural district, South Africa
Authors: Nkosi, Busisiwe 
Seeley, Janet 
Ngwenya, Nothando 
Mchunu, S. Lerato 
Gumede, Dumile 
Ferguson, Jane 
Doyle, Aoife M. 
Keywords: Candidacy;Health service utilisation;South Africa;Vulnerability;Young people;0807 Library and Information Studies;1110 Nursing;1117 Public Health and Health Services;Health Policy & Services
Issue Date: 28-Mar-2019
Publisher: Springer Science and Business Media LLC
Source: Nkosi, B. et al. 2019. Exploring adolescents and young people's candidacy for utilising health services in a rural district, South Africa. BMC health services research. 19(1): 195-. doi:10.1186/s12913-019-3960-1
Journal: BMC health services research; Vol. 19, Issue 1 
We use the 'candidacy framework' to describe adolescents' and young people's (AYP) experiences of health services in a rural KwaZulu-Natal district, South Africa.


A qualitative approach was used including group discussions, in-depth and key informant interviews with a purposive sample of AYP (n = 70), community leaders (n = 15), school health teams (n = 10), and health service providers (n = 6).


Findings indicate tacit understanding among AYP that they are candidates for general health services. However, HIV stigma, apprehensions and misconceptions about sexual and reproductive health, and socio-cultural views which disapprove of AYP pre-marital sex undermine their candidacy for sexual and reproductive services.


Consideration and understanding of the vulnerabilities and reasons AYP exclude themselves will inform interventions to address their health needs. AYP's participation in the design of health services will increase their acceptability and encourage uptake of services.
ISSN: 1472-6963 (Online)
DOI: 10.1186/s12913-019-3960-1
Appears in Collections:Research Publications (Health Sciences)

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