Adolescents’ agency in negotiating social norms governing sexual and reproductive health services among the Nyasa people of Rural Tanzania.

Key Social Norms Take-aways: Adolescents and young people are not simply constrained by social norms; they actively reproduce, resist, and negotiate them to balance sexual and reproductive health needs with social acceptance. Restrictive gender expectations, stigma, fear of community judgment, and concerns about confidentiality shape service use, while trusted peer networks provide important pathways for […]

A Qualitative Study on Youth and Healthcare Provider Perspectives on Youth Access to Sexual and Reproductive Health Services in Northern Ghana: Implications for a Peer-Led Intervention.

Key Social Norms Take-aways: Social and gender norms substantially shape young people’s access to sexual and reproductive health services in northern Ghana. Expectations of abstinence before marriage, religious discouragement, and stigma linking contraceptive use with promiscuity create fear of judgment and discourage care-seeking. Young women face particularly strong social consequences because of gendered expectations surrounding […]

Unsafe sexual practice and associated factors among adolescents in secondary schools in Gambella town, Ethiopia: a health belief model.

Key Social Norms Take-aways: Adolescents’ perceptions of what is socially acceptable around abstinence and condom use were significantly associated with unsafe sexual practices. In particular, low perceived social support for consistent condom use was associated with greater likelihood of unsafe sexual behavior, underscoring the importance of strengthening social environments that support condom use. The discussion […]

Where shame meets vulnerability: unintended adolescent pregnancy within the cultural context of the rural district of Rwandan Eastern Province.

Key Social Norms Take-aways: Social and cultural norms surrounding premarital adolescent sexuality, gender, and motherhood shape both the risk and consequences of unintended adolescent pregnancy in rural Rwanda. The discussion emphasizes that norms portraying adolescent sex as immoral and pregnancy as shameful can generate internalized and enacted stigma, silence girls’ sexual agency, reinforce gender and […]

Measuring social norms endorsement and normative influence on contraceptive use among youth (15-24) in northeastern Uganda.

Key Social Norms Take-aways: Social norms are strongly associated with contraceptive use among youth in Karamoja, Uganda, suggesting that improving access to contraceptive services alone may be insufficient. Supportive reproductive health norms and young people’s self-efficacy were the strongest drivers of contraceptive uptake, while restrictive gender expectations, contraceptive myths, harmful cultural practices, stigma, and punitive […]

Socio-ecological influences on sexual and reproductive health service use: Young adults and provider perspectives from Soshanguve, South Africa.

Key Social Norms Take-aways: Social norms strongly shape young adults’ use of sexual and reproductive health services. Conservative cultural and religious norms can make sexual health discussions taboo, while peer and masculinity norms may encourage sexual risk-taking, discourage condom use, and stigmatize care-seeking. Fear of being judged as promiscuous or immoral further reinforces secrecy and […]

Determinants of husbands’ involvement in family planning: Evidence from a community-based cross-sectional study in Uttar Pradesh, India.

Key Social Norms Take-aways: Husbands’ attitudes toward family planning and contraceptive use are strongly associated with whether they participate in reproductive decision-making and support their wives’ contraceptive use. The discussion emphasizes that favorable attitudes occur across social groups and that media exposure may help shape attitudes toward shared responsibility for family planning. Programs could leverage […]

Male Contraceptive Methods: Understanding Men and Women’s Views and Related Relationship Dynamics via Nationally Representative Surveys in Six Countries.

Key Social Norms Take-aways: Gender expectations around contraceptive responsibility are important for introducing new male contraceptive methods. Most men and women supported shared responsibility, communication, and decision-making, but respondents in African countries generally reported less equitable attitudes and lower trust than those in Asian countries. The authors emphasize that regional and cultural differences, alongside concerns […]

Why do adolescent girls become pregnant? Contextual pathways to adolescent pregnancy in rural Tanzania: a mixed-methods study.

Key Social Norms Take-aways: Adolescent pregnancy in rural Tanzania is shaped by social norms embedded within broader economic and gender inequalities. Cultural expectations surrounding initiation, marriage, sexuality, and fertility can normalize early sexual relationships and transitions to adulthood, while gendered power imbalances—particularly within age-disparate relationships—constrain girls’ ability to negotiate contraception. Importantly, the authors argue that […]

Landscaping the behaviors, drivers and norms influencing the wellbeing of very young adolescents: an exploration of stakeholders’ perspectives in Nigeria.

Key Social Norms Take-aways: Harmful gender norms and sociocultural expectations operate across multiple areas of very young adolescents’ lives in Nigeria, reinforcing early marriage, gender-based violence, girls’ economic dependency, silence around sexuality, and vaccine hesitancy. The discussion emphasizes that these behaviors are embedded in unequal social structures and sustained by stigma, community expectations, misinformation, and […]

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