Abstract:
This study explored the knowledge, awareness, access to, and the utilization of sexual
and reproductive health (SRH) services among female porters (Kayayei) in the Accra
Metropolis. The study adopted a qualitative case study design. A purposive sampling
technique was used to select thirteen (13) participants, and data were collected through
in-depth interviews using a semi-structured interview guide. The collected data were
analyzed thematically. The findings revealed that Kayayei demonstrated a basic
understanding of sexual and reproductive health, largely centered on safe sexual
practices, maternal health, and the prevention of sexually transmitted infections (STIs).
However, their knowledge was generally limited in depth and scope. Although
awareness of SRH service providers within the metropolis was relatively high, detailed
knowledge of specific services such as family planning options and STI screening
remained low. Access to and utilization of SRH services were influenced by factors
including personal health needs, cultural beliefs, social influence, and proximity to
healthcare facilities. Nonetheless, significant barriers such as financial constraints,
demanding work schedules, stigma, negative provider attitudes, and logistical
challenges hindered effective utilization of services. Based on the above findings, the
study recommends the implementation of context-specific interventions, including
culturally sensitive SRH education delivered in local languages, the deployment of
mobile clinics in market areas, and the strengthening of peer support systems to
improve access and utilization of SRH services among Kayayei
Description:
A thesis in the Department of Social Studies Education,
Faculty of Social Sciences Education, submitted to the school of
Graduate Studies in partial fulfillment
of the requirements for the award of the degree of
Master of Education
(Social Studies Education)
in the University of Education, Winneba
JUNE, 2025
