Antecedents of sexual and reproductive healthcare service utilization among female potters (Kayayei) in Accra Metropolis

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