<p class="MDPI12title">Freedom with Regard to Sexual and Reproductive Health and Rights for Adolescents and Young Adults of Haut-Sassandra, Côte d’Ivoire: A Study of Stakeholders’ Opinion

In recent years, there have been advances in adolescent and young adults’ sexual and reproductive health through national and international initiatives in Africa. However, enormous challenges remain to enable adolescents and young adults to exercise their sexual and reproductive health rights (SRHR), specifically in Côte d’Ivoire. This study aimed to explore the perspectives of stakeholders on the freedom of choice of adolescents and young adults in Haut-Sassandra, Côte d’Ivoire, with regard to SRHR. We conducted a qualitative descriptive study from data collected in the Haut-Sassandra region between September and October 2023. Data were collected through interviews and focus groups, using an interview grid. Overall, 137 stakeholders participated in the study, i.e., 57 teachers and administrators, 17 community leaders, and 63 parents. The average age of study participants was 46.1 years. There are several conditions that influence the freedom of choice among adolescents and young adults, including age, parental involvement, prior education, autonomy, and perceived maturity. The factors contributing to the lack of freedom include age (10–18 years), perceived immaturity, and a lack of autonomy. The factor linked to relative freedom is perceived maturity or immaturity. The factors that promote absolute freedom are age (18 – 24 years) and perceived maturity. Factors explaining stakeholders’ perspectives on the freedom of adolescents and young adults with regard to SRHR are cultural norms (religious beliefs), willingness to protect, and a feeling of disengagement. This study highlights the need to carry out interventions focusing on stakeholders’ knowledge and awareness of adolescents’ sexual and reproductive rights.