It is a common conclusion among administrators and researchers that young adults, especially unmarried ones, do not come to public health services for reproductive health care. 6 Lack of privacy and bad treatment are frequently cited as reasons, according to studies in Kenya 6 and Burkina Faso. 11 Other reasons include feelings among young people that services are intended only for married people as concluded by researchers in the Philippines. 10 Young people also are often not aware of service locations or what types of services are offered. In an Indonesian study, four in ten adolescents did not know what reproductive health services were available in their area.
Clinics can use diverse communications activities to publicize their services and attract clients.
Especially important is word of mouth, as satisfied clients become effective advocates. 12 Personal communications also minimize sensitive mass publicity, as pointed out in an International Planned Parenthood Federation report on adolescent service provision. 13 Youth-Friendly Environment . Many aspects of the clinic environment have been cited by young people as needing adjustments to make it feel more accepting for them. Foremost among these are privacy and confidentiality.