They don't know where reproductive health services are located, or they are unfamiliar with the kinds of services offered. The health facilities they might go to are not open at convenient hours. There is no transportation to an existing clinic site. The cost of services is beyond their means. Concerned program professionals are now beginning to address many of the difficulties and obstacles confronting young people.
Some clinics now serve young women before their first birth, or welcome young men as clients.
There is also a trend toward providing a broader array of reproductive health services. The staff have been specially trained to work with young adults. Staff acknowledge the central importance to adolescents of privacy and confidentiality. Separate space or special times are set aside for young adult clients. Clinics are open at times convenient for young adults to attend, such as late afternoons, evenings, and weekends.