Barriers and opportunities in implementing adolescent sexual and reproductive health interventions in rural Guatemala
An exploratory descriptive study
Bibliographic Data
| ID | 14968632 |
|---|---|
| Authors | Diana Carolina Chaparro Buitrago (0000-0002-0765-9137, McMaster University, corresponding author), Andrea Baumann (0000-0002-3894-028X, McMaster University), Olive Wahoush (0000-0001-8129-2356, McMaster University), Christy Gombay (McMaster University), Tim O’Shea (0000-0002-0793-6915, McMaster University) |
| Year | 2026 |
| Volume | 50 |
| Pages | 1 |
| Publication date | 2026-02-13 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista Panamericana de Salud Pública (JOURNAL) |
| Journal identifiers | ISSN: 1020-4989 • E-ISSN: 1680-5348 |
| Publisher | Pan American Health Organization (PUBLISHER • US) |
| DOI | 10.26633/rpsp.2026.13 |
| PMID | 41695081 |
| OpenAlex | W7128791567 |
| Language | EN |
| References cited | 20 |
Objective. To explore barriers and opportunities in implementing adolescent sexual and reproductive health interventions in four rural Indigenous communities in Alta Verapaz, Guatemala. Methods. An exploratory descriptive qualitative study was conducted using stakeholder mapping and a reflexive thematic approach. Data were collected through 20 semistructured interviews with key stakeholders involved in adolescent sexual and reproductive health programming. Results. Persistent barriers included limited institutional capacity, inadequate access to and coverage of comprehensive sexuality education and health care services (including youth-friendly spaces), and resistance rooted in family, religious, and community values. Structural issues, such as underfunding, political turnover, and limited multisectoral coordination, further hinder program sustainability. Opportunities for enhancing interventions were identified through community participation, youth leadership, demographic changes, technological advancements, and the integration of mental health. Conclusions. Strengthening governance, promoting inclusive multisectoral coordination, and leveraging adolescent and community engagement are crucial for implementing sustainable, culturally grounded sexual and reproductive health interventions in Indigenous communities in Guatemala and similar contexts
Community-based participatory research · Descriptive research · Exploratory research · Grounded theory · Indigenous · Psychological intervention · Public health · Qualitative research · Reproductive health · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Indigenous Health and Education
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| Citation velocity | historical |
|---|---|
| Highly cited | No |