CAPPF-PAC BASELINE STUDY REPORT DISSEMINATION ACTIVITY REPORT

Date of Activity: 4^th – 9^th November 2025

Venue: Ober, Barapwo, Aromo, Ogur, Agali and Agweng Sub County Head Quarters.

Facilitators: Lira University and GLOFORD Uganda

Background

CAFFP-PAC Project with its consortium partners; Lira University, University of Calgary-Canada, Reproductive Health Uganda, GLOFORD Uganda and Lira District Local Government conducted a baseline study in 6 selected sites of Ober, Barapwo, Aromo, Ogur, Agali and Agweng considering a mix of both rural and urban population.

The report dissemination exercise was conducted in the sub counties of Ober, Barapwoo, Aromo, Ogur, Agweng and Agali with dates summarized below;

S/N	DATE	VENUE
1.	4/11/2025	Barapwoo Sub County-Hosting Ober Sub County Participants
2.	5/11/2025	Barapwoo Sub County
3.	6/11/2025	Aromo Sub County
4.	7/11/2025	Ogur Sub County
5.	8/11/2025	Agweng Sub County
6.	9/11/2025	Agali Seed Secondary school-Agali Sub County

Objectives of the workshop

The following were the objectives of the dissemination workshop:

• To give participants opportunity to read and internalize the report
• To allow participants reflect on the report and give their views in regard to the following guiding points;
• What is it that surprised you about this report?        
• What do you already know that was confirmed by the report?        
• What did you expect to see in the report but is missing?      
• What other key information do you see in the report that was not discussed/explained?
• What other comments do you have about the report?

Methodology used in the dissemination workshop

The following approaches were used during the dissemination exercise;

• Key note addresses by the District and Sub County technical teams who mainly highlighted the adolescent and teens sexual reproductive health and rights issues in the respective sub counties.
• Key note addresses by the team of researchers from Lira University and Partners giving participants background to the research and what is expected during the dissemination workshop.
• Group work.
• Gallery walk approach employed to allow participants quickly and easily read through the report that was displayed on the walls across the room.
• Plenary discussion where participants presented their findings as guided by the questions above.
• Ranking of participants generated points and coming up with priority issues per Sub County.

Categories of Participants

The participants to the work shop were comprised of the following categories of people;

• Technical Leaders both at the district and sub counties
• Religious Leaders from the major denominations
• Cultural Leaders
• Members of CBOs/CSOs
• Health Workers and Community extension workers
• Citizen scientists comprising of adolescents who are at school and out of school
• Satisfied adolescents who have experience using family planning services
• Adolescents with Special Interest like Persons with Disability,
• Local Leaders
• Parents and Care Givers
• Teen Parents
• Team of Consultants

Sub County Priority Issues.

OBER SUB COUNTY

S/N	TYPE OF GROUPS	CATEGORY	KEY ISSUES GENERATED BY THE GROUP	SUB COUNTY LIST OF ISSUES	SUB COUNTY-PRIORITIZATION
	Parents	Males and female parents with Adolescent	Drunkenness promoting violence among couples therefore interfering with the uptake of FP and PAC services, Ignorance, Gender Based violence, poverty making it difficult to access PF and PAC services that is not free, low level of education at households	Lack of Knowledge and information 26Religious and cultural doctrines 16Lack of adolescent Friendly corners 22lack of trust on family planning methods  14Gender based violence  03alcoholism Economic conflict and Poverty 29Lack of confidential and Privacy 02Stigma and discrimination  03Low capacity of H/W s 05Fear to access H/F04High cost of PAC 16services Harassment by health 1Lack of sex  education 08lack of confidence among Adolescent 00	Poverty Lack of knowledge  and information Lack of adolescent friendly corners High cost of pack services Religious and cultural doctrines Lack of trust of FP methods
	Technical leaders	Town clerk, teacher,	No information provided
	Satisfied adolescents	Male and female using FP methods	Low level of sex education, ill treatment by health workers, Lack of confidence/low self-esteem by adolescents
	Teenage Parents	Males and Females	Adolescents have limited knowledge on both FP and PAC, There is a lot of fear of stigma limiting access of FP and PAC services by adolescents, There is fear of side effects of FP methods, poor attitude on PAC
	Cultural leaders	Males and females	Lack of knowledge  and information Limited community support
	Health workers	Nurses, mid wife and health inspector	Most information being got from peers and friends who don’t have  first-hand information They do not know where to access FP and PAC services
	Religious Leaders	Catholic, Muslim and Anglican	Inadequate / poor knowledge about the impact  of family planning and  abortion Lack of Adolescents/ youth friendly  centers
	Citizen scientist	Students	Poor knowledge and  misconception of family planning Limited information and confidentially Parents do not allow especially young girls to go for FP – ‘They say we are too young and using these things make people think we are bad’ one young participant remarked.
	CSO		Fear of side effects of FP such as prolonged periods, over bleeding and delay  in conception Stigma and discrimination
	People with special disability	Males and Females	Health system and provider challenges Communication and  confidentiality Lack of trust for the health workersInaccurate knowledge on FP
	Local leaders	Sub county councilors	Poor Knowledge and misconception on FP We prioritize live saving care but we lack clear guidance for under 18yrs old Sometimes we are unsure whether to provide contraceptives with parental consent so we delay or deny service ( These points raised by local leaders seem to represent the health workers as presented)

BARAPWO SUB COUNTY

SN	TYPE OF GROUPS	CATEGORY	KEY ISSUES GENERATED BY THE GROUP	PRIORITZED ISSUES AS PER SUB GROUPS	SUB COUNTY LIST OF ISSUES	SUB COUNTY-PRIORITIZATION
	Technical leaders	CDO	Negative community attitudes, Lack of trust in service providers, Use of local herbs as opposed to health center services, Negative response by religious leaders on PF and PAC services	Improve health workers training, Keep girls at school, Strengthen parental and caregiver engagement	Gender and socio cultural  constrains  -voted by  1 Negative  attitude of  Health workers /community   voted by  23 3- Health system  and  political  Challenges voted by 06 4- lack of trust on service  provision -voted by 7 5-Negative  responses by religious  leader  voted by 06 6- fear of side effects   voted by 18 7-Poor  knowledge and mis conceptions   voted by 8 8-Limited  communication and confidentiality voted by 4 9 -Religious and legal constrains voted by 3 10 Stigma among community on the Adolescent  09 11- Rude  health workers 05 12 – Poverty  10 13- Demand  for payments for FP services by health worker  10 14-Fear of going to health facility because of using  herbs for abortion 08 15 PAC is not talked on  openly 03 16  fear of parents 05 17- un availability  of Health workers 00 18- Long  distance  to health Facility 04 19-Lack of involvement of the religious leaders 00 20 Adolescent  don’t listen to parents and leaders  05 21- stock out  of family planning commodities / supplies 8	Key priorities Negative attitude  of Health workers and community Fear  of side  effects Poverty Stigma of the community Poor Knowledge  and miss conception Fear of going to health facility Stock out of family planning   commodities and supplies
	Parents and Care Givers		Some men do not allow their wives to go for FP services, Religious leaders condemn FP as sin, Poor knowledge on FP, Limited communication and confidence from adolescence, Stigmatization among communities, Some health workers are rude to adolescents	Limited communication and confidence from adolescentsStigmatization among the community, Health workers are rude to adolescents
	Adolescents with Special Interest		Fear of parents Lack of awareness of places to access FP and PAC services Low knowledge on FP and PAC Poor attitude towards PAC Poverty / lack of money to get FP / PAC	Low knowledge Fear of parents Lack of money / poverty
	Health workers		Limited communication and  confidentialityPoor knowledge and misconception of FP Lack of  trust and inaccurate  knowledge of FP methods Some adolescent prefer going to clinics due tong distance going to government.	Health education and counseling before service provision Stock outs of FP / PAC commodities in the facility Involvement of religious / cultural leaders in such occasion to reach the community with true information on FP and Community sensitization on FP and PAC through mobilization.
	Cultural leaders		Lack of trust Use of village health teams to give information for  FP Religious leaders give information to people	Lack access to FP information
	Religious Leaders		Negative  community attitude Negative Response by the religious leaders Lack of trust in service  providers Use of local herbs	Improve health workers training to support FP and PAC services Keep girls at school Fear Strengthening parental / care givers engagement.
	Satisfied Adolescent		Many girls fear that Family planning dries the blood They say once you start your body becomes weak and you may not even have your Monthly periods	Poor knowledge and mis conception on FP and PACLimited communication and confidentiality Religious and  legal  constrains Poverty Unavailability of health workers
	Teenage Parents		Poverty Lack of transport Lack of knowledge Fear  Unaviability of health workers Long distance to the facilities Lack of support from the parents	Poverty Unavailability of health workers
	People with special disability		Health workers start rumor,Sometimes you know you need protection but you  are afraid to go to the clinic	Structured knowledge was mostly accessible through NGOs, or health facilities
	Local leaders		Adolescent use  family planning secretly – one girl says she got pills from a sister Adolescent	The adolescent fear going to the hospital when they use herbs to abort for fear of being questioned by  health workers PAC is something no one talks about  openly ‘‘I know of a girl who bled after abortion because she was afraid to talk’’ Family members should support

AROMO SUB COUNTY

SN	TYPE OF GROUPS	CATEGORY	KEY ISSUES GENERATED BY THE GROUP	PRIORITZED ISSUES AS PER SUB GROUPS	SUB COUNTY LIST OF ISSUES	SUB COUNTY-PRIORITIZATION
	Religious Leaders		Poor knowledge, Lack of open communication Lack of confidentiality and privacy, Fear of exposure, judgment and mistreatment, Negative attitude	poor knowledge, Lack of open communication to adolescents, Attitude of health workers	Lack of open communication by  parents , local leader and  health workers on sex education FP and PAC 11   Knowledge gap on PAC and abortion 20 Absence  of care centres for Adolscent to access FP and PAC  7 Negative attitude of health workers 2 Lack of family and  community support 9 Lack of spousal support 4 Lack of trust in service  providers 2 Lack of money to support adolescent access FP and PAC 8   Violence against from parents 2 SGBV and IPV5 Limited number of citizen scientist to support adolescent 11 Long distant  to health facility 7 Inadequate access to FP , PAC service points 2 Low  male involvement 2 Stigmatization 2 Misconception on FP and PAC 5 Poor attitude of adolescent toward PAC 2 High levels of poverty Cultural and religious on the use of FP and  PAC 6 Stock of FP commodities 7 .	Knowledge  gap on FP and PAC Lack of open communication by parents health worker, religious leaders  , cultural leader and  local leaders on FP and PAC Limited  numbers of citizen scientist  Lack of FP and  Community support Long  distance to health facility Stock on commodities on FP and  PAC Absence  of adolescent  corners
	Technical leaders		Knowledge gap on PAC and abortionAbsence  of care centres for Adolscent to access FP and PAC Negative attitude of health workers	Knowledge gap on PAC and abortionAbsence  of care centers for Adolescent to access FP and PAC Negative attitude of health workers
	Members of CBOs/CSOs		Lack of open communication by parents to adolescents on FP and PAC, Knowledge gap on FP and PAC, Absence of care centers for adolescents to access FP and PAC services, Negative attitude of health workers, Lack of family and community support,Lack of spousal support, Lack of trust in service providers, Lack of money to support adolescents to access FP and PAC, Violence against adolescents, Gender based violence, Limited number of citizen scientists to support adolescents, Long distance to Health centers, Inadequate information on FP and PAC,Low male involvement, Stigmatization, Misconception on FP and PAC, Poor attitudes of adolescents on FP Misconception and religious influence, Stock out of FP and PAC drugs	Lack of open communication by parents to adolescents on FP and PAC, Knowledge gap on FP and PAC, Absence of care centers for adolescents to access FP and PAC services,Attitude of health workers, Lack of family and community support, Lack of spousal support, Lack of trust in service providers, Lack of money to support adolescents to access FP and PAC, Violence against adolescents, Gender based violence, Limited number of citizen scientists to support adolescents, Long distance to Health centers, Inadequate information on FP and PAC,Low male involvement, Stigmatization, Misconception on FP and PAC, Poor attitudes of adolescents on FP and stigmatization, Misconception and religious influence, Stock out of FP and PAC drugs
	Local leaders		Inadequate  Knowledge Long  distance to health centersLimited  adolescents/youth friendly  corners and outreaches Stigmatization Low male involvement Heavy reliance on clinics and drugs shops  with workers who limitedFinancial  Constraints Poor reception by some health workers High school dropout	Inadequate knowledge Low male involvement Stigmatization
	Parents and Care Givers		Negative attitudes towards FP and PAC, Gender Based Violence, Lack of support by religious leaders on adolescent FP services, Low knowledge on FP and lack of confidentiality	Gender Based violence, Long distance to health service points, Few numbers of service providers
	Cultural leaders		Most  people who are involved in early family planning services end up giving birth or delay Little  or no Knowledge of family planning Unfriendly  environment of giving services Sexual gender  based violence High of poverty Peer pressure  from adolescent DrunkennessCultural and religious belief	Most  people who are involved in early family planning services end up giving birth or delay Little  or no Knowledge of family planning Unfriendly  environment of giving services Sexual gender  based violence High of poverty Peer pressure  from adolescent
	Health workers		Cultural and religious  influence in the FP Fear Inadequate  knowledge Unsafe practices for abortion Stigmatization Lack of community /family support Commodities stockout at facility Inadequate  space at facility of FPMis conceptive of FP use Ignorance	Inadequate  knowledge on family  and PAC Stock outs  of Communities Cultural  and religious  influence on the use of family planning
	Satisfied adolescent		Lack  of trust in service provider Lack of family and community support Community stigma and discrimination	We don’t get enough  information on FP and PAC No money to clean the uterus.
	Citizen scientist		Condoms  are always done at the facility Fear of getting opposed when seeking for  services of FP  and PAC Fear of relatives and parents No  money to clean the uterus for a child in school It’s not easy to know where to seek for FP and PAC – most of us don’t know.	Lack of  family and  community support Lack of spousal  support Lack of trust in service providers
	CSO		Low knowledge  on reproductive health Empower adolescent to seek FP and PAC	Reach out to the grass root with messages on FP and PAC Advocate up to parliament for FP and PAC Encourage collaboration and coordination between stakeholders to promote FP and PAC
	People with special disability		No response generated	No response generated
	Local leaders		Adolescents use FP back; many go through peers. “One girl told me she got FP from friend’s older sister and not from a health worker. Adolescent attitude	Lack of trust in service providers, Lack of trust by family members and community, Community discrimination, Early and forced marriage 6% of adolescents visit health facilities for help. No one talks about PAC openly. (I know of a girl who bled for days after abortion because of fear to ask for

OGUR   SUB COUNTY

SN	TYPE OF GROUPS	CATEGORY	KEY ISSUES GENERATED BY THE GROUP	PRIORITZED ISSUES AS PER SUB GROUPS	SUB COUNTY LIST OF ISSUES	SUB COUNTY-PRIORITIZATION
	CBOs/CSOs		Inadequate information abort FP and PAC, lack of support for adolescents to access FP and PAC,Points for accessing FP and PAC services are not known by most adolescents, Misconception about FP methods, Risk of unsafe abortions and fear	Inadequate information must be addressed, Procurement of commodities and making them available at the health facilities,Lack of financial support through collaboration of different personnel and institutions	Poverty 12 Lack of knowledge, 13 Fear, 04 Misconception and misinformation of FP and PAC, 05 Lack of openness on matters of FP04 Traditional and religious beliefs against FP 14 lack of trust and inaccurate knowledge on FP methods,03 legal constraints,00 family, spousal and community resistance, 01 long distance to health centers, 06 Harassment of adolescents by Health workers,03 Delay at the health facility  04 Fear of side effects 03 Fear of health workers demanding money for FP especially for emergency pills 00  Health systems challenges,06 gender barriers/equality,  00 Fear are to go to health facility00  most adolescents fear to give true information, 01 lack of youth friendly spaces, under staffing at health facilities, 00 understaffing at health facilities 03 lack of access to FP services 03 Violence on adolescent by parents 03 stock out of commodities,07	Tradition and religious beliefs against  Family planning Lack of knowledge on family planning and PAC Poverty Stock out of commodities
	Technical leaders		Low Knowledge on FP and PACLegal constraintsMisconception and misinformation about FP and PAC	Low Knowledge on FP and PACLegal constraintsMisconception and misinformation about FP and PAC
	Satisfied adolescents		The report only have views on FP and PAC but not answers to the challenges faced while using different FP methods	Bring FP and PAC services closer to the adolescents in the health centers and community, give parents the space to talk to their children without fear of being harassed of going against child rights
	Teenage Parents		Poverty Fear Lack of knowledge Peer Pressure Lack of trust  in services providers Lack of support Lack of open communication about PAC Lack of confidentiality Negative  attitude of health workers	Poverty Fear Lack of knowledge
	Cultural leaders		We have not seen the government policy position on FP and PAC because FP is done at will.There is no law that enforces provision of FP Services	This report lack issues on policy to promote FP. There is no law that penalizes people who discourage adolescent from getting FP services.There should be a policy that penalize people who sabotage government  programs on FP
	Health workers		Most of the adolescent should be sensitized to  know their health Status ,They should train the Health Workers to guide the adolescents within the community about FP and PAC.	They should continue with  refresher courses , they should  continue with the talk shows on Radios Continue with research
	Religious Leaders		Older women lure boys to have sexual relationship and expose them to risks of infection.Age appropriate Health education to adolescents	Age appropriate   Health educate to adolescent on FP and sex by different key stake holders -Health workers , religious leaders ,cultural leaders
	Citizen scientist		We did not hear anything about the disabled discussed in this report. Meaning people of our category were not interviewed	In case of the next activity/research, we have to be represented since we are very vulnerable yet neglected.
	CSO		Inadequate information abort FP and PAC, Lack of support for adolescents to access FP and PAC, Lack of information on FP and PAC service points. Misconception about FP methods, Risk of unsafe abortions and fear	Inadequate information must be addressed, procurement of commodities and making them available at the health facilities, lack of financial support through collaboration of different personnel and institutions
	People with special disability		We did not hear anything about the disabled discussed in this report.Meaning people of our category were not interviewedHealth workers engage in rumors when adolescents go to seek FP and PAC services ‘‘Sometimes you know you need protection but you  are afraid to go to the clinic’’	Structured knowledge was mostly accessible through NGOs,or health facilities,

AGWENG SUB COUNTY

SN	TYPE OF GROUPS
	Teenage parents	lack of open communication about PAC especially among boys, lack of trust in services providers, lack of family and community support lack of Adolescent	Early and forced marriage, Negative community attitude, lack of trust in service providers	Negative attitude of health workers 15 Lack of family and community support 18 Community stigma and discrimination 07 Most  Children between 10-19 years have lack of knowledge on FP and PAC 15   Lack of spousal support for Family  planning 05 Negative attitude of parents on FP 10 Lack of trust and inaccurate knowledge on FP 02 Early and forced marriages 10 Gender related barriers 01 Family and community resistance 01\ Religious constrains 04 Health systems  challenges 02 Lack of family support on PAC 02 Lack of adolescent friendly corner 04 Discriminatory  communities FP and PAC 03 Limited knowledge on FP 06	Lack of family and community   support Negative attitude  of Health workers Most Adolescent lack  Knowledge of PAC  and FP Early  forced marriage Health workers  system challenges
	CSO	Low self-esteem, lack of trust among spouses leading to devoice. Temporary infertility, giving birth to children with health problems – deformed children, inconsistent menstrual cycles, poor knowledge and miss conceptions of FP, limited communication confidentiality, economic and institutional barriers, family spousal and community resistance, gender and social cultural constrains, Religious and Legal constrains	Family spousal and community resistance, religious and legal constrains ns, Lack of trust and Inaccurate knowledge of family planning methods, Health systems and provider challenges,
	Technical leaders	Negative community attitudes, Lack of trust in service providersLack of parental guidance for adolescents	•Negative community attitudes, •Lack of trust in service providers •Lack of parental guidance for adolescents
	Satisfied adolescents	Community stigma and discrimination, Some health workers don’t show up to work, Negative attitude of health workers	•Community stigma and discrimination, Some health workers don’t show up to work, •Negative attitude of health workers
	CSO	Low self-esteem, lack of trust among spouses leading to devoice. Temporary infertility, giving birth to children with health problems – deformed children, inconsistent menstrual cycles, poor knowledge and miss conceptions of FP, limited communication confidentiality, economic and institutional barriers, Family spousal and community resistance, gender and social cultural constrains, Religious and Legal constrains	Family spousal and community resistance, religious and legal constrains, Lack of trust and Inaccurate knowledge of family planning methods, Health systems and provider challenges,
	Satisfied FP users	The report only have views on FP and PAC but not answers to the challenges faced while using different FP methods	Bring FP and PAC services closer to the adolescents in the health centers and community,Give parents the space to talk to their children without fear of being harrased of going against child rights
	Local Leaders	when we   go to pick condoms the health workers start rumor mongering then ask why are going to use this condom at your age, we need space where only Adolescent can go if adults see you, they start aging questions	churches say it’s sinful, Girls who seek family planning are called spoilt, if people find out you have gone to clinic they start gossiping and says your immoral, we prioritize life care but we sometimes we are unsure whether to provide   contraceptives without parental consent so we decide or deny services
	Religious Leaders	Churches says is it’s sinful for girls who seek for family planning and are spoiled. Some clinics ask for adults to accompany you if you come alone as a girl they might refuse to serve you, lack of knowledge on PAC lack of family support on PAC, family. / Spouses and community resistance,	Training of health workers / stakeholders and local leaders on PAC, Economic support to PAC, community awareness on PAC,

AGALI SUB COUNTY

SN	TYPE OF GROUPS	CATEGORY	KEY ISSUES GENERATED BY THE GROUP	PRIORITZED ISSUES AS PER SUB GROUPS	SUB COUNTY LIST OF ISSUES	SUB COUNTY-PRIORITIZATION
	Cultural leaders		Poor knowledge and misconception on FP and PAC Limited communication and confidentialityHealth systems and provider challengesUse of local herbs for abortion among youth Gender and social cultural constrainEconomic and institutional barriers. Family spousal and community resistanceLack of trust and inadequate knowledge on family planning methods.Religious and legal  constrainsHealth systems and provider challenges	Poor knowledge and misconception on FPEconomic and institutional barriersFamily, spousal and community challenges.	Poor use of condoms and pills, 08 Gender and social cultural constraints, 10 Knowledge on where to access to access PAC services is limited,07  high cost of FP and PAC services, 10 stigma, limited on FP and PAC and FP.12 Limited knowledge on FP and  PAC 06 Misconception and misinformation regarding FP and PAC, 05 Lack of trust in  the services family planning, 05 Family spousal and community resistance.04 Lack of confidentiality, 03 long distance to the health03 facility, Lack of commodities,03 Poverty, 12 lack of open communication 04 lack sexuality education in schools03 , Negative attitude of health  workers 03	Stigma, poverty gender, and social cultural constraints, poor use of condoms and pills Limited knowledge, high costs of FP and PAC
	Parents/Care givers		Most adolescents do not  listen to parents, People put more effort on girls’ education than boys, Boys are drunkards and drug abuse, Human rights for girl child	No confidentiality, long distance and lack of commodities.
	Technocrats		Knowledge gap (19%), Myths and misconceptions on FP and handle FP attitude, Barriers (attitude, Barriers). Inaccessibility to services (FP and PAC), Stigma.	Knowledge gap Stigma towards  Family planning and PAC users
	CBOs/CSO.		Limited communication and confidentiality, Family, spousal and community resistance Religious and legal constraints,Health systems and provider challenges, Poor knowledge and misconception of family planning, Lack of trust and accurate knowledge on family planning socio-cultural constraints.	Poor knowledge and misconception on family planning and PAC Lack of trust and inaccurate knowledge on family planning methods, Family spousal and community resistance.
	Local Leaders		Negative attitude of health workers, Community stigma Low Community involvementEarly and forced married, in our home, No one talks about family planning, Separation of parents	Early and forced married, in our home, No one talks about family planning, Separation of parents
	Adolescents with special interests		Most girls have heard of things like condoms and pills, but they don’t really know how to use  them correctly Gender and social cultural constraints, Family spousal and community resistance.60% didn’t know where to access PAC, service.	Poor use of condoms and pills, Gender and social-cultural constraints,Poor access to FP and PAC.
	Citizen scientist		Poor knowledge on post abortion care among adolescentsNegative attitude of health workers seeking FP and PAC lack of confidentiality and privacy at facilities Fear of exposure judgment or mistreatment by peers ,parents and Community Lack of material for youthLack of transport to facilitate movement.	Lack of transport means to facilitate for youth Poor attitude of health workers towards adolescent
	Teen parents		Family planning methods available such as pills, condoms Most Adolescent access FP information from radios or friends	Plan for adolescents empowerment on FP and PAC
	Health workers		Long distance to the facility, not enough real information at facility,Minimal support from the community and family Community stigma and discrimination, lack of open communication about post abortion careinaccurate information on FP and PAC	Inaccurate information On FP and PAC in schools Barriers like Economic and institutional long distance to the facility.
	Religious leaders		PovertyHarassment by health workers Peer pressureStigma	Poverty Harassment by health workers Peer pressure Stigma   .