Knowledge and Attitude on Sexual and Reproductive Health among Migrant and Non-Migrant Adolescent Girls

Abstract

Background: Adolescent girls in Nepal, particularly those from migrant backgrounds, face barriers in accessing accurate sexual and reproductive health (SRH) information and services. Migration status may influence SRH knowledge, attitudes, and behaviors; however, comparative data within urban school settings are limited. To assess and compare SRH knowledge and attitudes among migrant and non-migrant adolescent girls in high schools of Biratnagar, Nepal.
Methods: A descriptive cross-sectional study was conducted among 200 participants (100 migrants, 100 non-migrants) using stratified quota sampling. Data were collected via a structured questionnaire and analyzed in SPSS v25 with descriptive and inferential statistics (Chi-square test).
Results: Significant disparities were found between the two groups. Migrant girls demonstrated markedly lower awareness of contraceptive methods (e.g., 0% knew about implants and IUDs), STI symptoms (27.5%), and menstrual hygiene practices. They also reported lower comfort in discussing SRH topics with peers, parents, and health professionals. In contrast, non-migrant girls exhibited higher knowledge levels and more positive attitudes toward SRH services and education.
Conclusions: The study highlights a critical gap in SRH awareness and attitude between migrant and non-migrant adolescent girls in Biratnagar. Tailored interventions, including inclusive school-based education, culturally sensitive outreach, and peer-led initiatives, are recommended to address these inequities and promote SRH equity among vulnerable adolescent populations.
Keywords: Adolescents; migrants; non-migrants; sexual and reproductive health.