Street children worldwide do not have the information, skills, health services, and support they need to go through sexual\r\ndevelopment during adolescence.This study is undertaken to systematically investigate the fit between street childrenââ?¬â?¢s sexual and\r\nreproductive health needs and the existing services. A cross-sectional study was conducted among 422 street children and four\r\nservice providers. About 72.5% of the respondents were sexually active during data collection and 84.3% of males and 85.7% of\r\nfemales tended to have multiple sexual partners. More than two-thirds (67.3%) of the participants had used at least one type of\r\nsubstance. History of substance use (OR = 2.5; 95% CI = 1.42ââ?¬â??4.56) and being on the street for the first one to three years (OR =\r\n5.9; 95% CI = 1.41ââ?¬â??7.22) increased the likelihood of having sexual activity. More than half (64.9%) of the street children did not\r\nattend any kind of sexual or reproductive health education programs. Lack of information on available services (26.5%) was the\r\nbiggest barrier for utilization of local sexual and reproductive health services. From the individual interview with coordinator, the\r\nfinancial and networking problems were hindering the service delivery for street children. In conclusion, street children who are\r\nspecial high risk group have not been targeted and hence continue to remain vulnerable and lacking in sexual and reproductive\r\nhealth services and sexual health services are poorly advertised and delivered to them.
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