List of codes obtained on Thematic Analysis.

Adolescent sexual and reproductive health is getting due attention in developing countries because investing among adolescents can bring multiple benefits. This study aims to assess the availability and utilization of sexual and reproductive services (SRHS), and explore different factors affecting the utilization of SRHS by adolescents of Godawari Municipality. A cross-sectional, mixed-method study was conducted using Anderson’s model of health service utilization in three government secondary schools and three local health institutions in Godawari Municipality. A self-administered questionnaire was used with adolescents aged 15–19 (n = 416), and conducted Key Informants Interview (KII) and observation were conducted in health institutions. Quantitative data was analyzed in Statistical Package for Social Sciences (SPSS) version 16, and thematic analysis was done for qualitative data. The mean age of the respondents was 17.31 ± 0.99 years. Nearly one-third of them (30.63%) had not heard about Adolescent Friendly Health Services. Knowledge of ASRH and AFHS (AOR = 2.814, 95% C.I = 1.129-7.013) and conversation with parents (AOR = 2.069, 95% C.I = 1.094-3.912) and availability of ASRH (AOR = 2.801, 95% C.I = 0.810-9.687) had a significant relationship with utilization of health services. The adolescents’ perceived feeling of the need for ASRH services is significantly associated with the utilization of ASRH services (p