Insight into migrant peer social network influence on adolescent sexual and reproductive health service utilisation in Accra, Ghana

Purpose Although substantial evidence exists on how peer social networks influence adolescent sexual and reproductive health service utilisation behaviours, most studies focus on the general population and overlook migrant adolescents. This paper sought to fill this knowledge gap by exploring how migrant peer social networks shape adolescents’ sexual and reproductive health service utilisation behaviours in an urban slum community (Old Fadama/Agbogbloshie) in Accra, Ghana. Design/methodology/approach A qualitative descriptive design was employed to provide accounts of participants’ experiences, using the theory of planned behaviour (TPB). Peer network groups of migrant adolescents and their gatekeepers residing in the urban slum community of Old Fadama/Agbogbloshie in Accra were recruited for the study. Using purposive and convenience sampling techniques, a total of 22 participants were selected to represent the population after data saturation was reached. Findings The study highlights poor attitudes among migrant adolescents toward ASRH service utilisation due to the lack of culturally sensitive services. It also reveals that social networks strongly influence adolescents’ decisions to use ASRH services. Furthermore, the study suggests that inadequate outreach programs compel many migrant adolescents to rely on peer-shared information, which often reinforces misconceptions and undermines their confidence in navigating the healthcare system. Research limitations/implications This study’s findings may be limited by its focus on a single urban slum in Accra, which may limit generalisability to other migrant adolescent populations in Ghana, although the community studied is typical of urban migrant slums. Additionally, reliance on participants’ self-reported accounts may have introduced reporting biases, especially given the sensitive nature of sexual and reproductive health topics. However, to minimise potential bias, the research team built rapport and trust through community entry by engaging local leaders and youth organisers who facilitated introductions, and participants were assured of the study’s ethical integrity. Practical implications Interventions could leverage peer social networks and group leaders as effective entry points for disseminating accurate information and countering misconceptions about ASRH utilisation. Additionally, fostering sustainable partnerships with youth groups can help ensure that interventions remain context-specific and responsive to adolescents’ lived realities. Strengthening these structures has the potential to build self-efficacy among migrant adolescents, enhance trust in the healthcare system and improve overall utilisation of ASRH services. Originality/value This paper provides valuable insight into how migrant peer social networks shape adolescents’ sexual and reproductive health service utilisation behaviours. It argues that understanding these social dynamics is essential for informing the design and implementation of targeted behaviour change strategies aimed at improving service uptake.