Provider Attitudes towards Youth-Friendly Sexual and Reproductive Health Services

Provider Attitudes towards Youth-Friendly Sexual and Reproductive Health Services is a 26-item instrument measuring the attitudes various providers hold toward the providing sexual and reproductive health (SRH) information and other service among adolescents. Three subscales are covered: 1. Attitudes toward SRH information and services offered to youth, 2. Norms and personal beliefs, and 3. Attitudes toward and clinical and policy development environment.


Geographies Tested: Jordan

Populations Included: Female, Male

Age Range: Adults


Attitudes towards information and services offered to youth
1. Unmarried adolescents seeking sexual and reproductive health services should be told to abstain when they ask for contraceptives.*
2. Discussing sexual intercourse with unmarried women and men is shameful.*
3. Unmarried adolescents should not be provided with contraceptives because culture and religion prohibit engagement in premarital sex.*
4. Parents should be informed if their unmarried daughters come to a health facility to seek reproductive health services.*
5. I would scold an unmarried adolescent if he or she asks for contraceptives.*
6. I would refuse to provide contraceptives for adolescents before marriage.*
7. Teaching unmarried youth about contraceptives is acceptable.
8. Reproductive health services are only available to married women.*
9. Women and men of all ages should be welcomed into the clinic for sexual and reproductive health services if they seek them.

Norms and personal beliefs
10. If a girl has irregular periods, her parents should be informed.*
11. My personal beliefs guide the way I provide health services to adolescents.*
12. Only girls should be given information about sexual and reproductive health because they are the ones who have the most issues related to sexual behavior.*
13. If a client does not volunteer information to me that they have been subject to violence perpetrated by members of their family, I shouldn't ask them directly about it because it is none of my business.*
14. By definition, boys cannot be the victims of sexual assault.*
15. Asking youth if they are victims of any kind of violence is considered interfering with their personal or family issues.*
16. Boys and girls should not be given information about puberty because it will encourage them to engage in sexual behavior.*
17. Educating youth on reproductive health topics leads to sexual immorality.*
18. If a boy or girl has a genital ulcer, it is because he or she is promiscuous.*
19. If a young woman comes into a health facility and says she has been the victim of sexual assault, she probably did something to deserve it.*
20. The best way to prevent unmarried adolescents from becoming sexually active is to keep them in the dark about these issues.*

Attitudes towards the policy and clinical environment
21. Educational materials on sexual reproductive health should be openly available to unmarried boys and girls.
22. Youth should be given the same level of confidentiality when receiving sexual and reproductive health services as adults.
23. Schools and facilities should work together to provide reproductive health information and services to youth.
24. Health workers play an important role in reducing sexual and reproductive health problems among pre-marital adolescents.
25. Sexual and gender-based violence among youth should receive governmental attention as a significant social issue.
26. It is important to make sure that any services provided to youth are done so privately so no one else in the clinic can hear.

*Items are reverse scored

Response Options:
Strongly disagree - 1
Disagree - 2
Agree - 3
Strongly agree - 4

Scoring Procedures

Item scores are averaged to calculate total measure and subscale scores ranging from 1-4. Higher scores represent more positive attitudes towards youth-friendly services.

Original Citation

Gausman, J., Othman, A., Al-Qotob, R., Shaheen, A., Abu Sabbah, E., Aldiqs, M., Hamad, I., Dabobe, M., & Langer, A. (2021). Health care professionals' attitudes towards youth-friendly sexual and reproductive health services in Jordan: A cross-sectional study of physicians, midwives and nurses. Reproductive Health, 18(1), 84.

Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing








Criterion (gold-standard)



Ease of Use


Scoring Clarity


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