Abstract
In recent years, there has been an increasing recognition of the significance of sexual and reproductive health, particularly among youth and adolescents in Malawi, a developing country. Traditional Authority (T/A) Chimwala, a rural region in Mangochi District, faces unique challenges in sexual and reproductive health for its youth. Early marriages, gender disparities, cultural norms, and limited education on reproductive health contribute to the complex landscape of adolescent health in this area. This study aimed to assess factors influencing modern contraceptive utilization among youth and adolescents in T/A Chiwaula, Mangochi. It adopted a descriptive cross-sectional research design and collected data through questionnaires from 30 adolescents. The study identified cultural and religious beliefs, social stigma, fear of side effects, and lack of knowledge as significant barriers to modern contraceptive use. Among those with knowledge of modern contraceptives, condoms were the most commonly known method, followed by combined oral pills, implants, and injections. While 97% of the respondents reported awareness of contraception, efforts are needed to reach the remaining 3% with limited knowledge. The study highlights the importance of targeted sexual and reproductive health education campaigns to empower adolescents to make informed choices. Integrating such education into the curriculum can play a vital role in promoting modern contraceptive utilization, reducing unintended pregnancies, and improving the overall well-being of adolescents in T/A Chimwala. To address the low level of knowledge on modern contraception, it is recommended that the Ministry of Education collaborates with the Ministry of Health to develop age-specific sexual and reproductive health information for adolescents. Empowering young individuals with accurate information and access to modern contraceptives can contribute to responsible decision-making and the development of the community.