Abstract:
Background: Adolescents constitute the majority of the world’s population and are faced with sexual
and reproductive health (SRH) issues. The inability of young people to access /SRH services is
attributed to challenges such as privacy and unconducive environment even at facilities that target them.
As a result, the Ghana Health Service, the primary implementer of health activities in the country
introduced the You Must Know (YMK) mobile application to provide young people privacy and
confidentiality they need in accessing SRH services as well as address the issue of service availability.
Objective: This study sought to determine the level of knowledge of SRH and use of services by YMK
users and non- users. It also assessed factors influencing the use of YMK application among young
people.
Method: An unmatched case-control study was conducted in the Greater Accra Region of Ghana. A
mobile-based questionnaire was used to recruit 138 YMK users and 276 non-users of YMK to
participate in the study. A p-value <0.05 was used to determine the statistical significance of the
association between independent and dependent variables. Frequencies, crosstabs, chi-square test, and
logistic regression were used to analyze the data. Odds ratios and a 95% confidence interval were used
to determine the strength of the association.
Results: High knowledge level on SRH issues was found among both users and non-users of YMK
mobile application (93.5% and 94.6%) respectively (p>0.05). Young people who were Muslims were
81% less likely to have good knowledge on SRH issues compared to Christians [AOR=0.18, CI: 0.07-
-0.47, p<0.001]. Findings also revealed that YMK users were more likely to use SRH services
[AOR=17, CI: 9.52-29.11, p<0.001.
Conclusion: There is no significant difference in knowledge among users and non-users of the YMK
mobile application. However, YMK users were more likely to use SRH services as compared to non- YMK users. Users perceived the mobile application to be readily available, shorter waiting time in
accessing SRH services. They described the YMK, as a simple, flexible, well-organized system which
protects private information and provides personal space
