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early pubertal development induces early sexual activities among adolescents ghana despite high sexual activity among ghanaian adolescents sexual reproductive health srh services underutilised primarily due srh stigma lack srh knowledge information study examined use srh services among adolescents aged 1519 years ghana ten year period study utilised data 2007 2017 ghana maternal health surveys gmhss responses 2056 4909 adolescent females captured 2007 2017 gmhss respectively used results showed declining utilisation srh services among adolescents 283 2007 225 2017 odds using family planning among sexually active adolescents increased 2007 aor032 ci0135 077 p 0001 2017 aor6862 ci36104 130404 p 0001 increasing age first sex adolescents less likely use family planning method 2007 aor094 ci089099 p 0001 improved 2017 aor126 ci1220 1293 p 0001 despite knowledge sources family planning found predict lower utilisation 2007 aor 015 95 ci0081 0283 p 00001 2017 aor 0206 95 ci0099 0426 p 0001 findings show even though knowledge family planning methods predicted low utilisation knowledge sources age first sex educational level positively predicted utilisation srh services 2007 2017 opportunities enhancing clinical environment health provider attitudes exist explored improving srh outcomes among sexually active adolescents ghana