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Adolescents living with HIV and AIDS experience difficulties when they transition from pediatric clinics to adult clinics. People living with HIV and AIDS have been judged and stigmatized as promiscuous. Since adolescence is a challenging milestone with all the physical and emotional changes, adolescents become vulnerable to defaulting care and treatment at the clinic. In some health facilities, youth-friendly services are still not well implemented, despite the program being advocated for by the World Health Organization to reduce HIV. The study aimed to explore the barriers to the provision of youth-friendly services for adolescents living with HIV and AIDS in clinics in Gauteng Province, South Africa. An explorative descriptive and qualitative design was applied through in-depth interviews. Data were collected from 15 professional nurses in three clinics and analysed using the content analysis framework. The study's findings produced five themes: human resource challenges, inadequate space to provide the service, healthcare providers’ attitudes toward the provision of mixed services and an environment not conducive to the service. Healthcare providers displayed judgemental attitudes towards adolescents when they sought sexual and reproductive services at the clinics. The shortage of staff and resources hampered the provision of youth-friendly services to adolescents living with HIV and AIDS. Lack of privacy and confidentiality due to limited space in the clinics caused adolescents to default on their treatment as they are seen in the same space as adults. The study recommends a designated area for adolescents and youth separated from other clinic populations so that sexual and reproductive health topics can be discussed without fear of being identified by other people visiting the clinic. Moreover, more youth-inclusive environments in healthcare settings should be created.

Teenage pregnancy is a pressing issue in South Africa, particularly in high schools, with one reporting 19 pregnancies in the first half of the 2024 academic year. This article explores the complex factors contributing to high rates of teenage pregnancy, including poverty, the child grant system, parental influence, promiscuity, and the exploitation of young girls by adult predators. Through a comprehensive literature review and analysis of local data, the article highlights the socio-economic, cultural, and environmental drivers of teenage pregnancy. Findings indicate that economic hardship compels young girls into transactional sex or relationships with older men, while the child grant may inadvertently incentivize early pregnancies. Furthermore, cultural norms and a culture of impunity exacerbate the issue, with many pregnancies fathered by adult men who exploit vulnerable girls.The article calls for a multimodal approach to address teenage pregnancy, emphasizing poverty alleviation, parental education, community engagement, and access to comprehensive sex education and reproductive health services. By addressing these root causes, it is possible to reduce the incidence of teenage pregnancies and support the empowerment and future success of young girls in South Africa. The findings highlight the urgency of coordinated efforts to provide sustainable solutions that can interrupt the cycle of poverty and early pregnancy, ensuring a healthier and a brighter future for South African youth.