In Tanzania, as elsewhere in the world, adolescent pregnancy and sexually transmitted
infections are serious public health issues among youth. This study was conducted to assess
the impact of self-help groups on access to sexual and reproductive health services and rights
among youth in Mtwara and Lindi districts. Specifically, the study envisaged to (i)examine the
availability and access to sexual and health reproductive services and rights among youth
and (ii) examine the capacity of self-help groups in promoting access to sexual and health
reproductive services and rights among youth in the study area. The study adopted a cross
sectional design incorporating a longitudinal perspective. Mixed methods of data collection
were used, including organizational capacity assessment, focus group discussions, key
informant interviews and documentary review. The findings an increasing trend in the
availability and access to sexual and reproductive services partly due availability of youthfriendly
services offered in the area. The self-help groups have been instrumental change
agents in sexual and reproductive health issues in their communities through peer education,
life skills, public meetings, festivals, sports and games. This has contributed to reducing the
number of early and unwanted pregnancies, abortions and early marriages. Overall, the
study has shown that youth self-group groups‟ approach is a very effective and powerful
methodology for empowering youth socially, economically and politically.