Miklah Sexual-Reproductive Health Assessment Tool

Miklah Sexual-Reproductive Health Assessment Tool

Miklah Sexual-Reproductive Health Assessment Tool (MSRHAT) is a structured, youth-friendly digital form that guides users through a series of questions across key health domains of sexual-reproductive health to assess their sexual-reproductive well-being, give guidance and inspire healthy actions based on these results.

Knowledge, Awareness & Rights Literacy

Evaluates understanding of sexual health, reproductive rights, and access to accurate information and services.

1. I understand the changes that happen in the body during puberty and how pregnancy can happen when a female and male have sex.
2. I know how to manage menstruation safely and hygienically ensuring comfort, cleanliness, and dignity
3. I know about the different ways people can prevent pregnancy (contraception methods) and how they work.
4. I understand how infections like HIV and other sexually transmitted infections are spread from one person to another and how they can be prevented from spreading or treated
5. I understand the possible challenges of becoming a parent at a young age (early pregnancy)
6. I understand that preventing pregnancy is a shared responsibility between partners.
7. I understand that I have the right to say “yes” or “no” to sexual activity (consent), privacy of my information, and to make decisions about my own body.
8. I know about laws, policies, and protection systems in my community that address sexual violence, child marriage, exploitation, or abuse, and I know where to seek help

Attitudes, Beliefs, Self-perception

Assesses personal views, feelings, and self-judgment that influence health behaviors and decision-making.

9. I feel comfortable and positive about my body image and appearance, for example weight, skin, height, or developing body features
10. I believe that boys and girls should have equal rights and opportunities, including in education, decision-making, and relationships
11. I feel confident talking about contraception, safe or protected sex, or pregnancy with trusted adults or peers
12. I understand and accept that stigma or discrimination against someone with HIV, a disability, or an adolescent parent is unfair and harmful.
13. I feel confident in expressing my choices about my body and sexual activity, for example saying no, negotiating condom use, or delaying sex.
14. I feel it is important to challenge harmful gender norms or stereotypes in my community, such as child marriage or unequal domestic expectations.
15. I believe it is okay to seek help or advice for sexual-reproductive concerns, like talking to a health worker or counselor
16. I feel positive about my ability to make decisions regarding my health, relationships, and sexual life (I can confidently decide for myself in these areas of my life).
Behaviors, Practices, & SRHR History

Assesses sexual behaviors, protective practices, and past experiences that influence current reproductive health risks

17. I consistently use protective measures like condoms whenever I am sexually active.
18. I avoid risky sexual behaviors, such as multiple partners, unprotected sex, or coerced sexual activity.
19. I have ever sought help or support when faced with sexual-reproductive health challenges
20. In the past, I have ever felt pressured, coerced, or forced into sexual activity
21. I sometimes use some substances like alcohol and drugs
22. I openly talk about sex, sexual health, and safe sex practices with my partner (s)
23. In the environment where I currently stay, I feel safe from sexual exploitation, trafficking, or forced marriage.
24. I am currently in a relationship that at times involves having sex
25. In the past, I have ever experienced unplanned or early pregnancy
26. I have always tested for HIV and I understand the results
Digital Exposure, Service Access & Experience

Assesses access to digital health information, use of services, and experiences in seeking and receiving care

27. I know where to access youth-friendly sexual-reproductive services, such as clinics, hotlines, or online platforms
28. I am able to overcome financial barriers to obtain sexual and reproductive health services when needed
29. I can protect myself from online sexual risks, such as exposure to pornography and sexting (sex-related chats)
30. I understand how media or social media can influence risky sexual behaviors
31. I trust health care providers to maintain confidentiality and respect my choices
32. I think that the available sexual-reproductive information and services in my community meet the needs of people of my age
Relationships, Communication & Emotional Wellbeing

Assesses the quality of relationships, communication skills, and emotional health influencing overall wellbeing.

33. I have a good relationship with my parents or guardian and we can talk about anything sexual-reproductive.
34. I can recognize and resist peer pressure to engage in sexual or risky behaviors
35. I cope with stigma, shame, rejection, or pressure in a healthy way.
36. I have healthy relationships with friends or peers and can talk about anything
37. I show empathy and understanding toward the emotions of my peers and partners

Economic Empowerment & Future Aspirations

Assesses an individual’s financial stability, access to resources, and confidence in achieving long-term personal and professional goals

38. I have opportunities to earn money through jobs, internships, or entrepreneurial activities (In other words, I earn money)
39. I have basic financial literacy (understanding saving, budgeting, and income management).
40. My financial situation allows me to make independent decisions about my health and relationships.
41. I have plans: I have clear education, career, and family goals, and I plan my reproductive life in alignment with them.

SRH Form Calculations