The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary
and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services
but the focus is often health sector specific. Few research studies have explored the views and experiences of health
workers and teachers and examined how ASRH services and information are provided by professionals across the
education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development
Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of
services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and
use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and
practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual
and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents.
Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers,
teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified
in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and
training that were said to affect student access to appropriate health services. ASRH Collaborative practices were
noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional education
and training may provide opportunities to enhance collaboration supported and guided by appropriate policy,
supervision and job descriptions (i.e. roles and responsibilities).