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Factors influencing access of HIV and sexual and reproductive health services among adolescent key populations in Kenya

Author

Listed:
  • Kimathi Robert

    (LVCT Health)

  • Mireku Maryline

    (LVCT Health)

  • Kyongo Jordan

    (LVCT Health)

  • Digolo Lina

    (LVCT Health)

  • Musyoki Helgar

    (National AIDS and STIs Control Program (NASCOP))

  • Ikahu Annrita

    (LVCT Health)

  • Mukoma Wanjiru

    (LVCT Health)

  • Otiso Lilian

    (LVCT Health)

Abstract

Objectives The objective of this study is to identify enablers and barriers in access of HIV and sexual reproductive health (SRH) services among adolescent key populations (KP) in Kenya. Methods A cross-sectional study using qualitative methods was conducted between October 2015 and April 2016. A total of 9 focus group discussions and 18 in-depth interviews were conducted with 108 adolescent KPs in Mombasa, Kisumu and Nairobi Counties of Kenya. Data were recorded digitally, translated, transcribed and coded in NVivo10 prior to analysis. Results Adolescent KPs preferred to access services in private health due to increased confidentiality, limited stigma and discrimination, access to adequate amount of condoms, friendly and fast-tracked services. Negative health provider attitudes made adolescent KPs dislike accessing health care in public health facilities. There was a lack of adolescent key population’s policies and guidelines on HIV and SRH. Conclusions The study has demonstrated existing enablers and barriers to provision of HIV/SRH services for an at-risk population for which limited data exist. The results provide a basis for program redesign involving the adolescent KPs to minimize barriers for access to HIV/SRH services.

Suggested Citation

  • Kimathi Robert & Mireku Maryline & Kyongo Jordan & Digolo Lina & Musyoki Helgar & Ikahu Annrita & Mukoma Wanjiru & Otiso Lilian, 2020. "Factors influencing access of HIV and sexual and reproductive health services among adolescent key populations in Kenya," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(4), pages 425-432, May.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:4:d:10.1007_s00038-020-01373-8
    DOI: 10.1007/s00038-020-01373-8
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    References listed on IDEAS

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    1. Eunice Muthengi & Tabither Gitau & Karen Austrian, 2016. "Is Working Risky or Protective for Married Adolescent Girls in Urban Slums in Kenya? Understanding the Association between Working Status, Savings and Intimate-Partner Violence," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-15, May.
    2. Ariella Goldblatt & Zachary Kwena & Maureen Lahiff & Kawango Agot & Alexandra Minnis & Ndola Prata & Jessica Lin & Elizabeth A Bukusi & Colette L Auerswald, 2015. "Prevalence and Correlates of HIV Infection among Street Boys in Kisumu, Kenya," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-22, October.
    3. Atitegeb Ayehu & Teketo Kassaw & Getachew Hailu, 2016. "Level of Young People Sexual and Reproductive Health Service Utilization and Its Associated Factors among Young People in Awabel District, Northwest Ethiopia," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-11, March.
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    Cited by:

    1. Andrew G. Corley & Andrea Sprockett & Dominic Montagu & Nirali M. Chakraborty, 2022. "Exploring and Monitoring Privacy, Confidentiality, and Provider Bias in Sexual and Reproductive Health Service Provision to Young People: A Narrative Review," IJERPH, MDPI, vol. 19(11), pages 1-22, May.

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