Abstract
We examined the association between adolescents’ sexual and reproductive health (SRH) service utilization in the past 12 months and structural, health facility, community, interpersonal, and individual level factors in Kenya. This cross-sectional analysis used baseline data collected in Homa Bay and Narok counties as part of the In Their Hands intervention evaluation from September to October 2018. In total, 1840 adolescent girls aged 15 to 19 years were recruited to complete a baseline survey. We used unadjusted and adjusted logistic regression to model factors associated with SRH utilization across the social-ecological framework levels. Overall, 36% of participants reported visiting a health facility for SRH services in the past 12 months. At the structural level being out-of-school (AOR: 2.12 95% CI: 1.60–2.82) and not needing to get permission to go (AOR: 1.37 95%CI: 1.04–1.82) were associated with SRH service utilization. At the interpersonal level, participants who reported being able to ask adults for help when they needed it were more likely to report using SRH services in the past 12 months (AOR: 1.98, 95% CI: 1.09–3.78). At the individual level, having knowledge about where to obtain family planning (AOR = 2.48 95% CI: 1.74–3.57) and receiving information on SRH services in the past year (AOR: 1.44 95% CI:1.15–1.80) were associated with SRH service utilization. Our findings demonstrate the need for interventions, policies, and practices to be implemented across structural, health facility, community, interpersonal, and individual levels to comprehensively support adolescent girls to access and use SRH services.
Funder
Children's Investment Fund Foundation
Publisher
Public Library of Science (PLoS)
Reference37 articles.
1. Republic of Kenya Ministry of Heatlh. National guidelines for provision of adolescent and youth-friendly services in Kenya. Second Edition. Nairobi, Kenya: 2016.
2. Adolescent sexual and reproductive health in sub-Saharan Africa: Who is left behind?;DY Melesse,2020
3. "I was tricked": understanding reasons for unintended pregnancy among sexually active adolescent girls.;AI Ajayi;Reproductive Health,2021
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献