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

Kimathi Robert (), Mireku Maryline, Kyongo Jordan, Digolo Lina, Musyoki Helgar, Ikahu Annrita, Mukoma Wanjiru and Otiso Lilian
Additional contact information
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

International Journal of Public Health, No 0, 8 pages

Abstract: 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.

Keywords: Adolescents; Adolescent key populations; People who inject drugs; Sex workers; Men who have sex with men (MSM) (search for similar items in EconPapers)
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DOI: 10.1007/s00038-020-01373-8

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