School of Medicine and Health Sciences

Permanent URI for this collectionhttp://41.89.31.6:4000/handle/123456789/315

Welcome to School of Medicine and Health Sciences collection.This collection contains Journal articles published by faculty affiliated to the school.

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Awareness and Utilization of Sexual and Reproductive Health Services among Adolescent Girls in Kajiado County, Kenya
(Global Journal of Health Sciences,, 2025-01) Aluda, Wilfrida Kadenyi; Mapesa, Job; Njoroge, Kezia
Purpose: Adolescent Sexual and Reproductive Health (ASRH) is a global concern, with over 1.2 billion adolescents at risk due to limited access to essential health services. In Kenya, high rates of unintended pregnancies and STIs among adolescents highlight the need for effective sexual health education. In Kajiado County, cultural barriers limit ASRH service access, leaving many girls unaware of available resources. Methodology: A mixed-method design examined the impact of referral systems on ASRH service utilization among adolescent girls in Kajiado County. Quantitative data were collected from 422 girls through structured questionnaires, while qualitative data came from FGDs, IDIs and KIIs. Quantitative analysis used SPSS version 26 and qualitative data underwent thematic analysis. Findings: While 78% of participants showed general SRH awareness, only 45% were knowledgeable about contraception and 38% about STIs. Unintended pregnancies were common (65%), with just 30% aware of preventive options. Peer influence (60%) and schools (50%) were primary information sources; however, stigma (55%) and inadequate outreach (62%) were significant barriers to access. Statistical analysis confirmed these barriers were associated with lower SRH knowledge levels (Fisher's exact test: < 0.05). Unique Contribution to Theory, Practice and Policy: Despite increasing SRH awareness among adolescent girls in Kajiado County, significant knowledge gaps persist, particularly in contraceptive use and STI prevention. Recommendations include educational initiatives on SRH, greater parental involvement and enhanced outreach programs. Future research should explore community-based and digital strategies to improve SRH knowledge and service use among rural adolescents.
Influence of Health Referral Systems on Adolescent Sexual and Reproductive Health Service Utilization in Kajiado County, Kenya
(Journal of Health, Medicine and Nursing, 2025-01) Aluda, Wilfrida Kadenyi; Mapesa, Job; Njoroge, Kezia
Adolescent Sexual and Reproductive Health (ASRH) in Kajiado County, Kenya, is hindered by early marriages, cultural practices, and limited healthcare access. The pastoralist communities face unique challenges, increasing risks like unintended pregnancies and maternal mortality. Despite efforts to improve access, gaps in ASRH service utilization persist. This study examines the influence of referral systems on ASRH service use among adolescent girls in Kajiado County. Methodology: A mixed-method design assessed the influence of referral systems on ASRH utilization among adolescent girls in Kajiado County. Data collection took place from December 2023 to March 2024. Quantitative data from 422 girls were analyzed using SPSS version 26, while qualitative data from 5 FGDs, 15 IDIs, and 15 KIIs were analyzed thematically using NVivo. Findings: Only 15.8% of adolescents used ASRH referral systems. Trust (78.6%), confidentiality (74.2%), and accurate information (71.5%) were key facilitators. Married adolescents were 32.1% less likely to utilize referrals (p < 0.05), and those with primary education were 45.3% less likely (p < 0.01). Positive outcomes included 83.4% reporting improved ASRH knowledge and 79.2% better contraceptive access. Barriers included communication gaps (62.7%) and limited provider awareness. Unique Contribution to Theory, Practice and Policy: The study identifies barriers such as poor communication, limited provider awareness, and socio-demographic disparities hindering ASRH service utilization. Positive outcomes, including improved knowledge and contraceptive access, suggest the potential of effective referral systems. Strengthening trust, confidentiality, and targeting vulnerable groups is crucial for improving ASRH referral pathways. Limitations included the small sample size and limited geographic scope. Keywords: Sexual and Reproductive Health, Adolescent Girls, Health Systems Approach, Service Utilization, Health Systems Management, Public Health