ADOLESCENT SEXUAL AND REPRODUCTIVE HEALTH SERVICES AND THE RETENTION OFADOLESCENT GIRLS IN SECONDARY SCHOOLS IN NAROK, KENYA.

Abstract

Adolescent Sexual and Reproductive Health (ASRH) has acquired prominence and the services deemed as the effective strategy for reducing adolescent pregnancies, Sexually Transmitted Diseases (STDs) infections by various health stakeholders. Despite availability of the services, evidence presents escalation in percentage of early pregnancies and school dropouts among adolescent girls in Narok County. The study purposed to establish the prevalence of ASRH services and retention of adolescent girls’ in secondary schools in Narok County. The total study population was 17813. The target population was secondary school girls aged 15 to 19 years, teachers, public health officers, Non-Governmental Organization officers working in ASRH program and administrators in Narok County. About 377 people were sampled, randomly and purposively. The cross-sectional descriptive design was used. Data was collected using questionnaires, key informant interviews and focus group discussions. Analysis was done using linear regression. Results of the study revealed that the higher the prevalence of SRH services, the higherthe retention of adolescent girls in secondary schools (p = 0.001). Awareness about ASRH services among adolescent girls reduced early pregnancy and also increased their retention in secondary schools (R= 0.72). Results indicated that the ASRH information, Voluntary counselling and HIV/AIDS testing, delivery services, screening for STDs, family planning services were significantly utilised (0.000). However, prenatal care was less significantly utilised by the adolescent girls (0.008). The study recommended reinforcement on provision of the ASRH servicesto the adolescent girls to further increase girls’ retention in secondary schools.