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Challenges and Solutions for Teenage Pregnancy in Kenya: Insights from KPA Conference 2019

Understand the complexities of teenage pregnancy in Kenya, including drivers and challenges faced by adolescents. Learn about key strategies to address the issue and empower youth. Presentation by Dr. Jeanne P. at the 2019 KPA Conference in Mombasa.

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Challenges and Solutions for Teenage Pregnancy in Kenya: Insights from KPA Conference 2019

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  1. STATUS OF TEENAGE PREGNANCY IN KENYAKPA CONFERENCE 2019 12th April 2019 Sarova White Sands Hotel, Mombasa Presenter: Dr. Jeanne P

  2. Understanding Adolescents • Persons aged between 10-19 years: • On transition from childhood and adulthood • 2nd decade of life • Experience intense growth (physical, social, emotional and cognitive) • On transition towards independence/self-identity: • Exposed to tough choices regarding school work, sexuality, drugs and social life. • Experience curiosity which leads to exploration: • This increases vulnerability to sexual abuse/violence, drugs/substance use, unintended pregnancy, unsafe abortion, child marriages, and STIs including HIV. • Poor risk assessment • Decision-making models don’t apply in high arousal situations • A heterogeneous group • Rural/urban, poor/wealthy backgrounds, in-school/out of school, married/unmarried

  3. Proportion of Pregnant Adolescents among ANC Clients in 2018

  4. Drivers of Teenage pregnancy and other challenges facing adolescents • Early sexual debut: • 11% of girls and 20% of boys between 15-19 years have had their first sexual encounter by age 15 • Lack of education including education on sexual reproductive health: • Girls without education are 3 times likely to experience teenage pregnancy (KDHS,2014) • 52% of girls and 58% of boys between the ages of 15-19 years have comprehensive knowledge of HIV • Poverty: • Adolescents from poor households twice as likely to experience teenage pregnancy (KDHS,2014) • compromises education attainment • Pre-disposes girls to early sexual relationships e.g. sex for pads • Sexual and gender based violence-relatives, teachers, bodaboda, touts • Harmful practices-Child marriages, FGM, Disco matanga • Lack of access to friendly SRH services • Drug and substance use

  5. What needs to be done? • Strengthen school health programmes to ensure that adolescents have access to SRH information • Invest in education especially for marginalized and vulnerable adolescents e.g. those from poor house holds • Keep girls in school and support those who drop out for various causes including pregnancy to continue with their education • Invest in adolescent and youth friendly services by building the capacity of health providers • Empower communities on prevention of GBV • Establish/strengthen forums for multi-sectoral coordination of adolescent health programmes • Address harmful practices e.g. disco matangas which increases vulnerability of adolescents e.g. through by-laws • Promote male engagement in prevention of early and unintended pregnancy

  6. THANK YOU

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