Abstract
ObjectivesThe 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.MethodsA 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.ResultsAdolescent 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.ConclusionsThe 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.
Highlights
According to the 2018 Joint United Nations Programme on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)—(UNAIDS) global update, there were 1.8 million new HIV infections worldwide in 2017 (UNAIDS 2018)
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
The results provide a basis for program redesign involving the adolescent KPs to minimize barriers for access to HIV/SRH services
Summary
According to the 2018 Joint United Nations Programme on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)—(UNAIDS) global update, there were 1.8 million new HIV infections worldwide in 2017 (UNAIDS 2018). This number of new infections is indicative of significant progress from 1996 when the number of new infections was 3.4 million but is still way. LVCT Health, Nairobi, Kenya 2 National AIDS and STIs Control Program (NASCOP), Nairobi, Kenya off the target of half a million new infections in the year 2020 (UNAIDS 2018). The total number of people living with HIV in 2017 was 36.9 million with 53% of them living in Eastern and Southern Africa (UNAIDS 2018). In Kenya, HIV prevalence among key populations was estimated to be 18.2% for men who have sex with men (MSM), 29.3% for female sex worker (FSW) and 18.3% for people who inject drugs (PWID), while that of the general population was 5.6% in 2015 (NACC 2015)
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