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

Autor: Robert K; LVCT Health, Nairobi, Kenya. robert.kimathi@lvcthealth.org., Maryline M; LVCT Health, Nairobi, Kenya., Jordan K; LVCT Health, Nairobi, Kenya., Lina D; LVCT Health, Nairobi, Kenya., Helgar M; National AIDS and STIs Control Program (NASCOP), Nairobi, Kenya., Annrita I; LVCT Health, Nairobi, Kenya., Wanjiru M; LVCT Health, Nairobi, Kenya., Lilian O; LVCT Health, Nairobi, Kenya.
Jazyk: angličtina
Zdroj: International journal of public health [Int J Public Health] 2020 May; Vol. 65 (4), pp. 425-432. Date of Electronic Publication: 2020 Apr 26.
DOI: 10.1007/s00038-020-01373-8
Abstrakt: 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.
Databáze: MEDLINE
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