Sexual and reproductive health among adolescent girls and young women in Mombasa, Kenya

Sexual and Reproductive Health Matters

on behalf of the Transitions Study Team¹  Parinita Bhattacharjee²  James Blanchard³  Eve Cheuk³  Lisa Avery³  Stephen Moses³  Stella Leung³  Marissa Becker³  Andrea Wilson⁴  Sharmistha Mishra⁵  Peter Gichangi⁶  Helgar Musyoki⁷  Janet Musimbe⁸ 

[1] ;Africa Programs, Centre for Global Public Health, University of Manitoba;Centre for Global Public Health, University of Manitoba;Department of Family Medicine, University of Manitoba;Department of Medicine, St. Michael’s Hospital, University of Toronto;International Centre for Reproductive Health;Key Populations Programme, National AIDS and STI Control Programme;Partnership for Health and Development in Africa;

关键词: sexual and reproductive health;    adolescent girls and young women;    female sex workers;    pregnancy;    abortion;    hiv;    sti;    kenya;   

DOI  :  10.1080/26410397.2020.1749341

来源: DOAJ

【 摘 要 】

This secondary data analysis of a cross-sectional survey conducted in Mombasa, Kenya characterises sexual and reproductive health (SRH) indicators among adolescent girls and young women (AGYW) engaged in casual and transactional sexual relationships as well as sex work. It describes the association between awareness of local HIV programmes and SRH services uptake for AGYW engaged in sex work. Thirty-eight percent of the participants reported a history of pregnancy. Among participants not trying to get pregnant, 27% stated that they were not currently using any form of contraception. Of the participants who had an abortion, 59% were completed under unsafe conditions. For AGYW engaged in sex work, awareness of local HIV prevention programmes was associated with increased STI testing within the last year (29%) as well as at least one HIV test (99%) compared to those who were not aware of local programming (18% and 92%, respectively); however, only 26% of participants engaged in sex work had heard of local HIV prevention programmes. There were no associations between awareness of local HIV programming and rates of dual contraception use, safe abortion, most recent birth attended by a skilled health professional or testing for HIV during pregnancy. Our study found high need for SRH services, particularly, access to contraception and safe abortion. Continued efforts are required to improve access to the full spectrum of SRH interventions, including family planning services and access to safe abortion in addition to HIV prevention to promote health equity.

【 授权许可】

Unknown