Why adults and teachers information about sexual behavior and its consequences does not prevent unplanned pregnancies among adolescents in Nairobi, Kenya

Abstract

<p> <span style="font-size:10.0pt;font-family:"">Context: Despite a high number of unwanted pregnancies in Kenya, contraceptive use among adolescents is very low. Establishing the nature of sexuality discussions is critical to determine perceptions and barriers affecting contraceptive <span>use among adolescents. Methods: The study</span> used systematic random sampling to collect data to examine sexuality information and knowledge that affect perception and barriers on contra-ceptive use among 1119 adolescents aged 15 - 19 years in Nairobi. The survey was conducted using the 2009 Kenya Demographic and Health <span>Survey enumeration areas and projections</span> based on the 1999 population census. Data were collected using structured interviews, focus group discussions (FGDs) and in-depth interviews (IDIs) among adolescents, parents and teachers. Quantitative data were analyzed using Statistical Package for Social Sciences (SPSS) software while qualitative information was analyzed using iT Atlas. Results: Although teachers were identified as a primary source of sexuality information, they were poorly prepared to teach the subject. While the study found negative perceptions on sexuality education, most FGDs and IDIs supported the need for its integration in the school curriculum. Most adolescents who used con- traceptives had perceptions that their parents approved. Source of sexuality information, living arrangement and perceptions on contraceptives <span>for unmarried adolescents were statistically</span> associated with contraceptive use. Conclusion: The study showed that sexuality information from parents and teachers was biased against adolescents using contraceptives. There is need to address attitudes in discussing contraceptive use for adolescents by parents and teachers to <span>enhance positive perceptions and increase</span> contraceptive use by adolescents.</span> </p

Knowledge of menstruation and fertility among adults in rural Western Kenya: Gaps and opportunities for support

“…More broadly, previous studies in Kenya have found that adolescents, and women in general, did not receive the high quality required information that can enable them make informed decisions related to sexual and reproductive health [10,11]. Some of the barriers to young people receiving reproductive health education lie in provider lack of comfort, both from a provider/counselling, as well as cultural/religious, perspective [12].…”

“…Another study in Kenya found that girls desired communication from their mothers about menstruation, but this was generally poor [13]. A study in urban Nairobi found that the most common sources of information about sexuality and contraception were parents/family, followed by school [11].…”

Intensi Seksual Remaja: Apa Saja Faktor Pembedanya?

“…Komunikasi seksual dengan teman menumbuhkan sexual self efficacy (Pariera, 2018) sekaligus sikap permisif terhadap hubungan seksual (Nogueira Avelar e Silva dkk., 2020), sehingga menimbulkan dorongan untuk melakukan hubungan seksual. Namun, adanya tambahan informasi dari guru yang berfokus pada penanaman nilai sosial dan agama yang melarang praktik perilaku seksual di luar nikah (Kinaro, 2013) membuat remaja memiliki referensi pembanding mengenai perilaku seksual. Ditambah lagi, guru biasanya memberikan informasi mengenai aspek fisiologis hubungan seksual, seperti proses reproduksi dan kehamilan (Litras dkk., 2015).…”

Perceptions of adolescent parenting among high school adolescent students from selected rural and urban schools in Rwanda

“…A study in Kenya noted that most discussions that take place at school or in the home do not focus on preventing unplanned pregnancies and are against contraceptive use. [18] Some parents believe that their children should not use contraceptives due to the side effects of the medication. These inhibitory beliefs impact adolescents' access to pregnancy prevention health related information, leading to early child birth.…”