Awareness of Policy Frameworks that Affect the Provision and Utilization of Sexual and Reproductive Health Services among University Students in Nairobi City County, Kenya
DOI:
https://doi.org/10.47672/ejhs.1575Keywords:
Sexual, Reproductive Health, Policy, Awareness, Youth, Universities, StudentsAbstract
Purpose: the study sought to determine awareness of SRH policy frameworks that impact on the provision and utilization of SRH services among university students.
Methodology: The study used a cross sectional research design complemented by exploratory research design. The study was conducted in the main campuses of two public universities namely Kenyatta University and Multimedia University and two private universities, United States International University- Africa, KCA-University in Nairobi County in Kenya. The target population were students aged between 18-25 years studying in universities with main campuses in Nairobi County. The total study population was approximately 192,193 students. The study applied stratified random sampling to identify the 370 students who completed the study questionnaires. Purposive sampling was used to select the students and staff who participated in in-depth interviews. The students who participated in focus group discussions were randomly selected.
Findings: The study found out that most students, 95 (25.7%) reported to be aware of the Constitution of Kenya (2010) followed by 74 (20%) students who reported to be aware of the National Reproductive Health Policy (2007). When looking at the university level policy frameworks, most students, 229 (61.9%) split in almost equal numbers, male, 120 (32.4%) and female, 109 (29.5%) are aware of the university HIV/AIDS policy. The surveyed students who said they were not aware of any university SRH policies were 94 (25.4%), split in equal numbers between male and female students. The findings indicate low awareness of SRH policy frameworks by either gender which can be interpreted to mean that participation of the students in the development of the policy frameworks and dissemination of the developed policies is poor.
Recommendations: The study’s recommendation to universities is to regularly disseminate national and university level SRH policy frameworks to the students. This can be done during orientation, as part of their studies and on special days convened to sensitize the students on their health.
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References
Adinew Y., Gebeyehu A, and Mengesha Z. (2013). Knowledge of reproductive and sexual rights among University students in Ethiopia: institution-based cross-sectional. Retrieved November 12, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3577501/
East African Community. (2010). HIV Sero-Behavioural Study in Six Universities in Kenya. SIDA: Kenya
Family Care International. (2006). Executive Summary of Lancet Sexual and Reproductive Health Series. Available from http://www.who.int/reproductivehealth/publications/general/lancet_exec_summ.pdf (AccessedR 19/12/2017)
FHI360. (2014). Providing integrated sexual and reproductive health services at Kikuyu Campus, University of Nairobi: Assessment of a new reproductive health unit. Available from: https://www.fhi360.org/sites/default/files/media/documents/Providing%20integrated%20SRH%20Univ%20of%20Nairobi.pdf (accessed 06/07/2020)
Government of Kenya. (2017). National Family Planning Costed Implementation Plan 2017-2020. Ministry of Health. Nairobi.
Government of Malawi., UNESCO and European Union. (2017). Situational analysis on the status of sexual and reproductive health of students and gender-based violence in technical and vocational colleges in Malawi. Available from: https://unesdoc.unesco.org/ark:/48223/pf0000261725 (Accessed 12/09/2021).
Krejcie, R. And Morgan, D. (1970). Determining Sample Size for Research Activities. Available from https://home.kku.ac.th/sompong/guest_speaker/KrejcieandMorgan_article.pdf (Accessed 29 July 2008).
Owino, P. (2004). HIV and AIDS responses in the Kenya university sub-sector. Kenyatta University: Nairobi.
Richardson, E, and Birn, A., (2011). Sexual and reproductive health and rights in Latin America: an analysis of trends, commitments and achievements. Available from https://pubmed.ncbi.nlm.nih.gov/22118152/ (Accessed 10 January 2018).
Soko, D., Umar, E., Noniwa, T., and Lakudzala, A. (2012). HIV and AIDS workplace interventions; Gaps between policy and practice at the College of Medicine. Malawi Medical Journal: Blantyre
The Cooperative University of Kenya. (2008). HIV/AIDS Policy. Cooperative University: Nairobi.
The Government of Kenya. (2017). National Health Act, Nairobi. Government Press
The Government of Kenya. (2019). Kenya National Youth Development Policy. Government Press
UNFPA. (2014). The Power of 1.8 Billion - Adolescents, Youth and the Transformation of the Future.
UNFPA. (2019). The Nairobi Summit on ICPD25. Available from: http://www.nairobisummiticpd.org/ (Accessed 17/01/2020)
United Nations. (2020). Sustainable Development 3. Accessed from: https://sustainabledevelopment.un.org/sdg3 (Accessed 13/02/2020)
Wanjau, M. N. (2016). Determinants of students’ uptake of Reproductive Health Services targeting High Risk Sexual Behavior in Kenyatta University, Nairobi county, Kenya. Master’s Thesis, Kenyatta University, Nairobi, Kenya.
WHO. (2017). Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV.
World Economic Forum. (2021). Why Africa's youth hold the key to its development potential. Available from: https://www.weforum.org/agenda/2022/09/why-africa-youth-key-development-potential/ (Accessed 10/02/2022).
Yared, A., Sahile, Z., and Mekuria, M. (2017). Sexual and reproductive health experience, knowledge and problems among university students in Ambo, central Ethiopia. Reproductive Health Journal, 14 (1), 41 DOI: 10.1186/s12978-017-0302-9
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Copyright (c) 2023 Joshua Ongwae, Grace Okongó, Casper Masiga
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