Adherence of healthcare practitioners to the adolescent reproductive health and development policy at The Garissa Provincial General Hospital, Kenya

  • CM Musee
  • LK Bitok
  • S Wakasiaka
  • JM Mweu


Background: Kenya’s policies relating to population, family planning (FP) and reproductive health (RH) receive weak/fluctuating levels of adherence. The Adolescent Reproductive Health and Development  (ARH&D) policy gives directives and actions to follow in meeting identified ends and goals in the  reproductive and developmental needs of the youth- majority of Kenya’s population (Ministry of  Health-Youth Friendly Services (MOH-YFS), National Coordination Agency for Population and Development
(NCAPD), 2011).
Objective: To evaluate adherence of healthcare practitioners (HCPs) to the Adolescent Reproductive Health and Development (ARH&D) policy at the Garissa Provincial General Hospital, Kenya (GPGH).
Design: A cross sectional study.
Setting: Garissa Provincial General Hospital, Kenya.
Subjects: Comprised of 172 Healthcare practitioners (HCPs), including 88 nurses, 14 doctors and 17  clinical officers (COs) and 53 adolescent clients.
Results: The HCP policy utilisation rate of the ARH&D which was 62.2% was influenced by religious  affiliation, age, frequency of supervision. Adolescent client satisfaction level was about 34%. Severity of infibulations has reduced in severity among the Somali people. Consanguineous marriages of under-age girls, drug addiction, poverty, HIV and AIDS and FP stigmatisation are still high in North Eastern Province.
Conclusion: Adherence to the ARH&D policy was about 62% at the GPGH. There was no ideal set up for YFS. The adolescent satisfaction low was at about 34%. Infibulation has reduced. There were  shortcomings with the HCP characteristics, facility deficits, and service management hurdles.

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