Assessing accessibility of sexual reproductive health services among adolescents and young people living with HIV/AIDS in Kenya


  • Edna N. Nyang'echi Department of Public Health, School of Public Health and Community development, Maseno University, Maseno, Kenya
  • Justus O. S. Osero Department of Community Health and Epidemiology, School of Health Sciences, Kenyatta University, Nairobi, Kenya



Sexual and reproductive health services, Sexual and reproductive health rights, HIV/AIDS, Adolescents and young people, Accessibility


Background: Sexual and reproductive health rights (SRHR) are fundamental human rights enshrined in national, regional, and international laws and agreements. This study aimed to determine the accessibility of SRHR services among young people living with HIV/AIDS in Kenya.

Methods: The study was a cross-sectional study involving a sample of 224 adolescents and young people from Kenya. The study used both qualitative and quantitative methods of data collection and analysis. Before the study commenced, approvals were acquired from the Kenyatta University ethics and review committee, the National Commission for Science, Technology, and Innovation, County Governments, and selected county and sub-county health facilities in Kenya.

Results: About 68.2% of adolescents and young people (AYP) living with HIV/AIDS accessed SRH services with a significant difference in proportion between study counties (Nairobi city and Homabay counties) in Kenya (χ2=20.553; df=2; p<0.0001). Nevertheless, 33% of them reported that there were challenges that affected access to SRHR services and the unavailability of some services. Therefore, there is a need to ensure enough and constant supply of commodities and supplies for comprehensive care services.

Conclusions: The study showed a statistically significant difference in the proportion of AYP living with HIV/AIDS who accessed SRH services in the study counties of Nairobi city and Homabay.


UNAIDS. The African Union. Empower young women and adolescent girls: fast-tracking the end of the AIDS epidemic in Africa. Geneva: UNAIDS; 2015.

Kenya National Commission on Human Rights. Realizing sexual and reproductive health rights in Kenya: a myth or reality? 2012;92-108.

Braeken D, Rondinelli I. Sexual and reproductive health needs of young people: matching needs with systems. International Federation of Gynecology and Obstetrics. Elsevier Ireland Ltd.; 2012.

Edwards PV, Roberts ST, Chelwa N, Phiri L, Nyblade L, Mulenga D, et al. Perspectives of adolescent girls and young women on optimizing youth-friendly HIV and sexual and reproductive health care in Zambia. Front Glob Women’s Health. 2021;2:723620.

Chenneville T, Gabbidon K, Hanson P, Holyfield C. The impact of COVID-19 on HIV treatment and research: a call to action. Int J Environ Res Public Health. 2020;17(12):4548.

United Nations High Commissioner for Human Rights. Sexual and reproductive health and rights of girls and young women with disabilities. Seventy-second session, 2017. Available from: Accessed on 12 August 2023.

Sexual and Reproductive Health and Rights Working Group. Awareness, analysis, action: sexual and reproductive health and rights in the Pacific. Secretariat of the Pacific Community, Fiji; 2015.

UNAIDS. HIV prevention among adolescents and young people: putting HIV prevention among adolescents and young people on the Fast-Track and engaging men and boys. Guidance. Geneva; 2016.

Vujovic M, Struthers H, Meyersfeld S, Dlamini K, Mabizela N. Addressing the sexual and reproductive health needs of young adolescents living with HIV in South Africa. Child Youth Serv Rev. 2014;45:122-8.

Mwalabu G, Evans C, Redsell S. Factors influencing the experience of sexual and reproductive healthcare for female adolescents with perinatally-acquired HIV: a qualitative case study. BMC Womens Health. 2017;17:125.

Pierre D, Moute C, Estelle P, Muriel M, Pulcherie U, Gervais B. Disability and access to sexual and reproductive health services in Cameroon: a mediation analysis of the role of socioeconomic factors. Int J Environ Res Public Health. 2019;16(3):417.

Stang L, Lloyd K, Brady L, Holland C, Baral S. A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come? Int J AIDS Soc. 2013;16:18734.




How to Cite

Nyang’echi, E. N., & Osero, J. O. S. (2024). Assessing accessibility of sexual reproductive health services among adolescents and young people living with HIV/AIDS in Kenya. International Journal Of Community Medicine And Public Health, 11(2), 725–732.



Original Research Articles