Factors Influencing Effectiveness of Youth Friendly Centres in Kenya: A Case of Kisumu County

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International Journal of Current Business and Social Sciences


Strengthening health service delivery as a building block to the health system is key to the attainment of the health-related Sustainable Development Goals, which include the delivery of effective interventions to reduce adolescent and youth mortality as well as the burden of HIV/AIDS. The Government of Kenya and its partners have over the years recommended certain standards through Adolescent Sexual Reproductive Health Policies and guidelines, with youth friendly centres continuing to be used as one model in providing reproductive health services to the youth. Despite these guidelines, the effectiveness of the centres has been acknowledged to depend on many factors which include institutional, service provider, policy and youths’perceptions. The study examined how those factors affected effectiveness of the centres in Kisumu County- one of the counties with some of the worst youth sexual and reproductive health indicators. The study used both quantitative and qualitative approaches to collect data and utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 182 youth seeking services from8 centres. The key informants were mainly service providers who were working at the centres at the time of study and were interviewed using an interview guide. Focused group discussions were conducted with the youth from two of the facilities, while a checklist was used to assess mostly institutional elements. The coding, entry and analysis of the quantitative data were doneusing Statistical Package for Social Sciences (SPSS) Version 20. Qualitative data on the other handwere transcribed then coded using NVivo 9 software and analysed using content, thematic framework approach. Descriptive statistics and correlation tests were performed to determine significant associations. The study established significant weak positive correlation between institutional factors and effectiveness of YFCs, (Spearman's rho(r) = 0.373, p=0.043, CL=95%); a significant moderate positive correlation between policy factors and effectiveness of YFCs (Spearman's rho(r)=0.596 p=0.019, CL=95%); a significant strong positive correlation between service provider factors and effectiveness of YFCs, (Spearman's rho(r) = 0.896, p=0.003, CL=95%) and a significant moderate positive correlation between client factors and YFCs. (Spearman's rho(r) = 0.403, p=0.023, CL=95%). The findings also showed that a majority of youth felt the services were both visually (75.3%, n=182) and auditory confidential (84.1%, n=182); 53% (n=21) of the service providers were not exposed to youth friendly policies and guidelines, many of whom (95%) had been trained on health promotion and advocacy as part of AYFHS. From the findings, most the youth rated the services as good (73.6%, n=182) and 88.5% would recommend the facilities to their peers. The study concluded that the effectiveness of YFCs in Kisumu County is greatly influenced by service provider and the perceptions of the youth themselves. In view of the findings, this study recommends the need for the government and partners to: design centres that ensure integrated and innovative services; widely disseminate relevant policies and guidelines to the implementers; intensify training on ‘softer skills’ and supervision of service providers and to involve youth in the planning and management of affairs at the youth centres. Further research is also recommended.




Kisumu County, Youth Friendly Centre, Sexual Reproductive Health, Service Provider, Effectiveness, Institutional Factors


Onyando, O.J., Olocuh, M. & Njuguna, S. (2018). “Factors Influencing Effectiveness of Youth Friendly Centres in Kenya: A Case of Kisumu County.”. International Journal of Current Business and Social Sciences, Volume,1 Issue,7 pp, 78-98