Efficacy of the Integrated Model of Adolescents Youth Friendly Services Provision in Ruaraka Sub-County, Nairobi County

According to the World Bank more than fourth of girls and women in sub Saharan Africa cannot access family planning services fueling unplanned pregnancies, maternal mortality and morbidity (WHO, 2012). Kenya has made remarkable progress in improving RMNCAH outcomes however, many women and adolescent girls continue to suffer or die from preventable condition due to challenges in accessing quality RMNCAH across all levels and care (MOH, 2016).90 % of maternal deaths are due to substandard care (MOH, 2018). In partnership with MOH, FHOK initiated a project to strengthen provision of Youth-Friendly Services to reduce teenage pregnancies in the Counties. The purpose of the study was to generate evidence efficacy of the integrated model of adolescents youth friendly services provision in Ruaraka sub-county, Nairobi County. The study applied cross-sectional descriptive survey method. Primary data was derived from Key Informant interview and focused group discussion. Content analysis was used to collect the secondary data while a checklist was used for Primary Data. Qualitative data analysis method was used to develop concepts along the thematic areas (information and services demand creation, service utilization/uptake behavior change among the young people as well as public private linkage. There is increased demand of YFS services but there are less than 6 % of staffs have been trained on YFS. There is no standard training curriculum or signed MOU between the parties. Trained staffs have been o transferred out of their stations. Peer educators are used to mobilize the youth but they are not motivated. Stock out was prevalent in all the sites. From the findings it is evident that integrated model is an effective vehicle in providing YFS however for Ruaraka sub county there is need to ensure there is need to train more staff, sign MOU, establish YFS corners, commodity security and a motivate peer educators.