The aim of this qualitative study was to explore desired ways to deliver comprehensive sexuality education (CSE) and topics, among secondary school students in a low-resource setting in Western Kenya. One school (n = 440) has received 8-9-h CSE intervention, while the other school (n = 496) served as a control. After one-year follow-up the…

Peer education is a widely used strategy in sexual reproductive health and rights (SRHR) programmes for young people, yet measurement of its effectiveness often focuses on a narrow set of outcomes. This qualitative study explored how peer education was integrated into the "Get Up, Speak Out for Youth Rights!" (GUSO) programme in Kisumu…

The youth population bulge in Kenya comes with so many challenges such as poverty, gender inequalities, political inequities, the absence of adequate health and medical resources, low educational attainment, homelessness, increased involvement in violence, drugs, and alcohol, poor physical and mental health, a lack of key life skills, premature…

This study investigated facilitators and challenges to designing, implementing and evaluating school-based sexual health education in sub-Saharan Africa, using interviews with intervention designers and researchers. At the pre-planning and planning stages, participants reported that facilitating factors included addressing the reproductive health…

Transactional sex, or the exchange of money and gifts for sexual activities within nonmarital relationships, has been widely considered a contributing factor to the disproportionate prevalence of HIV/AIDS among young women in sub-Saharan Africa. This study applied social exchange theory to premarital relationships in order to investigate the…

Background: Correct and consistent condom use is an effective strategy to reduce the risk of sexually transmitted infections (STIs). This study examines sociodemographic, behavioral, and psychosocial characteristics of 3 groups of adolescent males: consistent, sporadic, and non-condom users. Methods: The sample consisted of 931 sexually…

This study examined the impact of a primary-school HIV education initiative on the knowledge, self-efficacy and sexual and condom use activities of upper primary-school pupils in Kenya. A quasi-experimental mixed qualitative-quantitative pre- and 18-month post-design using 40 intervention and 40 matched control schools demonstrated significant…

This report uses World Fertility Survey data obtained between 1974 and 1978 to investigate the initiation and duration of breast-feeding in 19 developing countries, ten of which are in Asia, eight in Latin America and the Caribbean, and one in sub-Saharan Africa (Kenya). Respondents were asked whether they had fed either their most recently born…

Surveyed and conducted focus groups with Kenyan adolescents to investigate their health information sources, focusing on sexually transmitted diseases (STDs), particularly HIV/AIDS. Respondents relied most heavily on health clinics for information on STDs, their most common health problem. Those with high knowledge of contraceptives were more…

This paper examines the relationship between female schooling and two behaviors--cumulative fertility and contraceptive use--in 14 Sub-Saharan African countries where Demographic and Health Surveys (DHS) have been conducted since the mid-1980s. Using multivariate regression analysis, the paper compares the effect of schooling across countries, in…

Five studies focus on the cultural components of population issues in Thailand, Jamaica, Korea, Kenya, and Indonesia. The reports explore the influence of cultural factors on contraceptive practice, family planning, abortion, and education. Recommendations are made for policymakers in areas that impinge on population growth. "Birth Control…