Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

Béguy, Donatien; Mumah, Joyce; Wawire, Salome; Muindi, Kanyiva; Gottschalk, Lindsey B.; Kabiru, Caroline W.

doi:10.31899/rh4.1067

Cited by 27 publications

(45 citation statements)

References 19 publications

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“…; Beguy et al . 2013a,b; Marston et al . ), with a substantial proportion (close to 10%) of adolescents being sexually active before 15 years (Ndugwa et al .…”

Section: Discussionmentioning

confidence: 99%

“…), and 15% of adolescents 15–19 years of age ever having a child (Beguy et al . 2013a,b). Similar findings have been reported in other urban settings in SSA (Meekers & Ahmed ).…”

Section: Discussionmentioning

confidence: 99%

“…; Beguy et al . 2013a,b; Marston et al . ) is occasioned by the rampant poverty, as reported in this study, and as evidence indicates that deprivation is a key factor in risky sexual behaviour and transactional sex in Nairobi slums (Greif ).…”

Section: Discussionmentioning

confidence: 99%

“…The area is plagued with a high prevalence of unintended pregnancies, with more than 40% of pregnancies among adolescents being unintended yet contraceptive use among the adolescents is limited (Beguy et al . 2013; Beguy et al . ).…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya

Kimani-Murage

Wekesah

Wanjohi

et al. 2014

Maternal & Child Nutrition

122

128

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Poor breastfeeding practices are widely documented in Kenya, where only a third of children are exclusively breastfed for 6 months and only 2% in urban poor settings.This study aimed to better understand the factors that contribute to poor breastfeeding practices in two urban slums in Nairobi, Kenya. In-depth interviews (IDIs), focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with women of childbearing age, community health workers, village elders and community leaders and other knowledgeable people in the community. A total of 19 IDIs, 10 FGDs and 11 KIIs were conducted, and were recorded and transcribed verbatim. Data were coded in NVIVO and analysed thematically. We found that there was general awareness regarding optimal breastfeeding practices, but the knowledge was not translated into practice, leading to suboptimal breastfeeding practices. A number of social and structural barriers to optimal breastfeeding were identified: (1) poverty, livelihood and living arrangements; (2) early and single motherhood; (3) poor social and professional support; (4) poor knowledge, myths and misconceptions; (5) HIV; and (6) unintended pregnancies. The most salient of the factors emerged as livelihoods, whereby women have to resume work shortly after delivery and work for long hours, leaving them unable to breastfeed optimally. Women in urban poor settings face an extremely complex situation with regard to breastfeeding due to multiple challenges and risk behaviours often dictated to them by their circumstances. Macro-level policies and interventions that consider the ecological setting are needed.

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“…; Beguy et al . 2013a,b; Marston et al . ), with a substantial proportion (close to 10%) of adolescents being sexually active before 15 years (Ndugwa et al .…”

Section: Discussionmentioning

confidence: 99%

“…), and 15% of adolescents 15–19 years of age ever having a child (Beguy et al . 2013a,b). Similar findings have been reported in other urban settings in SSA (Meekers & Ahmed ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya

Kimani-Murage

Wekesah

Wanjohi

et al. 2014

Maternal & Child Nutrition

122

128

View full text Add to dashboard Cite

show abstract

“…It is also important to alleviate poverty in these settings as the abject poverty that characterises informal settlements may also impinge women's ability to access quality health information and family planning services, negatively impacting their sexual and reproductive health outcomes. For example, poverty may increase the pressure on young women to enter into sexual relationships in order to meet basic needs, making them vulnerable to pressure from sexual partners -who are often older -not to use contraception (Beguy et al 2013). Also, programmes aiming at combating sexual violence need to be implemented as it is commonplace in informal settlements, limiting women's ability to control their fertility and implement their fertility preferences.…”

Section: Discussionmentioning

confidence: 99%

Patterns of fertility preferences and contraceptive behaviour over time: change and continuities among the urban poor in Nairobi, Kenya

Béguy

Mberu

2015

Culture, Health & Sexuality

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The main objective of this paper is to investigate the association between fertility preferences and contraceptive use among 15-49-year-old women living in Korogocho and Viwandani, informal settlements in Nairobi, Kenya. We draw on longitudinal data collected under the Maternal and Child Health project conducted between 2006 and 2010 in the two settlements. There is substantial regularity and stability but also unusual instability in reported fertility preferences over time among women living in these settings. Younger women, aged 15-24 years, are likely to change their preferences over time, passing from limiting to wanting additional children. But women aged 35-49 are likely to change their preferences from desiring more children to limiting their childbearing. The desire to limit childbearing is strongly associated with the use of modern and long-acting contraceptive methods. Findings have major implications for the success of family planning programmes in informal settlements where access to and knowledge about contraception may be limited.

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Young People: Vulnerability, Risk and HIV in the Urban Slum

Jones

2015

SpringerBriefs in Public Health

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Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

Cited by 27 publications

References 19 publications

Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya

Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya

Patterns of fertility preferences and contraceptive behaviour over time: change and continuities among the urban poor in Nairobi, Kenya

Young People: Vulnerability, Risk and HIV in the Urban Slum

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