Why adults and teachers information about sexual behavior and its consequences does not prevent unplanned pregnancies among adolescents in Nairobi, Kenya

Joyce W. Kinaro

University of Nairobi, Nairobi, Kenya.

DOI: 10.4236/health.2013.51003                

Abstract

Context: Despite a high number of unwanted pregnancies in Kenya, contraceptive use among adolescents is very low. Establishing the nature of sexuality discussions is critical to determine perceptions and barriers affecting contraceptive use among adolescents. Methods: The study used systematic random sampling to collect data to examine sexuality information and knowledge that affect perception and barriers on contra-ceptive use among 1119 adolescents aged 15 - 19 years in Nairobi. The survey was conducted using the 2009 Kenya Demographic and Health Survey enumeration areas and projections based on the 1999 population census. Data were collected using structured interviews, focus group discussions (FGDs) and in-depth interviews (IDIs) among adolescents, parents and teachers. Quantitative data were analyzed using Statistical Package for Social Sciences (SPSS) software while qualitative information was analyzed using iT Atlas. Results: Although teachers were identified as a primary source of sexuality information, they were poorly prepared to teach the subject. While the study found negative perceptions on sexuality education, most FGDs and IDIs supported the need for its integration in the school curriculum. Most adolescents who used con- traceptives had perceptions that their parents approved. Source of sexuality information, living arrangement and perceptions on contraceptives for unmarried adolescents were statistically associated with contraceptive use. Conclusion: The study showed that sexuality information from parents and teachers was biased against adolescents using contraceptives. There is need to address attitudes in discussing contraceptive use for adolescents by parents and teachers to enhance positive perceptions and increase contraceptive use by adolescents.

Keywords

Sexuality Education; Source of Sexuality Information; Perceptions on Contraceptive Use

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Kenya National Bureau of Statistics (KNBS) and ICF Macro (2010) Kenya demographic and health survey 2008-2009. KNBS and ICF Macro, Calverton.
[2]	United Nations Com-mission on Population and Development (2012) Monitoring of population programmes, focusing on adolescents and youth. Report of the Secretary-General, 45th Session, 23-27 April.
[3]	Central Bureau of Statistics (CBS) [Kenya], Min-istry of Health [Kenya], and ORC Macro (2004) Kenya demo-graphic and health survey 2003. CBS, Ministry of Health (Kenya) and ORC Macro, Calverton.
[4]	Meekers, D. and Klein, M. (2002) Determinants of condom use among young people in urban Cameroon. Studies in Family Planning, 33, 335-346. doi:10.1111/j.1728-4465.2002.00335.x
[5]	Alauddin, M. (1999) Reaching newlywed and married adolescents. Family Health International. http://www.fhi.org/en/youth/youthnet/publications/focus/newlywedandmarried.htm
[6]	Glanz, K. Emory University and Kegler, M. (2002) Concepts of the social cognitive theory health behavior and health education: Theory, research and practice. Wiley and Sons, San Francisco.
[7]	Undie, C., Crichton, J. and Zulu, E. (2007) Metaphors we love by: Conceptualizations of sex among young people in Malawi. Africa Journal of Reproductive Health, 11, 221-235. doi:10.2307/25549741
[8]	Wingood, G., Ralph, J. Harrington, K., Edward, W. and Kim, M. (2001) Exposure to x-rated movies and adolescents’ sexual and contraceptive-related attitudes and behaviors. Pediatrics, 107, 1116-1119. doi:10.1542/peds.107.5.1116
[9]	Nahar, Q., Tu?ón, C., Hou-vras, I., Gazi, R., Reza, M., Huq, N. and Khuda, B. (1999) Re-productive health needs of adolescents in Bangladesh: A study report, Centre for Health and Population Research Mohakhali, Dhaka 1212, Bangladesh ICDDR, B Working Paper No. 130. Prime Printers & Packages, Dhaka.
[10]	Otoide, V.O.F., Oron-saye, F. and Okonofua, F.E. (2001) Why Nigerian adolescents seek abortion rather than contraception: Evidence from focus group discussions. Family Planning Perspective, 27.
[11]	Hulton, L.A., Cullen, R. and Khalokho, S.W. (2000) Per-ceptions of the risk of sexual activity and their conse-quences among Ugandan adolescents. Studies in Family Plan-ning, 31, 35-46. doi:10.1111/j.1728-4465.2000.00035.x
[12]	Jaccord, J. and Patricia, J.D. (2000) Adolescent perceptions of maternal approval of birth control and sexual risk behavior. America Journal of Public Health, 90, 1426- 1430. doi:10.2105/AJPH.90.9.1426
[13]	Izugbara, C.O. (2007) Home-based sexuality education: Nigeria parents discussing sex with their children. Journal of Sex Education, 4, 63-79.
[14]	United Nations Educational, Scientific and Cultural Organization (UNESCO) (2009) An evidence-informed for schools, teachers and health educators. The Rationale for Sex-uality Education, 1, 2-13.
[15]	Ayiemba, E.H.O. (2001) The effect of health education programs on adolescents sexual behavior: A case study on Nairobi city adolescents. African Population Studies, 16, 87-103.
[16]	Erulkar, A.S., Onoka, C.J. and Phiri, A. (2001) What is youth friendly adolescent’s preferences for RH services in Kenya and Zimbabwe. Africa Journal of Reproductive Health, 9, 51-58. doi:10.2307/3583411
[17]	Kiragu, K. and Zabin, L.S. (1995) Contraceptive use among high school students in Kenya. International Family Planning Perspectives, 21, 108-113. doi:10.2307/2133184
[18]	Brown, A.D. and Shireen, J. (2001) Sexual relations among young people in developing countries: Evidence from WHO case studies. WHO, Geneva.
[19]	De Belmonte, L.R., Gutierrez, E.Z., Magnani, R. and Lipovsek, V. (2000) Barriers to adolescents’ use of reproductive health services in three Bolivian cities. Focus on Young Adults/Pathfinder International, Washington.
[20]	Rwenge, M. (2000) Sexual risk behavior among young people in Bamenda, Cameroon. International Family Planning Perspective, 26, 18-123. doi:10.2307/2648300
[21]	National Coordinating Agency and Population Development and Division of Reproductive Health, Ministry of Health (2003) Adolescent reproductive health and development policy. Tonaz Agenies, Nairobi, 1-37.
[22]	Bruckner, H. Martin, A. and Bearman, P.S. (2004) Ambivalence and pregnancy: Adolescents’ attitudes, contracep-tive use and pregnancy. Perspectives on Sexual and reproductive Health, 36, 248-257.
[23]	Khamasi, J., Wand, J. and Undie, C. (2008) Teaching human sexuality in higher education: A case from Western Kenya. In: Mairead, D., Ed., Gender, Sexuality and Development: Education and Society in Sub-Saharan Africa, 189-196. doi:10.1363/3624804