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DETERMINANTS OF TEENAGE PREGNANCY AMONG ADOLESCENT GIRLS IN KALOLENI SUB COUNTY, KILIFI COUNTY, KENYA.
Grace Wairimu Waweru ·
Summary
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Abstract
This study assesses the determinants of teenage pregnancy among adolescent girls aged 15–19 years in Kaloleni Sub-County, Kilifi County, Kenya. Teenage pregnancy remains a significant public health challenge globally and disproportionately affects adolescents in low- and middle-income settings, with Sub-Saharan Africa recording the highest burden. In Kenya, although the prevalence of teenage pregnancy has declined over time, it remains a persistent issue with geographic variation, including continued burden in Kilifi County. Existing evidence highlights multiple contributing factors, including socio-economic vulnerability, low educational attainment, limited access to sexual and reproductive health (SRH) services, early sexual debut, and socio-cultural practices such as child marriage. Despite ongoing governmental and programmatic interventions, gaps remain in context-specific evidence at sub-county level to inform targeted responses. This study addresses this gap by generating localized evidence on determinants of teenage pregnancy in Kaloleni Sub-County. A quantitative descriptive cross-sectional design will be applied, using structured questionnaires to collect data from adolescent girls aged 15–19 years. The study will examine the prevalence of teenage pregnancy and its association with three domains: socio-demographic factors, socio-cultural factors, and health system factors. The findings will inform evidence-based adolescent and youth sexual and reproductive health (AYSRH) programming, policy formulation, and intervention design, with potential applicability to similar settings within Kilifi County.