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© 2015, Union for African Population Studies. All rights reserved. Improving knowledge, attitudes, delaying onset of sexual activity and decreasing high-risk of sexual behaviour of young people are central components in strategic planning for RH programming. This paper presents findings of an evaluation of a public multi-sectoral adolescent reproductive health and HIV prevention program in rural Kenya. Study design was a community-randomized controlled trial. Crosssectional baseline and endline surveys were conducted to evaluate the impact of the interventions with regard to knowledge, attitude and practices. Results in intervention sites A and B as compared to the control site showed large impact on knowledge of sexual and reproductive health issues, a less significant impact regarding attitude, and a small but significant impact on sexual behaviour. The community-based intervention had a significant impact on knowledge and sexual behaviour. Adding a school-based intervention component didn’t have a sustained improvement across board as anticipated. These findings underscore the need to strengthen capacities of public sector staff and enhance the robustness of strategy implementation.

Original publication




Journal article


Etude de la Population Africaine

Publication Date





1934 - 1953