Apr 2015 – Mar 2018

Choice4Change: Preventing unintended teenage pregnancy in Kenya

Kenya

Country

Kenya – Africa

To prevent teenage pregnancy by improving access to high-quality comprehensive reproductive health information and services in Kenya.

$13,490,399 Multi-Year Grant Value

This investment seeks to target, test and strengthen the promising delivery channels and interventions to increase awareness of and access to comprehensive sexual and reproductive health services. This includes long-acting methods of contraception.

Choice4Change will work through two main components:

  • Community-based outreach to bring services closer to girls through mobile clinical teams, qualified community health workers and the private sector (supported by Marie Stopes Kenya)
  • Providing family planning services through post-abortion care in public facilities (supported by Ipas)
Choice4Change partner roles

In parallel, the programme will support an integrated, demand-generation model that sensitises adolescents and gate-keepers to the pros and cons of different contraceptive options and long-acting methods. Because the evidence of what works for reproductive health is scarce, this investment will test different approaches in the first year of the programme before scaling up the most promising models.

The programme also aims to strengthen the architecture for adolescent reproductive health in Kenya by supporting the development of Kenya's Adolescent Reproductive Health Development Policy and by working with county governors to prioritise reproductive health.

This image provides an overview of the role played by the main Choice4Change partners.

Impact


During the first 18 months of the program, Marie Stopes International worked with Ideo.org to redesign their services to reach adolescent girls. Together, they created a new promotion campaign

‘Future Fab’

which positions contraception and adolescent sexual health within adolescent  girls’ broader future aspirations. On the supply side, Marie Stopes also trained all of their service providers on adolescent sexual health and made all services free for adolescents under 20. Since the roll-out of the program we  have seen an important increase in the number of girls accessing services


IPAS worked actively with the government in 64 public health facilities in Kenya training providers, strengthening the supply chain and supporting community based organisations to raise awareness on adolescent sexual health at the community level. This has also resulted in increases to the number of adolescent girls accessing services. 


UNFPA is leading the consortium to create a more conducive environment for adolescent sexual health in Kenya. Achievements in the first year include the development and dissemination of an adolescent sexual policy and new guidelines for adolescent sexual health.