Awareness of Policy Frameworks that Affect the Provision and Utilization of Sexual and Reproductive Health Services among University Students in Nairobi City County, Kenya

Abstract

Purpose: the study sought to determine awareness of SRH policy frameworks that impact on the provision and utilization of SRH services among university students. Methodology: The study used a cross sectional research design complemented by exploratory research design. The study was conducted in the main campuses of two public universities namely Kenyatta University and Multimedia University and two private universities, United States International University- Africa, KCA-University in Nairobi County in Kenya. The target population were students aged between 18-25 years studying in universities with main campuses in Nairobi County. The total study population was approximately 192,193 students. The study applied stratified random sampling to identify the 370 students who completed the study questionnaires. Purposive sampling was used to select the students and staff who participated in in-depth interviews. The students who participated in focus group discussions were randomly selected.   Findings: The study found out that most students, 95 (25.7%) reported to be aware of the Constitution of Kenya (2010) followed by 74 (20%) students who reported to be aware of the National Reproductive Health Policy (2007). When looking at the university level policy frameworks, most students, 229 (61.9%) split in almost equal numbers, male, 120 (32.4%) and female, 109 (29.5%) are aware of the university HIV/AIDS policy. The surveyed students who said they were not aware of any university SRH policies were 94 (25.4%), split in equal numbers between male and female students. The findings indicate low awareness of SRH policy frameworks by either gender which can be interpreted to mean that participation of the students in the development of the policy frameworks and dissemination of the developed policies is poor. Recommendations: The study’s recommendation to universities is to regularly disseminate national and university level SRH policy frameworks to the students. This can be done during orientation, as part of their studies and on special days convened to sensitize the students on their health.