The Need for Community Based SRHR Mentors in Improving Young People’s Sexual Reproductive Health and Rights (SRHR): A Case of the “Get Up Speak Out” Programme Implemented in Western Kenya

  • Kevin Oria Tropical Institute of Community Health and Development
  • Charles Wafula, PhD Tropical Institute of Community Health and Development
  • Faith Chelagat Tropical Institute of Community Health and Development
  • Alga Balla Tropical Institute of Community Health and Development
  • Marlyn Ochieng Tropical Institute of Community Health and Development
  • Denis Odida Tropical Institute of Community Health and Development
  • Sharon Otieno Tropical Institute of Community Health and Development
  • Grace Ochola Tropical Institute of Community Health and Development
Keywords: Mentors, Young People, Sexual, Reproductive Health, Community, Program
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Kenya’s Community Health Strategy (CHS) focuses on health actions for improved health at level one (community-based level). Poor health indicators have been reported among young people over the years; hence TICH, in its design for the Get Up Speak Out (GUSO) program, adopted the community-based approach (Community Health Strategy) by training and engaging 29 Community Health Volunteers as the SRHR youth group mentors for the GUSO program. Thereafter, the mentors were assigned roles with the aim of improving young people’s SRHR in their respective communities. The study was conducted among mentors to assess their knowledge and practice towards youth-friendly service, as well as the challenges they experience in mentoring the young people in the community. The survey was a full-coverage survey (target participants included all the 29 youth mentors engaged in the GUSO program). The study engaged an e-platform for questionnaire administration in adherence to the Covid-19 preventive guidelines from the Ministry of Health. The study found that most males are the most concerned with mentoring young people compared to women mentors with key support that mentors provide to young people during the mentorship process are attending young people meetings and providing training to young people. This study highlights the importance of CHVs when trained as mentors in supporting young people’s SRHR information and service access. The study emphasises the integration of tasks in line with young people’s SRHR alongside the CHVs normal tasks as a working strategy for improving young people’s SRHR situations in the community. However, the study highlights the gap in CHVs capacity to handle the hard-to-reach young people with SRHR information and services.


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Mirkuzie Woldie, Garumma Tolu Feyissa, Bitiya Admasu, Kalkidan Hassen, Kirstin Mitchell, Susannah Mayhew, Martin McKee, Dina Balabanova, 2018. Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review, Health Policy and Planning, Volume 33, Issue 10, December 2018,

Chandra-Mouli, V., Svanemyr, J., Amin, A., Fogstad, H., Say, L., Girard, F., & Temmerman, M. (2015). Twenty years after International Conference on Population and Development: where are we with adolescent sexual and reproductive health and rights? Journal of Adolescent Health, 56(1), S1-S6.

Ministry of Health, Community Health Strategy Implementation Guide 2007

Denno, D. M., Hoopes, A. J., & Chandra-Mouli, V. (2015). Effective strategies to provide adolescent sexual and reproductive health services and to increase demand and community support. Journal of adolescent health, 56(1), S22-S41.

Geary, R. S., Gómez-Olivé, F. X., Kahn, K., Tollman, S., & Norris, S. A. (2014). Barriers to and facilitators of the provision of a youth-friendly health services programme in rural South Africa. BMC health services research, 14(1), 1- 8.

Godia, P. M., Olenja, J. M., Lavussa, J. A., Quinney, D., Hofman, J. J., & Van Den Broek, N. (2013). Sexual reproductive health service provision to young people in Kenya; health service providers’ experiences. BMC health services research, 13(1), 1- 13.

Goldner, L., & Ben-Eliyahu, A. (2021). Unpacking Community-Based Youth Mentoring Relationships: An Integrative Review. International journal of environmental research and public health, 18(11), 5666.

Internation, M. S., & Internation, M. S. (2012). Delivering sexual and reproductive health services to young people: Key lessons from Marie Stopes International’s programmes. Marie Stopes Internation.

Kenya National AIDS and STI Control Programme (KNASCP). (2009). Kenya AIDS indicator survey: KAIS 2007 final report. Nairobi: KAIS

Morris, J. L., & Rushwan, H. (2015). Adolescent sexual and reproductive health: The global challenges. International Journal of Gynecology & Obstetrics, 131, S40- S42.

Obare, F., Odwe, G., & Birungi, H. (2016). Adolescent Sexual and Reproductive Health Situation: Insights from the 2014 Kenya Demographic Health Survey.

Ringheim, K., & Gribble, J. (2010). Improving the reproductive health of sub-Saharan Africa’s youth. A route to achieve the millennium development goals. Washington DC: Population Reference Bureau.

Robert, K., Maryline, M., Jordan, K., Lina, D., Helgar, M., Annrita, I., ... & Lilian, O. (2020). Factors influencing access of HIV and sexual and reproductive health services among adolescent key populations in Kenya. International journal of public health, 65(4), 425-432.

UNAIDS. (2014). Joint United Nations Programme on HIV/AIDS. The gap report. Geneva: UNAIDS

Viner, R. M., Coffey, C., Mathers, C., Bloem, P., Costello, A., Santelli, J., & Patton, G. C. (2011). 50-year mortality trends in children and young people: a study of 50 low-income, middle-income, and high-income countries. The Lancet, 377(9772), 1162-1174.

Woog, V., Alyssa, B., & Jesse, P. (2015). Adolescent Womens Need for and Use of Sexual and Reproductive Health Services in Developing Countries (pp. 1-63). New York: Guttmacher Institute.

World Health Organisation (WHO). (2009). Quality assessment guidebook. A guide to assessing health services for adolescent clients. Geneva.

World Health Organisation (WHO). (2012). Making health services adolescent friendly: Developing national quality standards for adolescent-frienldy health services. Geneva: World Health Organisation Report.

World Health Organisation (WHO). (2016). What works to improve young people’s sexual and reproductive health.

2 June, 2022
How to Cite
Oria, K., Wafula, C., Chelagat, F., Balla, A., Ochieng, M., Odida, D., Otieno, S., & Ochola, G. (2022). The Need for Community Based SRHR Mentors in Improving Young People’s Sexual Reproductive Health and Rights (SRHR): A Case of the “Get Up Speak Out” Programme Implemented in Western Kenya. East African Journal of Health and Science, 5(1), 130-142.