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This evaluation by the Population Council’s APHIA II Operations Research Project sought to find out whether the adolescent sexual and reproductive health (ASRH) and HIV/AIDS activities in Kenya had been sustained over a 10-year period when the project was replicated and scaled up to cover seven provinces in the country. The evaluation had three main objectives: 1) to determine the extent to which activities of the Kenya Adolescent Reproductive Health Program (KARHP) have continued at national, provincial, and district levels; 2) to determine whether desired sexual and reproductive health outcomes (knowledge, behavior, and practices) have been sustained among in- and out-of-school adolescents over time; and 3) to identify challenges experienced by various partners in sustaining the model. The results show that reproductive health knowledge and behavior improved among the adolescents. A significant increase was found in the proportions of adolescents who have delayed sexual debut and who reported safer sexual practices at first sex in comparison with an earlier survey. Although the survey suggests that the efforts to sustain KARHP/ASRH activities may have desirable behavioral outcomes among adolescents, there is a need to strengthen these activities to increase their effect, and to streamline coordination of ASRH activities by the different partners.






AIDS, Population, and Health Integrated Assistance (APHIA II) Operations Research Project