Abstract: Socio-demographic factors associated with entry into
motherhood by out-of-school, single, 15-24 year old girls i...
Presentation outline
• Introduction: HOPE worldwide Kenya, BIG
• Methods
• Results
• Conclusion
• Recommendation
• Registered under NGO Coordination Act in 1999
• Initial efforts focused on HIV prevention through sports programs in
Muk...
• The project is funded by Global Challenges
Canada (G.C.C) through its Stars in Global
Health program.
• The bold ideas f...
• Located in the south-end of
Nairobi city
• Mukuru is among the youngest
low income urban dwelling
• Five identifiable vi...
Sister Walks
Gender +HIV Program
Life-skills
Midterm Evaluation
4 Mukuru Villages
Mobilization
Awareness of BIG
Enro...
• One of the challenges found among adolescent
girls in Nairobi’s informal settlements is the
high rate of premarital moth...
Two-tailed t-test for 5%
H0: Proportion of girls 15-20 years old who are pregnant in Mukuru
is the same as the national (p...
• In November 2013, 523 15-24 year old girls were
enrolled
• To provide baseline information, socio-demographic
data was c...
Results
Total
523
Not entered into
motherhood
291 (72.4%)
Single
402 (76%)
entered into motherhood
111 (27.6%)
Married
121...
Initiated
Motherhood
Not
initiated Total
Age
group
OR (95%
CI) p-value
15-17 13 (11%) 103 reverent - 116
18-20 38 (20%) 14...
Village of residence of the single girls
Initiated
Motherhood
Not
initiated Total
village OR p-value
Reuben 41 (35%) 77
4....
Initiated
Motherhood Not initiated Total
Lives with OR p-value
Alone 24 (75%) 8
8.10
(3.28-19.98) p<0.0001 32
Parents/
gua...
Level of education of the single girls
Initiated
Motherhood
Not
initiated Total
Level of
education OR (95% C.I) p-value
No...
Entry to motherhood for out-of-school, single, 15-24 year
old girls in Mukuru Slums seems to be associated with:
• being o...
Socio-demographic factors associated with entry into motherhood by out-of-school, single, 15-24 year old girls in Mukuru S...
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Socio-demographic factors associated with entry into motherhood by out-of-school, single, 15-24 year old girls in Mukuru Slums, Nairobi

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Entry to motherhood for out-of-school, single, 15-24 year old girls in Mukuru Slums seems to be associated with:
being older,
living in Reuben and Lunga lunga villages,
not having completed secondary school,
staying alone
These factors should inform programs providing SRHR interventions to adolescent girls in Mukuru.

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Socio-demographic factors associated with entry into motherhood by out-of-school, single, 15-24 year old girls in Mukuru Slums, Nairobi

  1. 1. Abstract: Socio-demographic factors associated with entry into motherhood by out-of-school, single, 15-24 year old girls in Mukuru Slums, Nairobi Presenter: Julius Nguku 1 1 HOPE worldwide Kenya 2University of Nairobi Co-authors: Nganga, Robert1; Wheeler, Malinda1; Katunge, Catherine1; Gathogo, Janet1 Mule,Francis1 Ngugi, Elizabeth2
  2. 2. Presentation outline • Introduction: HOPE worldwide Kenya, BIG • Methods • Results • Conclusion • Recommendation
  3. 3. • Registered under NGO Coordination Act in 1999 • Initial efforts focused on HIV prevention through sports programs in Mukuru Slums in Nairobi. • Vision-’Empowered Healthy Communities’ • Mission-HWWK is a Faith-based Organization working with under- served communities to improve their quality of life through responsive and innovative health programming, service delivery and capacity building in Kenya and Eastern Africa. Introduction: HOPE worldwide Kenya
  4. 4. • The project is funded by Global Challenges Canada (G.C.C) through its Stars in Global Health program. • The bold ideas funded integrate science/technology, social and business innovation-referring this as Integrated Innovation. • It focusses on its innovator-defined challenges through its Stars in Global Health program Introduction: Bold Idea for Girls (BIG) Project
  5. 5. • Located in the south-end of Nairobi city • Mukuru is among the youngest low income urban dwelling • Five identifiable villages and communities within • It is a melting pot of religious and ethnic groups • Estimated population of 504,000 people* • Thirty four percent of the population in Mukuru falls within the 15-24 years age bracket* *Partnerships for an HIV free Generation, 2008 Location of Mukuru Slums In Nairobi, Kenya
  6. 6. Sister Walks Gender +HIV Program Life-skills Midterm Evaluation 4 Mukuru Villages Mobilization Awareness of BIG Enrolment Baseline Survey Vocational Skills training Hair dressing and Beauty Computer Application Skills Fashion and Design End-term evaluation Graduation Job placement Reaching out to peers Program scale-up BIG project Design
  7. 7. • One of the challenges found among adolescent girls in Nairobi’s informal settlements is the high rate of premarital motherhood (Beguy, Donatien; 2013). • This paper looks at the socio-demographic factors associated with entry into motherhood by out-of-school, unmarried girls aged 15-24 years in Mukuru Slums, Nairobi. • Data is drawn from the baseline survey for the one-year project. Introduction: Abstract
  8. 8. Two-tailed t-test for 5% H0: Proportion of girls 15-20 years old who are pregnant in Mukuru is the same as the national (p=p0=0.145) Ha: Proportion of girls under 20 years old who are pregnant in Mukuru is not the same as the national (p≠0.145) n pp pp t )ˆ1(ˆ ˆ 0*    t*= 0.240-0.145 = 5.277 SQRT (0.24(1-0.24/523) Decision: Since 5.277 > 1.96 (t-statistic for 0.025) we reject the H0 and deduce that the proportion of girls under 20 years’ old girls who are pregnant in Mukuru is not the same as the national. Comparing the proportion of 15-20 year old girls who have initiated motherhood nationally and in Mukuru
  9. 9. • In November 2013, 523 15-24 year old girls were enrolled • To provide baseline information, socio-demographic data was collected from the girls and reported as proportions. • A regression model was used to determine any socio- demographic differences between the single girls who have initiated motherhood and those who had not. Method
  10. 10. Results Total 523 Not entered into motherhood 291 (72.4%) Single 402 (76%) entered into motherhood 111 (27.6%) Married 121 (24%)
  11. 11. Initiated Motherhood Not initiated Total Age group OR (95% CI) p-value 15-17 13 (11%) 103 reverent - 116 18-20 38 (20%) 149 2.02 (1.03-3.98) p=0.04 187 21-22 27 (50%) 27 7.92 (3.61-7.39) p<0.0001 54 23-24 33 (73%) 12 21.79 (9.06-2.38) p<0.0001 45 111 291 402 Age of the single girls 11% 20% 50% 73% 0% 50% 100% 15-17 18-20 21-22 23-24 Percentage of the single girls who have initiated motherhood by age-grp
  12. 12. Village of residence of the single girls Initiated Motherhood Not initiated Total village OR p-value Reuben 41 (35%) 77 4.26 (1.21-4.99) p=0.02 118 Lungalunga 38 (32%) 79 3.85 (1.09-3.58) p=0.04 117 Njenga 29 (20%) 113 2.05 (0.50-7.20) p=0.2 142 Kayaba 3 (12%) 24 reverent - 25 111 291 402 35% 32% 20% 12% 0% 10% 20% 30% 40% Reuben Lungalunga Njenga Kayaba Percentage of single girls who had initiated motherhood by village
  13. 13. Initiated Motherhood Not initiated Total Lives with OR p-value Alone 24 (75%) 8 8.10 (3.28-19.98) p<0.0001 32 Parents/ guardians 57 (24%) 182 0.846 p=0.5 239 Others (bro, sis, aunts etc) 30(23%) 91 reverent - 131 Who the single girl lives with
  14. 14. Level of education of the single girls Initiated Motherhood Not initiated Total Level of education OR (95% C.I) p-value Not completed secondary education 88 (31%) 192 3.985 (1.539-.315) p=0.004 280 Completed secondary education 23 (19%) 99 reverent 122 111 291 402
  15. 15. Entry to motherhood for out-of-school, single, 15-24 year old girls in Mukuru Slums seems to be associated with: • being older, • living in Reuben and Lunga lunga villages, • not having completed secondary school, • staying alone These factors should inform programs providing SRHR interventions to adolescent girls in Mukuru. Conclusion and Recommendation

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