Table 3.

Suggestions from young people on how to improve sexual and reproductive health (SRH) services

Gender	Youth centres	Health centres/or integrated facilities
Girls	Increase of SRH service availability	Increase of SRH service availability
	▪ Full-time clinician	▪ More services to be made available at facility (lab), maternity
	▪ Available medication (STI)	▪ Facility to be neat, attractive and well organised
	▪ Establish more youth centres, especially in rural areas	Improve HSP attitude
	Improve HSP attitude	▪ Improve HSP approach & attitude:
	▪ HSP to be more friendly	▪ HSP to be more patient and friendly, not very elderly
	Create awareness	Create awareness
	▪ Sensitize YP on importance of youth centre through fun-activities, radio, posters, music entertainment, churches,	▪ Advertise through radio
		▪ Tell peers about service availability
	▪ Encourage openness among adolescents	▪ Awareness creation on importance of services and VCT through seminars in churches, schools, community
	▪ Advertise services through outreaches in community, have girls-talks
	▪ Give out educational materials, booklets, magazines	▪ Organise community meetings: inform parents what goes on at youth centre
	▪ Other resources - have library, games	Have a suggestions box
	Note: Girls not able to give suggestions (12 yrs and 14 yrs)	Reduce waiting time
		No response from some girls in one HC in Nairobi (FGD 05c on how services can be improved
Boys	Increase SRH service availability	Increase SRH service availability
	▪ Set-up more youth centres	▪ Wide range of services in same room
	▪ MOH to be involved in addressing SRH of young people, support youth activities, peer education	▪ Have proper service directions
		▪ Have youth-only rooms
	▪ Set-up more services in rural areas (mobile clinics)	Improve HSP attitude
	▪ Increase operating hours/night services (VCT)	▪ HSP to be open and helpful
	Improve HSP attitude	▪ Confidentiality is important
	▪ HSP to be friendly, kind, patient, polite, confidential, not have very elderly staff	Increase awareness creation of SRH services
	Increase awareness creation of SRH services	▪ Create awareness of services available, having seminars, free medical campaigns, use of artists
	▪ Create awareness of youth centre – through outreaches, advertising in sporting activities, websites
		▪ Involve the youth in mobilising other youths/Peer education
	▪ Have youth talk to other youths about the services available	Reduce waiting time
	▪ Take the education to the schools	Have educational materials
	Youth centre accessibility	▪ Have educational materials on SRH problems and treatment options
	▪ Location of youth centre should be accessible, close to public transport	Other resources – have library
	Have educational materials	In one FGD boys were not sure of what can be done to increase access
	▪ Update educational materials