Adolescent Pregnancies in Kenya: A Moran Index Analysis of Hot and Cold Spots

Margaret Kungu, National Council For Population and Development
Samwel Wakibi, University of Nairobi

Background: Kenya faces a notable challenge with adolescent pregnancies with recent data from the Kenya Demographic and Health Survey (KDHS) 2022 indicating that 15% of girls aged 15-19 have begun childbearing. Adolescents often lack access to adequate prenatal care, resulting in higher risks of low birth weight, preterm birth, and neonatal mortality for their babies. Objective: The study aims to provide more knowledge on spatial distribution of adolescent pregnancies using recent data so as to offer valuable insights for adolescent reproductive health policy and program managers. Methodology and Data Sources: The study will use 2022 Kenya Demographic and Health Survey (KDHS) and Kenya Health Information System (KHIS) datasets to assess areal clustering of adolescent pregnancies for age 15-19 using SPSS and Moran's I statistic. Results: Findings show 13 counties of Marsabit, Machakos, Nyandarua, Nyeri, Kirinyaga, Murang'a, Kiambu, Turkana, West Pokot, Samburu, Nandi, Baringo and Migori have Moran statistic of >0.2 and therefore significant clustering with the neigbouring counties. Six counties have a Moran statistic of <-0.2 thus significant dispersion in the neighborhood counties. Conclusion: The study will highlight the need for tailored interventions and policies that address the specific needs of adolescents, particularly in rural and economically disadvantaged areas.

Keywords: Children, Adolescents, and Youth, Fertility, Sexual and Reproductive Health and Rights, Family Planning and Contraception

See extended abstract.