Innovations for Adolescent Sexual and Reproductive Health Access and Protection in Trans Nzoia County, Kenya

Project Status: Completed
Implementation Period: May – October 2025
Geographic Coverage: Trans Nzoia County, Kenya
Target Population: Adolescents and Young People (10–19 years)

Implementing Organization

Remian Diagnostics Limited in Partnership with Mount Kenya University

Project Overview

Between May and October 2025, Remian Diagnostics Limited successfully implemented a community-driven, digitally enabled adolescent sexual and reproductive health (ASRH) program in Trans Nzoia County.

The project addressed critical gaps in youth-friendly SRH access, confidentiality, continuity of care, and data-driven decision-making by combining offline-capable digital tools, trained community health systems, and remote clinical support.

The intervention significantly improved adolescents’ access to accurate information, early risk identification, counseling, referral services, and follow-up care—while reducing stigma and barriers to care-seeking.

Problem Addressed

Adolescents in Trans Nzoia County face persistent sexual and reproductive health challenges, including:

• High rates of teenage pregnancy
• Sexually transmitted infections (STIs)
• Limited access to confidential youth-friendly services
• Stigma, fear, and cultural barriers to care-seeking
• Inadequate follow-up and referral systems
• Shortage of adolescent-focused healthcare providers
• Weak SRH data systems for programming and accountability

Prior to this project, many adolescents relied on unsafe information sources or delayed care, leading to preventable health and social consequences.

Project Goal

To improve access, confidentiality, and quality of adolescent sexual and reproductive health services in Trans Nzoia County through digital health innovation and strengthened community-based care systems.

Key Objectives Achieved

• Expanded adolescent access to confidential SRH screening and counseling
• Strengthened frontline decision-making by CHVs and nurses
• Improved early identification of high-risk adolescents
• Enhanced referral tracking and continuity of care
• Strengthened SRH data capture, reporting, and accountability
• Reduced stigma through youth-friendly digital and community approaches

Core Innovations Implemented

1. Offline Adolescent SRH Digital Health Platform

A secure offline-first mobile and desktop health application deployed to community health volunteers, nurses, and peer educators to:

• Conduct confidential adolescent SRH assessments
• Capture menstrual health data, STI symptoms, pregnancy risk, and psychosocial indicators
• Use color-coded clinical alerts (Red / Yellow / Green)
• Store adolescent health histories securely
• Sync data to a clinician dashboard when internet was available
• Enable remote clinician review and guidance
• Deliver confidential SMS reminders for clinic visits, medication, and counseling follow-ups

2. Youth Sexual and Reproductive Health Hotline

A confidential SRH hotline provided:

• One-on-one adolescent counseling
• Support on contraception, STI symptoms, menstrual health, and GBV
• Direct linkage between adolescents, CHVs, nurses, and clinicians
• Emergency escalation for sexual violence and high-risk pregnancies
• Tracked referrals and follow-ups

Implementation Approach

• Training & Capacity Building: Trained CHVs, nurses, and peer educators on adolescent SRH protocols and digital tools
• Community & School-Based Outreach: Youth-friendly education sessions and screening activities
• Digital & Remote Clinical Support: Real-time clinician support via dashboard and hotline
• Follow-Up & Continuity of Care: Automated SMS reminders and referral tracking
• Monitoring, Learning & Quality Improvement: Supervisor dashboards, routine audits, and data-driven improvements

Project Results & Impact

Quantitative Impact (May – October 2025)

• Over 30,000 adolescents reached through community and school outreach
• Over 7,500 confidential SRH hotline consultations conducted
• Over 2,800 safe referrals to youth-friendly health facilities
• 40% reduction in reported teenage pregnancies among program participants
• Significant increase in early STI detection and contraceptive uptake
• Improved follow-up adherence and continuity of care

Qualitative Impact

• Increased adolescent trust in health systems
• Reduced stigma around SRH service utilization
• Improved confidence and skills among CHVs and peer educators
• Faster clinical decision-making and referrals
• High satisfaction reported by adolescents and health workers

Evidence & Documentation

• Digitally captured anonymized SRH service data
• Supervisor dashboards and monitoring reports
• Community outreach and training documentation
• AI-generated illustrative images used for communication and privacy protection
• Case study summaries and impact infographics

Project Impact Infographics

Visual summary of key achievements, activities, and outcomes from the ASRH program in Trans Nzoia County.

Impact Highlights & Metrics

Key metrics: 30,000+ adolescents reached, 7,500+ consultations, 2,800+ referrals, 40% reduction in teenage pregnancies

Program Activities & Innovations

Overview of digital platform, youth hotline, training, and community outreach components

Partners & Stakeholders

• Mount Kenya University
• Remian Diagnostics Limited
• Community Health Volunteers (CHVs)
• Peer Educators and Youth Champions
• Trans Nzoia County Department of Health
• Local youth-friendly health facilities
• Community leaders and schools
• Ministry of Health
• County Government of Trans Nzoia
• Reproductive Health Network Kenya

Sustainability & Scalability

The project was designed for scale and sustainability, with:

• Offline-capable technology suitable for low-resource settings
• Integration with existing CHV and county health systems
• Modular design adaptable to other counties and humanitarian contexts
• API readiness for NGO and government dashboards

Scale-Up Potential

The successful implementation in Trans Nzoia County positions this model for expansion to:

• Other high-burden counties in Kenya
• School-based adolescent health programs
• Refugee and humanitarian settings
• NGO- and donor-supported ASRH initiatives

Why Funders Partner with Remian Diagnostics Limited

• Proven implementation track record
• Digital health and clinical expertise
• Strong community engagement models
• Data-driven, accountable programming
• Scalable, cost-effective solutions
• Alignment with UNFPA, UNICEF, WHO, USAID, and national ASRH priorities