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DETERMINANTS OF UTILIZATION OF YOUTH FRIENDLY REPRODUCTIVE HEALTH SERVICES AMONG SCHOOL AND COLLEGE YOUTH (12-24 YEARS) IN ELDAMA RAVINE SUB- COUNTY BARINGO COUNTY. ABBREVIATIONS AND ACRONYMS AIDS - Acquired Immune Deficiency Syndrome GOK Government of Kenya HIV Human Immunodeficiency Virus HS Health System ICPD International Conference on Population and Development IEC Information, Education and Counselling KDHS Kenya Demographic and Health Survey KEPH Kenya Essential Package of Health KNBS Kenya National Bureau of Statistics KSPA Kenya Service Provision Assessment MOH Ministry of Health NPPSD National Population Policy for Sustainable Development STIs Sexually Transmitted Infections WHO World Health Organization YFRHS Youth Friendly Reproductive Health Services FHOPF Family Health Options Kenya ARFH Association for Reproduction and Family Health DEFINITION OF TERMS Utilization - The ability to consume services and incorporates economics, geographic location, abundance of health services, physical and social resources or usage of the youth-friendly reproductive health services Determinants of Health - These are a range of personal, social, economic and environmental factors which determine the health status of individuals or populations .
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Health System - The health structure or organizations whose primary purpose and activities is to promote, restore or maintain health (WHO, 2007) Youth –Persons aged 10-24 years in this study Youth Friendly Reproductive Health Service - Services that are accessible, acceptable and appropriate for the youth. They are in the right place at the right price (free where necessary) and delivered in the right style to be acceptable to young people and are effective, safe and affordable. They include counselling, family planning, voluntary counselling and testing and treatment of sexually transmitted infections (WHO, 2004). 1.1 Background information According to Population Relation Bureau, (2010) Globally, there are 1.7 billion people aged 10- 24 years, representing one-quarter of the world's population with over 85% living in developing countries. A study done in developing countries states that existing barriers to access and utilization of youth-friendly health services (YFHS) includes; poor access, availability and availability of the services, lack of clear directions and services affordability, lack of privacy and contraceptives supplies and option of calling referral are also barriers(WHO, 2013) Senderowitz et al., (2016) in a study on rapid assessment of reproductive health services reported that significant barriers posted by the current state of the most reproductive health services are perceived unwelcoming to the youth that also concurred to study in Cambodia which showed that barriers to youth access to reproductive health services include; lack of confidentiality, shyness and poor relation with health staff.
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