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Married adolescent girls form a large segment of Kenyan youth, yet they are largely overlooked by researchers and program managers concerned with the lives of adolescents. As evidence demonstrates, this neglected population of married girls is likely to be vulnerable and in need of support. HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. Sexual violence and HIV/AIDS are a lethal combination. Research indicates that the risk of HIV infection following forced sex is likely to be higher than following consensual sex. Finding ways to tackle sexual violence and HIV infection simultaneously has therefore become a major public health endeavor. Married adolescent girls are particularly vulnerable to sexual violence; however, there is a lack of data to guide intervention efforts specifically for such girls because they have largely remained invisible in programs. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya’s Nyanza Province. The program was based on the Population Council’s analysis of the 2003 Kenya Demographic and Health Survey (KDHS) as well as on formative research within rural Nyanza.

Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya