Factors contributing to unintended pregnancies among teenage girls in the informal settlement of Mukuru kwa Njenga, Nairobi, Kenya

This mixed-methods study in Mukuru Kwa Njenga, Nairobi, found that nearly two-thirds (62.7%) of adolescent girls had experienced unintended pregnancy. Key drivers included limited knowledge and access to contraceptives, lack of discussions about protection, low household income, low parental education, and substance abuse, particularly alcohol use. Qualitative findings further highlighted misinformation, economic vulnerability, and barriers to reproductive health services as contributors to risky sexual behaviour. The study underscores the need for comprehensive reproductive health education, improved access to youth-friendly contraceptive services, and socio-economic empowerment interventions to reduce unintended teenage pregnancies in informal settlements

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