10/10/2025
This week, our team visited Riruta Health Centre, St. Mary's Hospital, and Baraka Health Center — the same facilities where we previously interviewed young people aged 15–24 who were diagnosed with TB.
The purpose of these visits was to share our study findings with health workers, facility teams, and representatives from the community, including youth leaders, village elders, and Community Health Promoters (CHPs). Together, we reflected on the findings and discussed ways to strengthen youth-responsive TB care.
The study involved in-depth interviews with 14 young people and participatory workshops with 37 others, to understand the barriers, motivations, and experiences that shape young people’s engagement in the TB care cascade.
Three central themes emerged:
1️⃣ The gendered path to care
Young men often delayed seeking treatment due to work demands and social expectations around masculinity, while young women relied on home remedies and family advice — sometimes for months — before seeking care. Misconceptions were common: some women associated TB with spiritual causes, while men linked it to lifestyle habits.
2️⃣ Confusing treatment experiences
Several participants were initially misdiagnosed with asthma or pneumonia and began treatment without fully understanding their condition. Long queues, rigid clinic hours, and distance to facilities created additional barriers, while youth-friendly staff, social worker support, and transport reimbursements made a positive difference.
3️⃣ Reasons for disengagement
Side effects such as blurry vision, swollen legs, and fatigue led some to stop treatment. Men often cited work conflicts, incarceration, and homelessness; women described emotional stress, family conflict, and financial strain.
Yet, moments of compassion and follow-up from nurses or peer educators often helped young people return to care — small acts that rebuilt trust and gave them hope.
Beyond disseminating the findings, facilities also had the opportunity to develop action plans on how they can make their services more youth-friendly and responsive to the needs of the young people they serve.
Next week, dissemination will continue at Rhodes Medical Center, Mbagathi County Hospital and Mama Lucy Kibaki Hospital — completing this important cycle of listening, learning, and action.
By returning to the same facilities where young people shared their stories, we aim to ensure that research translates into change — into care that meets them where they are and helps them complete their journey to recovery.