Influence of Sexual and Reproductive Health (SRH) Communication Channels and Messengers on Youth Behavioural Responses in Muslim Communities of Isiolo County, Kenya

Abstract

Sexual and reproductive health (SRH) communication in conservative Muslim communities is shaped by trusted communication channels, influential messengers, and faith-informed socio-cultural norms, which influence youth behavioural responses. However, limited evidence exists on how these communication processes interact to shape behavioural responses in faith-based settings. The objective of this study was to examine the influence of communication channels and messengers on sexual and reproductive health behavioural responses among Muslim youth in Isiolo County, Kenya. Guided by the Theory of Reasoned Action and Social Cognitive Theory, this exploratory qualitative study employed a triangulated qualitative design involving 75 in-depth interviews (IDIs), 12 focus group discussions (FGDs), and 15 key informant interviews (KIIs) with Muslim youth and key community stakeholders. Data were analyzed using hybrid thematic analysis. The findings revealed that communication channels and messengers influenced youth engagement with SRH information, attitudes, and behavioural intentions. Specifically, mosques, madrassas, peer forums, and digital platforms emerged as the primary communication channels, while religious leaders, parents, siblings, peers and Muslim health professionals served as principle messengers. Moreover, Interactive, faith-sensitive communication strengthened youth engagement, fostered positive attitudes, and enhanced behavioural intentions, whereas fear-based communication discouraged open dialogue and reduced engagement with SRH information.  Effective faith-based SRH communication requires trusted communication channels and credible messengers working together within a culturally appropriate communication environment that integrates islamic values with accurate health information. The findings advance understanding of youth behavioural responses by demonstrating how communication channels, messengers, and communication medium processes interact to shape SRH decision-making in conservative Muslim communities.