This study, approved by ethics boards from Maseno University, the University of Illinois at Chicago, and the Liverpool School of Tropical Medicine, assessed the impact of the COVID-19 pandemic on sexual and reproductive health among adolescent girls and young women (AGYW) in Kenya. Data originated from the “Cups and Community Health” study, a subset of a trial focused on menstrual cups and conditional cash transfers in secondary schools. Qualitative methods included facilitator-led focus group discussions (FGDs) to gather nuanced insights, followed by thematic analysis using GPT-4o for efficiency, ensuring data security. The thematic framework was rigorously tested for reliability through interrater agreement metrics. Sentiment analysis complemented the qualitative findings, categorizing emotional tones across transcripts and evaluating them for representational biases. Results emphasized the COVID-19 pandemic’s multifaceted effects on AGYW’s health and well-being, highlighting significant insights for future interventions and policy development.
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