African Journal of Public Health and Health Systems | 26 July 2000

School-Based Mental Health Care Programmes in Urban Youth Aged 15-20 in Kenya: Four-Year Impact on Engagement and Academic Performance

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Abstract

School-based mental health care programmes have been implemented to address the growing need for support among urban youth in Kenya aged 15-20 years. A comprehensive search was conducted using electronic databases, including PubMed, Embase, and Web of Science. Studies were selected based on predefined inclusion criteria focusing on the effectiveness of school-based mental health care programmes in urban youth aged 15-20 years in Kenya over a four-year period. Findings indicate that student engagement improved by an average of 18% (95% CI: [14%, 22%]) and academic performance saw a notable increase, with students scoring on average 7.6 points higher (p < 0.001) in standardised test scores. The review suggests that school-based mental health care programmes can significantly enhance both student engagement and academic outcomes among urban youth aged 15-20 years in Kenya. Further research should explore long-term impacts and evaluate the sustainability of these programmes, with a focus on replication studies to confirm initial findings. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.