Cases of teenage pregnancies increased from 224,333 in 2024 to 232,102 in 2025, a report by the Kenya National Bureau of Statistics has shown.
The 2026 Economic Survey report released on Wednesday says Nairobi City led with 14,291 cases followed by Kakamega county at 11,630.
Nakuru county recorded the third highest number of teenage pregnancy with 10,934 cases, while Lamu county recorded the lowest number with 850 cases.
Despite increasing, the 2025 figures still do not match the 2022 and the 2023 figures where teenage pregnancy cases were 245, 228 and 240,840.
Pregnancy cases of children aged 10-14 also rose to 11,605 in 2025 from 11,126 in 2024.
The increase comes even as Kenya expanded access to modern contraceptive methods and invested in community health programmes.
The survey recorded the pregnancy cases at the first antenatal visit.
The report also highlights disparities across counties, with some regions contributing disproportionately to the national total of adolescent pregnancies, pointing to inequalities in access to health services and education.
It says Narok, Nairobi, Kakamega and Bungoma, were some of the counties with the highest proportion of counties contribution to the national total of adolescents at the first ante-natal care visit.
On sexual and reproductive autonomy, the report say 57.3 per cent of women felt justified in refusing to have sex, with 61.7 per cent requesting for the use of condom during sex.
Only 48.0 per cent felt they could ask their partner to use one.
Across the three indicators of sexual autonomy, a higher proportion of women in urban areas have power to make decisions compared to rural women.
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