Adolescents in peri-urban settings are at increased risk of sexual and reproductive health challenges. Most peri-urban settings in developing countries are characterised by violence, illicit sex and drugs, abortions, limited access to quality health information and services among other challenges. Adolescent's friendly centres are believed to be one of the innovative strategies and approaches for delivering age and culturally appropriate sexual and reproductive health information and services

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... r at risk and sexually active adolescents in peri-urban settings. Health based project organizations in peri-urban environments are routinely delivering health information and services for at-risk adolescents through 'adolescent's friendly centres'. However, few studies have assessed the relationship between adolescent friendly service provision approach and delivery of sexual and reproductive health information and services for sexually active peri-urban adolescents. The objective of this study was to assess the influence of adolescent friendly service provision approach on delivery of sexual and reproductive health information and services for sexually active peri-urban adolescents enrolled in reproductive health projects in peri-urban settings within Kisumu City. A cross sectional study design was used. The target population was 1299 adolescents, project managers and ASRH service providers. A sample size of 297 was computed using the Krecjie and Morgan sample estimation. A self-administered questionnaire was used. Descriptive and inferential data were analysed using SPSS. The descriptive statistics included frequencies, percentages, means and standard deviations. Inferential statistics included Pearson's correlation(r), co-efficient of determination (R 2 ), Anova Test (p value) and Beta coefficients (β). There was statistically significant positive association between adolescent friendly centre approach and delivery of ASRHS (r=304 p<0.01). It is recommended that project based reproductive health organizations specializing in adolescent sexual and reproductive health projects should strengthen adolescent friendly centres to ensure sustained uptake of age and culturally appropriate sexual and reproductive health information and services for sexually active adolescents in peri-urban settings.