{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:59:00Z","timestamp":1761897540222,"version":"3.41.2"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,4]],"date-time":"2021-12-04T00:00:00Z","timestamp":1638576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012319","name":"National Center for Global Health and Medicine","doi-asserted-by":"publisher","award":["27\u20101","30\u20104"],"award-info":[{"award-number":["27\u20101","30\u20104"]}],"id":[{"id":"10.13039\/100012319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The number of out\u2010of\u2010school children and adolescents has been increasing globally. In sub\u2010Saharan Africa, an estimated 23 million adolescents leave school due to poverty, teenage pregnancy, and unspecified illnesses. The reasons for absenteeism are well\u2010known but the factors involved in the decision to return to school have not been analyzed. This study aimed to identify the factors that promote primary school re\u2010entry among chronic adolescent absentees in rural sub\u2010Saharan Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualitative data were gathered through participant observation, in\u2010depth interviews, and focus group discussions involving nine pupils who returned to school after chronic absenteeism and 140 adult stakeholders in Mbita sub\u2010county, Kenya. Data were analyzed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The thematic analysis results showed that four factors promoted school re\u2010entry, namely: (1) social norms: \u201cschool for a better life\u201d; (2) linkage of community and school; (3) supportive environment; and (4) using discipline to make adolescents serious about their education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>School re\u2010entry among chronic absentees in Mbita sub\u2010county is promoted by both community and school factors. It was observed that social norms regarded an education as a \u201cpassport to a better life.\u201d Adolescents, teachers, and community leaders view education as a means of improving one\u2019s socio\u2010economic status. Two essential elements of health\u2010promoting schools, a supportive environment and a linkage with community, effectively promoted returning to the school among adolescents. The introduction of health\u2010promoting schools was recommended to implement a school re\u2010entry policy in Kenya effectively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14866","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T17:10:13Z","timestamp":1622567413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Factors influencing school re\u2010entry among adolescents in Kenya"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2860-3076","authenticated-orcid":false,"given":"Hanae","family":"Henzan","sequence":"first","affiliation":[{"name":"Department of Global Health Graduate School of Health Sciences University of the Ryukyus Nakagami\u2010gun Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9230-7928","authenticated-orcid":false,"given":"Rie","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Global Health Graduate School of Health Sciences University of the Ryukyus Nakagami\u2010gun Japan"},{"name":"Kenya Research Station Institute of Tropical Medicine Nagasaki University Nagasaki City Japan"},{"name":"Japanese Consortium for Global school Health and Research Nakazu\u2010gun Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sammy M.","family":"Njenga","sequence":"additional","affiliation":[{"name":"Eastern and Southern Africa Centre of International Parasite Control Kenya Medical Research Institute Nairobi Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Ernesto R.","family":"Gregorio","sequence":"additional","affiliation":[{"name":"College of Public Health University of the Philippines Manila Manila Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshio","family":"Ichinose","sequence":"additional","affiliation":[{"name":"Kenya Research Station Institute of Tropical Medicine Nagasaki University Nagasaki City Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Nonaka","sequence":"additional","affiliation":[{"name":"Department of Global Health Graduate School of Health Sciences University of the Ryukyus Nakagami\u2010gun Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3807-0963","authenticated-orcid":false,"given":"Jun","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Global Health Graduate School of Health Sciences University of the Ryukyus Nakagami\u2010gun Japan"},{"name":"Japanese Consortium for Global school Health and Research Nakazu\u2010gun Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"UNESCO.World declaration on education for all and framework for action to meet basic learning needs. 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