Implementation of a multisectoral initiative to address adolescent pregnancy in Kenya required strong leadership and ownership both at national and subnational levels.

A multisectoral action plan allowed consensus on priorities while ensuring that the strategic interests of all stakeholders were maintained.

Localization of adolescent pregnancy data at various levels of decision-making enabled evidence-based advocacy, localized challenges, and triggered action.

Successful implementation of a multisectoral approach requires inclusivity, commitment, and leadership to fully realize the potential that multisectoral actions have in addressing adolescent pregnancy, health, and well-being.

Advocacy is key in driving multisectoral initiatives aimed at addressing adolescent pregnancies.

Adolescent pregnancy continues to be a major concern globally, especially in sub-Saharan Africa, where it contributes to high maternal mortality and morbidity and other non-health consequences, such as school dropouts. Addressing adolescent sexual and reproductive health requires an enabling environment that extends beyond an individual to community and society levels through concerted efforts by various sectors and agencies. From 2016 to 2022, we implemented an advocacy intervention in Kenya that catalyzed multisectoral collaboration to address adolescent sexual and reproductive health issues, specifically adolescent pregnancy, at subnational and national levels. In this article, we document our experiences implementing the intervention by presenting a case study of this initiative, including the processes and lessons learned. Our experience to date demonstrates that multisectoral initiatives can be rolled out to address adolescent pregnancies in countries that continue to have a high burden of adolescent pregnancy. Successful implementation requires inclusivity, commitment, and leadership to fully realize the potential that multisectoral actions have in preventing adolescent pregnancy.

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