The Institute for Development Studies (IDS), University of Nairobi, with funding from the Hivos Southern Africa Regional SRHR Fund, undertook a research project that focused on the roll-out of universal health coverage (UHC) scheme for public secondary schools in Kenya – the Eduafya. The Eduafya programme is rolled out through the National Hospital Insurance Fund (NHIF) scheme for students in public secondary schools in Kenya. It is one of the government’s ‘Big-Four’ Agenda on UHC and was launched in 2018. This research aimed at understanding how the roll-out of the Edu-Afya health scheme has impacted students (in-school adolescents), and whether it has enhanced adolescents (boys and girls) access to health services, and more so to the sexual and reproductive health (SRH) services. It also sought to understand whether the scheme was responding to the unique sexual and reproductive health needs of adolescents (age and gender-specific), service provision (preventive, promotive or curative), and the inclusiveness of services. The research focused on diverse populations of adolescents, health care providers, school heads, and NHIF representatives. The study began in January 2020 and was concluded in March 2021. Read the Executive Summary of the study here.