Adolescence is a transitional period from childhood to adulthood that presents opportunity for any country’s development yet is riddled with vulnerability that may jeopardize its utilization if not carefully considered (Ashford, 2001). Vulnerability arises from the reproductive and sexual health risks they are exposed to resulting from their engagement in sexual activity. The consequent pregnancy and child bearing exposes adolescents to risks including unsafe abortions, Sexually Transmitted Diseases (STDs) and HIV/AIDS. In addition, adolescents are targets of harmful practices like Female Genital Mutilation/Cutting (FGM/C), sex violence and sex selling (McCauley, 1995). Adolescents in Kenya are most vulnerable because of the limited access to reproductive and sexuality information and services (GOK, 2004; NCPD/MOH, 2002; Wairimi Muita, 1998). Further, adolescents with special needs/disabilities face serious reproductive and sexual health risks due to their vulnerability compounded by the sexual stereotype that they are non-sexual (KSPH, 2001; Boylan, 1991).This explains their absence in the Kenyan policy, research and programmes focusing on sexual and reproductive health and rights (KSPH, 2001). Unfortunately, if not checked this situation will not only be perpetuating the violation of human rights by neglecting a vulnerable group of the population but also missing the chance to capitalize on the opportunity these adolescents present in the future development of the nation (Ashford, 2001). 

Therefore the aim of the study is to focus on the neglected yet vulnerable adolescents with special needs/disabilities with the objective of hearing their voices on their unique needs and challenges in terms of sexuality and reproductive health through the analysis of not only existing policy and programmes but also interview data with them. It’s hoped that the results of this study will be beneficial to adolescents with special needs in terms of pointing out the existing policy and programmes on the matter. Also, policy makers and programme designers in NGOs and Government can use the study results as a guide to their advocacy, planning implementation activities.