Assessing the Impact of Autism Spectrum Disorder on School Going Children in Nairobi County: A Review of Literature

  • Niceta W. Ireri Africa International University
  • Anne Mbwayo University of Nairobi
  • Dominics Ayaa Daystar University
Keywords: Autism Spectrum Disorder, School, Children, Adolescents, Mainstream, Special needs.


Autism spectrum disorder has become a global challenge, a pervasive condition with a complex etiology impacting the lives of at least one in a hundred children across the globe. While it continues to wreck many families, for various factors the disorder is yet to be contained in Kenya, nor even Africa. In Kenya education may form part of the remedies in dealing with the affected through establishment of special schools that focus on the children with autism. Nonetheless, as the government of Kenya continues to provide a chance for children and adolescents with autism spectrum disorder (ASD)through creating a favorable school setting that may entail special classes and schools as well as mainstream schools, family functioning and their quality of life is not guaranteed. In this paper, the author conducted a review of literature on the impact of ASD on children and adolescents of school going age in schools in Nairobi County, Kenya.


American Psychiatric Association. (2010). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Attwood AS, Ataya AF, Benton CP, Penton-Voak IS, Munafo MR. Effects of Alcohol Consumption and Alcohol Expectancy on the Categorisation of Perceptual Cues of Emotional Expression. Psychopharmacology (Berl), 204, 327–334.

Attwood, T. (2007). The complete guide to Asperger's syndrome. Jessica Kingsley Publishers.

Baer, D. M., Wolf, M. M., & Risley, T.R. (1968). Some current dimensions of applied behaviour analysis. Journal of Applied Behaviour Analysis, 1, 91-97.

Bandura, A., & Wood, R. (1989). Effects of perceived controllability and performance standards on self-regulation of complex decision-making. Journal of Personality and Social Psychology, 56, 805- 814.

Bandura, A. (1977). Social learning theory. New Jersey: Prentice Hall.

Bandura, A. (1997). Self-efficacy: The exercise of control. W H Freeman/Times Books/ Henry Holt & Co.

Bandura, A. (2002). Social Cognitive Theory in Cultural Context. Applied Psychology, 51(2),

Blumberg, S.J., Bramlett. M. D., Kogan, M. D., Schieve, L. A., Jones, J. R. ,& Lu, M. C. (2013). Changes in prevalence of parent-reported autism spectrum disorder in school-aged U.S. children: 2007 to 2012. Hyattsville, MD: National Center for Health Statistics.

Centers for Disease Control and Prevention (CDC). (2014). Prevalence of autism spectrum disorders: Autism and developmental disabilities monitoring network, United States. Morbidity and Mortality Weekly Report, 58, 1-20.

Centers for Disease Control and Prevention (CDC). (2015). Prevalence of autism spectrum disorders: Autism and developmental disabilities monitoring Network, United States, 2009. Morbidity and Mortality Weekly Report, 58, 1-20.

Chabeda-Barthe, J., Wambua, T., Chege, W. L., Hwaga, D. Gakuo, T. &Rotich, G.C (2019). Child Developmental Disabilities, Caregivers’ Role in Kenya and Its Implications on Global Migration. Int J Environ Res Public Health. 16(6), 1010. doi: 10.3390/ijerph16061010

Chang T, Quan J & Wood JJ. (2012). Effects of anxiety disorder severity on social functioning in children with autism spectrum disorders. Journal of Developmental and Physical Disabilities. 24, 235– 245.10.1007/s10882-012-9268-2

Chorpita, B.F., Yim L.M., & Donkervoet, J.C. (2002). Toward large-scale implementation of empirically supported treatments for children: A review and observations by the Hawaii empirical basis to services task force. Clinical Psychology, Science and Practice, 9(2), 165-190.

Cohen, T. (2012). The invisible disability: Perceptions and potential of children with Autism in Kisumu, Kenya. Independent Study Project (ISP) Collection Paper no 245.

Craske, M.G. (2010). Cognitive-behavioural therapy. Washington, DC: American Psychological Association.

Dobson, D., & Dobson, K.S. (2009). Evidenced-based practice of cognitive behavioural therapy. New York: Guildford Press.

Fisher, W.W., Piazza, C.C., & Roane, H. S. (2011). Handbook of applied behaviour analysis. New York: Guilford Press.

Friedberg, R.D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents. New York: Guilford Press.

Ganz, M. (2007). The lifetime distribution of the incremental societal costs of autism. Archives of Pediatrics and Adolescent Medicine, 161(4), 343-349.

Gona, J. K. (2016). Autism and other neurodevelopmental disabilities on the Kenyan coast: Challenges, perceived causes and rehabilitation options. Washington, DC: Springer.

Gresham, F., & Elliott, S. (2008). Social skills improvement system: Rating scales manual. Minneapolis, MN: Pearson Assessments.

Iacoboni, M., &Dapretto, M. (2006). The mirror neuron system and the consequences of its dysfunction. Nature Review Neuroscience, 7(12), 942–951.

Ireri, N. W., Mbwayo, A., & White, S. W. (2019). Treating Anxiety and Social Deficits in Children with Autism Spectrum Disorder in Two Schools in Nairobi, Kenya.J Autism DevDisord DOI 10.1007/s10803-019-04045-6

Kearney, A. J. (2008). Understanding applied behavior analysis: An introduction to ABA for parents, teachers, and other professionals. Philadelphia: APA.

Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: A randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282-297.

Kim, Y. S., Bennett, L. L., Koh, Y.J., Fombonne, E., Laska, E., &Lim, E. C. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry, 168, 904-912.

KISE (2018). Report of the Task force of the Special Needs Education. Nairobi: Government Printer.

Friedman, H.S., & Martin, L.R. (2007). A life-span approach to personality and longevity: The case of conscientiousness. In Aldwin, Park, & Sprio (Eds) Handbook of Health Psychology and Aging. Guilford Press.

Maulik, P.K., &Darmstadt, G.L. (2007). Childhood disability in low- and middle-income Countries: Overview of screening, prevention, services, legislation, and epidemiology. Pediatrics, 120(1), S1-S55.

Minahan, J., & Rappaport, N. (2013). Anxiety in students: A hidden culprit in behavior issues. Kappan Magazine, 94(4), 34–39.

Ministry of Education MoE. The National Special Needs Education Policy Framework. Ministry of Education MoE; Nairobi, Kenya: 2009.

Mwendo, M.C. (2011). Inclusive education for children with autism: Challenges facing teachers at city primary school (Unpublished master’s thesis). Kenyatta University, Nairobi.

Myers, D. (2015). Operant conditioning in behavioural therapy. Psychology in modules.

National Survey on Children with Disabilities and Special Needs in Education. Kenya Institute of Special Education; Nairobi, Kenya: 2018.

Nevo, G.A., & Manassis, K. (2009). Outcomes for treated anxious children: A critical review of long-term follow- up studies. Depression and Anxiety, 26(7), 650–660.

Ollendick, T. H., Öst, L.G., Reuterskild, L., & Costa, N. (2010). Comorbidity in youth with specific phobias: Impact of comorbidity on treatment outcome and the impact of treatment on comorbid disorders. Journal of Behaviour Research and Therapy, 48, 827–831.

Ozsivadjian, A., & Knott, F. (2011) Anxiety problems in young people with Asperger syndrome: a case series. Clinical Child Psychology and Psychiatry, 16(2), 203-214.

Reaven, J. (2011). The treatment of anxiety symptoms in youth with high functioning autism spectrum disorders. Developmental Consideration for Parents, 1380, 255–263.

Reaven, J.A. (2009). Children with high-functioning autism spectrum disorders and co-occurring anxiety symptoms: implications for assessment and treatment. Journal for Specialists in
Pediatric Nursing, 14, 192-199.

Republic of Kenya. (2010). Constitution of Kenya, 2010. Nairobi: Government Press.

Riccio, A. (2011). Autism in Kenya: A social, educational and political perspective. Independent study project (ISP) collection paper no. 1203.

Shimabukuro, Grosse, & Rice, 2008). Medical expenditures for children with an autism spectrum disorder in a privately insured population. J Autism DevDisord. 2008 Mar;38(3):546-52.

Shumway, S., &Wetherby, A. M. (2009). Communicative acts of children with autism spectrum disorders in the second year of life. Journal of Speech, Language, and Hearing Research, 52, 1139–1156.

Tucker, M. L., & McCarthy, A. (2001) Presentation self-efficacy: Increasing communication skills through service-learning. Journal of Managerial Skills, 13(2),227-244.

Weiss, M. J., Fiske, K., & Ferraioli, S. (2009). Treatment of autism spectrum disorders: Treating childhood psychopathology and developmental disabilities. New York: Springer Science.

Weru, J. W. (2005). Cultural influences on the behavioural symptoms of autism in Kenya andthe United States of America (Unpublished doctoral dissertation). The University of Texas. Austin, Texas.

Wetherby, A. M., Watt, N., Morgan, L., & Shumway, S. (2007). Social communication profiles of children with autism spectrum disorders late in the second year of life. Journal of Autism and Developmental Disorders, 37, 960-975.

White, S. W., Keonig, K., & Scahill, L. (2007). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders, 37, 1858-1868.

White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.

White, S. W., Ollendick, T., Albano, A. M., Oswald, D., Johnson, C. R., & Southam-Gerow,

M. A. (2013). Randomized controlled trial: Multimodal anxiety and social skill intervention for adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 382–394.

WHO. (2013). Autism spectrum disorders & other developmental disorders from raising awareness to building capacity. Geneva: WHO. Retrieved from

Wood, J.J., Drahota, A., Sze, K., Van Dyke, M., Decker, K., &Fujii, C. (2009). Effects of cognitive behavioural therapy on parent-reported autism symptoms in school-age children with high-functioning autism. Journal of Autism and Developmental Disorders, 39, 1608-1612.
How to Cite
Ireri, N., Mbwayo, A., & Ayaa, D. (2021, January 15). Assessing the Impact of Autism Spectrum Disorder on School Going Children in Nairobi County: A Review of Literature. African Journal of Education,Science and Technology, 6(2). Retrieved from