Factors affecting provision of female family planning commodities in public health facilities in Kajiado county, Kenya
Open Access
- 24 November 2022
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Pharmaceutical Policy and Practice
- Vol. 15 (1), 1-6
- https://doi.org/10.1186/s40545-022-00488-y
Abstract
Family planning involves the use of traditional or modern methods to prevent maternal and infant mortality associated with unintended pregnancies and negative economic outcomes. In sub-Saharan Africa, the unmet need for modern family planning is approximately 66%. However, information on factors affecting utilization of female family planning commodities is limited. Therefore, this research was conducted to bridge this gap. Health facility-based descriptive cross-sectional research design was conducted and involved the public health facilities offering family planning, targeting respondents who handle the commodities and service providers themselves. A semi-structured questionnaire was used to collect data about availability of the commodities, knowledge of service providers and barriers affecting provision of the service. Data were coded and analyzed via Microsoft Excel 2019 and SPSS version 20. The study showed that shorter term methods were more readily available, 60–75% than the long-term methods, 20–60%. Approximately 60% of the service providers did not comprehensively utilize the recommended World Health Organization Medicine Eligibility Criteria (WHO MEC) during service provision. Stock outs, myths and misconceptions, male interference and culture were the major barriers identified. Provision of family planning commodities in public health facilities in Kajiado county is affected by stock levels at the national program, and provider knowledge on WHO MEC. The key factors affecting provision of family planning were stock outs, myths and misconceptions on the contraceptives, inadequate male involvement and inadequate community engagement on potential benefits of the service. These challenges need to be part of the solutions to bridging the gap identified.Keywords
This publication has 19 references indexed in Scilit:
- Unfulfilled need for contraception among women with unmet need but with the intention to use contraception in Rakai, Uganda: a longitudinal studyBMC Women's Health, 2018
- Social norms and family planning decisions in South SudanBMC Public Health, 2016
- Factors determining quality of care in family planning services in AfricaJBI Evidence Synthesis, 2016
- Investing in Family Planning: Key to Achieving the Sustainable Development GoalsGlobal Health: Science and Practice, 2016
- Moving towards the goals of FP2020 — classifying contraceptivesContraception, 2016
- Socio-cultural inhibitors to use of modern contraceptive techniques in rural Uganda: a qualitative studyPan African Medical Journal, 2016
- Daily consumption of ready-to-use peanut-based therapeutic food increased fat free mass, improved anemic status but has no impact on the zinc status of people living with HIV/AIDS: a randomized controlled trialBMC Public Health, 2015
- Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative studyBMC Public Health, 2015
- National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: a systematic and comprehensive analysisThe Lancet, 2013
- Use of modern birth control methods among rural communities in Imo State, Nigeria.2008