In the last two decades, use of short-acting methods contraception has driven increase contraceptive in Kenya. We assessed factors associated with uptake long-acting reversible by women seeking family planning services public health facilities Kakamega County, A mixed cross-sectional study through client exit surveys among 423 was done at 12 County. Twelve in-depth interviews care providers from further explored practices provision (LARC). Among initiating use, LARC method utilization 20.6%....

Abstract Background Addressing the unmet need for modern contraception underpins goal of all family planning and programs. Contraceptive discontinuation among those in a method hinders attainment fertility desires women, which may result unintended pregnancies. This paper presents experiences contraceptive use, reasons discontinuation, future intentions to use contraceptives. Methods Qualitative data were collected two rural counties Kenya 2019 from women with who former users. Additional...

Background Kenya has a high prevalence of adolescent pregnancy and low access to use sexual reproductive health services. Despite the enactment evidence-based policies address this problem, adolescents continue face problems barriers information Main objective This study describes facilitators services in Kisumu Kakamega counties, Kenya. Methodology We used qualitative design. Through 61 data collection sessions, 113 participants were engaged key informant interviews, in-depth and/or focus...

Objectives This study aimed to examine patterns and determinants of modern contraceptive discontinuation among women in Kenya. Methods Secondary analysis was conducted using national representative Kenya Demographic Health Surveys 2003, 2008/9, 2014. These household cross-sectional surveys targeted reproductive age from 15 49 years who had experienced an episode use within five preceding the 2003 (n = 2686), 2008/9 2992), 2014 (5919). The rate defined as number episodes discontinued divided...

Available evidence suggests that provision of quality care in family planning services is crucial to increasing uptake and continuation use contraception. Kenya achieved a modern contraceptive prevalence rate 60% 2018, surpassing its 2020 target 58%. With the high prevalence, focus geared towards improved services. The objective this study examine counseling associated factors health facilities Kenya.We conducted secondary analysis 2019 Performance Monitoring Action, client exit data women...

Adolescent pregnancy increases the risk of disability and death due to unsafe abortion, prolonged labour delivery, complications after birth. Availability accurate data is important guide decision-making related adolescent sexual reproductive health (ASRH). This study analyses trends in prevalence factors associated with Kenya using from three national Demographic Health Surveys (2003, 2008/2009, 2014).Our analysis focused on a subsample collected women aged 20 24 years. A trend was...

Using data from facility exit interviews with clients seeking family planning services in public health facilities Uganda and Nigeria, we develop a visual information cascade to identify potential missed opportunities for the provision of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) self-injection services. More than third respondents (31.2%) Nigeria (40.5%) reported not receiving any about contraceptive provider during service provision. This was despite stated desire learn...

### Key Messages Implications Introduction: Few women in low- and middle-income countries have access to the hormonal intrauterine system (IUS). Past research from a small number of facilities private sector suggest IUS could be an important addition contraceptive method mix because it is only long-acting some will adopt users report high satisfaction continuation. We aimed determine whether these promising results were applicable public Kenya Zambia. Methods: used mixed-methods approach...

More women are accessing modern contraceptive use in Kenya, however, discontinuation has stagnated over the decades. Any further increase will most likely be from past users, hence understanding dynamics of while addressing quality family planning services offered at health facilities and communities is critical for increasing prevalence rate reducing unmet need planning. The paper presents a study protocol that intends to evaluate use, discontinuation, switching among reproductive age...

Abstract Background Access to and utilization of adolescent sexual reproductive health (ASRH) services remains poor. ASRH in Kenya are primarily offered facilities include counselling, information, on family planning, sexually transmitted infections, HIV basic life skills. The Ministry Education also provides age-appropriate information schools. This paper presents a study protocol that will evaluate the effectiveness combined approach toward improving services. Methods be quasi-experimental...

Media can not only play a critical role in informing and educating the public on health issues, but it make powerful contribution to advocacy of matters. In Kenya, Advance Family Planning (AFP) initiative used this approach further country's progress achieving family planning goals. This case study documents AFP experience supporting media engage leaders decision-makers need unlock bureaucratic bottlenecks that limit success services. AFP's efforts added weight work advocates who push for...

<title>Abstract</title> Background: Interventions aimed to increase healthcare provider empathy and capacity deliver person-centered care have been shown improve seeking outcomes. In the context of self-injectable contraceptive service delivery, empathetic counseling hands-on coaching are promising approaches for addressing “fear needle” among clients interested in using subcutaneous depot medroxyprogesterone (DMPA-SC). Nigeria, Delivering Innovation Self-Care (DISC) project developed...

Adolescent pregnancies adversely impact mental and reproductive health as well educational socio-economic outcomes. In Kakamega County, Kenya, 20% of adolescents begin childbearing by age 19. To inform interventions to reduce adolescent pregnancy, Jhpiego used the Barrier Analysis methodology, which is based on Doer/Non-Doer study model, in participants are categorized according whether they “Doers” or “Non-Doers” behavior. This examines determinants behavior, “young unmarried women...

Adolescent sexual and reproductive health (ASRH) services are key to improving the of adolescents. This study aimed establish effectiveness an intervention that combined activities in facilities communities Kenya increase utilisation ASRH services. A quasi-experimental evaluation design was used assess intervention. Using a stratified cluster sampling approach, two cross-sectional household surveys targeting girls aged 15–19 were conducted at baseline (September 2019) endline (December 2020)...

Adolescent pregnancy continues to be a major concern globally, especially in sub-Saharan Africa, where it contributes high maternal mortality and morbidity other non-health consequences, such as school dropouts. Addressing adolescent sexual reproductive health requires an enabling environment that extends beyond individual community society levels through concerted efforts by various sectors agencies. From 2016 2022, we implemented advocacy intervention Kenya catalyzed multisectoral...

Expanding access to contraceptive services by making them available in pharmacies and drug shops is a family planning high-impact practice. In 2018, Kenya's Ministry of Health amended its guidelines allow pharmacists pharmaceutical technologists throughout the country provide subcutaneous intramuscular depot medroxyprogesterone acetate. Amending policy did not necessarily mean that would be implemented. The Advance Family Planning project launched an advocacy campaign engage key stakeholders...