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Comparative Study
. 2021 Apr 19:38:380.
doi: 10.11604/pamj.2021.38.380.24055. eCollection 2021.

A comparative analysis of the availability of family planning services in the social franchise and non-franchise private health facilities in Kajiado County, Kenya

Milka Choge  1 , Kenneth Ngure  2 , Elizabeth Echoka  2 , Timothy Abuya  3
Affiliations
Comparative Study

A comparative analysis of the availability of family planning services in the social franchise and non-franchise private health facilities in Kajiado County, Kenya

Milka Choge et al. Pan Afr Med J. .

Abstract

Introduction: this study assessed the availability of family planning (FP) services in the social franchise and non-franchise private health facilities in Kajiado County, Kenya. Social franchises refer to a standardized delivery model of engaging private health facilities under a common brand name or contractual arrangement.

Methods: this was a facility-based mixed-method approach. Quantitative data was collected through 581 FP client exit interviews and a facility inventory in 32 health facilities. Association between the clients' characteristics and use of FP services was tested using univariable and multivariable logistic regression. Qualitative data were collected through five focus group discussions with FP clients and 16 key informant interviews with service providers and analysed through thematic analysis.

Results: the findings show that FP methods availability was the same across all facilities (p = 0.206). The findings were supported by views from the clients who indicated that contraceptives were available. Statistically significant predictors of FP use were found to be women's age group 20-24 years (Adjusted Odds Ratio (AOR) = 2.30, 95% Confidence Interval (CI): 1.12, 4.69) or 25 to 34 years (AOR = 2.10, 95% CI: 1.86, 2.36) versus the 15-19 years and the clients with tertiary level education and above compared primary level education and below (AOR = 0.020, 95% CI: 1.13, 4.41).

Conclusion: this study demonstrates the need to support all private health facilities with policies and supplies to expand access to all FP services, especially for adolescents.

Keywords: Family planning; Kenya; availability; private sector; social franchising.

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Conflict of interest statement

The authors declare no competing interests.

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Figure 1
family planning methods available
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References

    1. Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet. 2006 Nov 18;368(9549):1810–27. - PubMed
    1. World Health Organisation (WHO) Family planning fact sheet. World Health Organisation (WHO) 2018. Accessed June 2019.
    1. Ahmed S, Li Q, Liu L, Tsui A. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012 Jul 14;380(9837):111–25. - PubMed
    1. United Nations Department of Economic and Social Affairs, Population Division (2017) World Family Planning. 2017. Highlights (ST/ESA/SER.A/414)
    1. Madhavan S, Bishai D. Johns Hopkins University. 2010. Private sector engagement in sexual and reproductive health and maternal and neonatal health: a review of the evidence.

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