| dc.description.abstract | This research sought to examine determinants of performance of family planning projects
funded by USAID and to establish an understanding and knowledge on the factors that
enhance family planning project performance. The objectives of the study were to determine
how contraceptive security influence the performance of family planning projects in Homabay
County, to examine how staff competence influence the performance of family planning
projects in Homa-bay County, to find out how accessibility influence the performance of
family planning projects in Homa-bay County, and to establish how affordability influences
the performance of family planning projects in Homa-bay County. To realize the objectives, a
descriptive survey design was adopted. The target population constituted WRA registered as
FP clients in GOK health facilities. The research study adopted Krejcie and Morgan table of
sampling. A sample size of 270 women and 90 service providers was identified. This study
used both the questionnaire and an interview guide for data collection among the women of
reproductive age seeking family planning services and the interview guides were for the
service providers. The data was analyzed using frequencies, percentages and presented in
tables. The findings indicated that when users were presented with wide range of FP methods
from which they could to choose from, it granted users the autonomy to choose high-quality
contraceptives for family planning and therefore enhancing FP objective of preventing
HIV/AIDS and other sexually transmitted infections. The study established that ensuring the
continuous availability of contraceptives at the client level is a key contributor to increasing
the use of family planning services and that there is need to provide Contraceptive Safety, in
order to enable people to choose, obtain, and use high-quality contraceptives whenever they
want them. Contraceptive Safety requires planning and commitment on several levels to
ensure that the necessary commodities, equipment, and other supplies are always available.
The study also noted that the cost of family planning service is an important determinant of
the use of family planning services. Government health facilities in Homabay County offered
the services free of charge; proximity was considered an ideal proxy for price of the
contraceptives. The further away from the facility a respondent is the higher would be
transport cost or transaction cost of accessing the facility. The study also noted that Poverty
and longstanding County regional inequities also perpetuate the exclusion of many people
from accessing effective contraception in Homabay County, according to health care
providers it is hard to keep services affordable and ensure that people can choose, obtain, and
use high-quality contraceptives whenever they want them. The study noted that demographic
and socioeconomic factors of the woman and also the, woman’s perception in terms of the
facility/provider factors such quality, user fees charged for family planning services, and
proximity of the family planning facility. Therefore, the study concluded that ensuring
Contraceptive Safety is key in promoting performance of family planning projects in
Homabay County. The study also established that family planning health workers played a
critical role in creating awareness on family planning services, competent health workers
were in a better position to convince young reproductive women to consider uptake of family
planning measures than any other advocacy means. Therefore the staff competence had a
positive influence on the performance of family planning projects in Homabay County. | en_US |
