A comparative study of community based distribution of contraceptives (CBD) and integrated maternal and child health family planning programs in two communities in Meru - Kenya
Abstract
A comparative community-based cross-sectional
study of Family Planning (F/P) programs in two
communities within Meru District, Kenya has been
presented. The evaluation study entailed obtaining
vital information leading to clients' satisfaction
and confidence with F/P program services such as the
accessibility, availability and acceptability as well
as clients' willingness to pay for such F/P service.
Family Planning clients chosen into the study
were traced back to their homes for the interview. A
total of 546 F/P clients were interviewed, of these
177 were from Chogoria Hospital 3 peripheral clinics,
159 form community based distribution of contraceptives
(CBD) attached to the above clinics, and 210 from Meru
District Hospital 3 peripheral clinics. 90
percent of clients were satisfied with F/P services
and expressed willingness to pay. It was found that
it is easier to receive F/P supplies in terms of time
spent through CBD than through clinic based program.
Clients spent the longest total time when receiving
FIP services in Meru Hospital clinic program (131.59 . minutes) than in Chogoria hospital clinic program (66.
97 minutes) and Chogoria CBD program ( 45.83 minutes).
22 CBD distributors, who were community health
workers were interviewed. Information gathered
was used in the calculation of the distributors'
opportunity costs while delivering services. The
9Pportunity costs to the distributor in Chogoria CBD
per client served was found to be Kenya Shillings
(Kshs) 2.50. This was approximately a half of the
Kshs 4.93, clients in Chogoria CBD program were
willing to pay for services per contact with
distributor. It is recommended that a further study be
done to determine the optimum affordable price that
wound apply to clients on the national perspective.
Citation
Degree of Master of Public Health (M.P.H) At the University Of NairobiPublisher
Department of Public Health
Description
A thesis submitted in part fulfillment for the
Degree of Master of Public Health (M.P.H) At
the University Of Nairobi.