dc.contributor.author | Njeru, Grace N | |
dc.date.accessioned | 2013-06-07T11:27:19Z | |
dc.date.available | 2013-06-07T11:27:19Z | |
dc.date.issued | 1995 | |
dc.identifier.citation | Njeru, G.N(1995). The opinion of clients and providers towards introduction of user fee for clinic-based family planning services in Kenya. | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/29996 | |
dc.description | Master of public Health thesis | en |
dc.description.abstract | A descriptive study of client and provider opinions towards the
introduction of family planning user fees was conducted from 27th
April to 27th May 1994, in six MOH hospitals which are indicator
hospitals for the Health Care Financing Programme in Kenya. The
hospitals were the Provincial General Hospitals in Mombasa, Nyeri,
New Nyanza, and the District Hospitals in Homa Bay, Kajiado and
Meru.
During the study five hundred and eighty (580) MCH/FP clients and
twenty (20) FP providers were interviewed using a pretested
questionnaire. Their general characteristics, MCH/FP service
utilization/provision and opinions on introduction of FP user fees
were examined. Client/household characteristics and travel factors
were also examined in relation to opinions on FP user fees.
The mean age of the clients interviewed was 25.8 years (SO 5.58),
the majority (86.4%) being married and having a mean parity of 2.46
living children (SO 1.67). Of the providers interviewed the mean
family planning provision period was 6.58 years (SO 5.06).
The majority of the clients (69.0%) listed proximity and
familiarity of the Ministry of Health facilities as first reason
for choosing to come to these facilities.- Only 8% of the clients
said they choose it because it did not charge or was of low cost as
compared to other facilities providing MCH/FP services. On overall
quality rating 86.0% of the clients rated the MCH/FP services as
good to excellent, with 66.0% indicating that no improvement in the
present service delivery was needed.
Of the clients interviewed 48.0% were of the opinion that women
would be willing to pay user fees, 74.0% were in a position to pay
and 71.0% husbands/partners were willing to assist to pay. Only 6%
of the clients said they would not be in a position to pay, with
the others indicating that willingness and ability to pay will
depend on how much will be charged for the FP services. On the
issue of whether to exempt some women from the user fee 62.0% were
not for the idea while 29.0% thought that some clients should be
exempted (those not financially able). It was noted that older
clients, those with many children, more educated and had previously
or were currently using family planning services were more positive
to the idea of FP user fees introduction. The providers had
similar positive opinion with 55.6% saying women would be willing
to pay but 90% said that some women should be exempted from paying
the FP user fees.
Both the clients and providers were also asked what they thought
was a reasonable charge for the FP services. The mean and median
charge responses mentioned were noted to be lower as compared to
the fees at other charging facilities in ~he nearby areas. It was
also a general observation that clients were willing to pay | en |
dc.language.iso | en | en |
dc.subject | Clients | en |
dc.subject | Providers | en |
dc.subject | User fee | en |
dc.subject | Clinic-based family planning services | en |
dc.subject | Kenya | en |
dc.title | The opinion of clients and providers towards introduction of user fee for clinic-based family planning services in Kenya | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Community Health, University of Nairobi | en |