Factors Influencing Performance of Family Planning Projects Funded by Usaid: a Case of Aphia Plus Kamili in Kirinyaga County Kenya
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Date
2016Author
Wambugu, Jenifer W
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
This research sought to examine factors influencing 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 Kirinyaga
County, to examine how staff competence influence the performance of family planning
projects in Kirinyaga County, to find out how accessibility influence the performance of family
planning projects in Kirinyaga County, and to establish how affordability influences the
performance of family planning projects in Kirinyaga County. To realize the objectives, a
descriptive survey design was adopted. The target population was constituted WRA registered
as FP clients in GOK health facilities. The research study adopted the cluster sampling method.
A sample size of 381 WRA and 12 service providers has been identified through cluster
sampling. This study used both the questionnaire and an interview guide for data collection,
the questionnaires were used 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 study established that provision of
contraceptive security presented FP users with a wide range of FP methods from which they
could to choose from, it also granted FP users the autonomy to choose high-quality
contraceptives and condoms for family planning, staff competence was key in promoting
performance of family planning projects, the cost of family planning service is an important
determinant on family planning uptake, ensuring accessibility of FP programs especially at
very local level promoted the performance of family planning projects. The study concluded
that ensuring contraceptive security, accessibility, staff competence and affordability all
promoted the performance of family planning projects in Kirinyaga County. The study
therefore discovered that it was important to ensure uninterrupted supply of a variety of
contraceptives so that clients can choose and use their preferred method without interruption
as this was associated with positive performance of family planning programs. The County
government should come up with a more decentralized approach in health service provision,
this will help to wave other miscellaneous cost incurred in seeking of seek FP services such as
transport cost. Higher incentives can be given to people willing to go seek FP services from
the nearby health centers. Community based distributors in Kirinyaga County should be
revived and enhanced, promotion of family planning education and activities at the household
level should be accorded priority. There is also need for formation of lobby groups to enhance
cultural change, awareness creation and counseling. The county government should come up
with staff development programs especially to health care providers; this should be done in
view of enhancing competence among the health care providers, it is also important for the
county government to recognize the role of community health workers and volunteers in effort
of lobbying for family planning uptake. The county government programs must find a way to
ensure that services remain available to those who cannot pay there is need for greater
recognition of Health assistants (HA) at the local community; Health assistants should be
thoroughly trained on primary health care services such as advocacy on family planning
uptake.
Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
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