Health Care Quality Dimensions, Client Characteristics, and Performance of Family Planning Programme in Nakuru County Kenya

Abstract

The purpose of the study was to examine the influence of Healthcare quality dimension, client characteristics and performance of family planning program in Kuresoi North sub County, Nakuru County, Kenya. This was directed by seven objectives which were to find out how; Management competency, contraceptive supply quality dimension, access to quality health care dimensions, quality counselling, the combined healthcare quality dimensions, and client characteristics influence performance of family planning programs in the county of Nakuru and to determine the moderating influence of client characteristics on the relationship between health care quality dimensions and performance of family planning programs in Nakuru county. The research was instituted on the model of constraint and assumed a pragmatism paradigm. It utilized descriptive research technique by means of mixed method tactic to explore the features of healthcare quality dimensions, client characteristics and performance of family planning program. The target population in the study was women of reproductive age in 33,482 households spread in the 4 Wards of Kuresoi North Sub County and 19 nursing officers in government health facilities providing family planning services in Kuresoi North Sub County of Nakuru County. The investigation study assumed stratified random sampling method. A sample size of 400 of females of reproductive age and 19 nursing officers was utilized. The data gathering tools utilized were a questionnaire, interview guide, and observation checklist for women of reproductive age and the interview guide for the nursing officers. Piloting was done in Molo Sub-County in order to test the validity and reliability of the data collection instruments. The questionnaire and interview guide were tested in Molo Sub-County targeting 15 women of procreative age. The investigation instrument was tested to reveal validity through utilization of experts in the field of reproductive health and further reviewed by the Nakuru county health management team for any error. The test re-test method was used to measure reliability of the study tools. Qualitative data was analyzed according to themes and patterns and then summarizing the data and linking it to objectives and hypothesis. The study outcomes recognized a significant and strong positive individual correlation of management competency, contraceptives supply quality dimension, access to quality dimensions, quality counseling dimensions and client characteristics to performance of family planning program in Kuresoi North Sub-County (P=0.00<0.05 for all instances). The investigation outcomes showed a significant positive relationship between the factors and performance of family planning program in Kuresoi North Sub-County (P=0.00<0.05 for all instances). The investigation recognized that the factors are associated with performance of family planning programs through the Chi-Square test of independence (P=0.00<0.05 for all instances). The investigation showed that the elements of combined health quality dimension in unison predicted and described to a big magnitude the performance of family planning (F (1,399) =280.833, p=0.00<0.05). Further, the research displayed that the elements of combined health quality dimension and client characteristics in harmony predicted and described to a big magnitude the performance of family planning (F (1,399) =226.858, p=0.00<0.05). It was also recognized that client characteristics transformed the degree of the association between the health care dimensions and family planning programs. The R-Square changed from 0.505 to 0.702. Also, the coefficients of management competency (0.079), contraceptives supply (0.440), access to quality dimensions (0.084), and quality counseling dimensions (0.287) changed to; 0.073, 0.436, 0.060, and 0.270 respectively. Henceforth, client characteristics had the effect of reducing the magnitude of the health care dimensions. The research outcomes concluded that there was a significant and strong positive correlation of each of the elements and when combined health quality dimension and client characteristics to performance of family planning program in Kuresoi North Sub-County, Nakuru County. The investigation commended that exploring the influence of healthcare quality dimensions and the moderating role of client characteristics on the performance of family planning program is of great significance to strategy developers and ounty and Country health leaders. Additional investigations ought to done in other countries to determine if the investigation outcomes would hold.