1. National and Regional Status

2. TFR and CPR trends KDHS 2008-9
YEAR
TFR
CPR (%)
1978
8.1 7
1989
6.7 17
1993
5.4 27
1998
4.7 39
2003
4.9
2008-9
4.6 46

3. Variation of CPR by Province KDHS 2008-9
Central 67
Nairobi 55
Eastern 52
Western 47
Rift Valley 42
Nyanza 37
Coast 34
North Eastern 4

4. Trends in Use of Specific Methods KDHS 2008-9
INJECTABLES
PILLS
STERILIZATION
IUCD
CONDOMS
1993 7 10 6 4 1
1998 12 9 3
2003 14 8 2
2008-9 22 5

5. DISCONTINUATION RATES
36 percent of family planning users in Kenya discontinue using the method within 12 months of starting its use.
Discontinuation rates are highest for users of condoms (59 percent) and the pill (43 percent) and lowest for injectables (29 percent)

6. Unmet need for FP
Unmet need – the woman does not intend to get pregnant but is not on any FP method
25% of currently married women in Kenya have an unmet need for family planning, which remains unchanged since 2003

7. Tupange Baseline Survey Background
Date of baseline study : July – November 2010
Involved – Household questionnaire, women’s questionnaire; Men’s questionnaire
Teams involved in baseline survey
Measurement Learning and Evaluation Program ( led by UNC, APHRC, PRB, ICRW)
Kenya National Bureau of Statistics (KNBS)
Tupange
Sample Sizes (women)
Nairobi
Mombasa 1465
Kisumu 1603
Machakos 1834
Kakamega 1324

8. Background and Use of FP ...2
40% - 48% are below 24 years – prime childbearing age
Over half of women are married or living with a partner - Highest in Kisumu (62%) and KK
Education levels are high – more than 70% have completed primary or higher. Lowest in Mombasa
About ¾ of women have at least one child
¼ of women are able to access employer-provided health services
52% have more than 2 children
Work is anything for compensation (in cash/kind)

9. Background and Use of FP ...3
High mobility: % of women have lived in their current residence two years or less
Fertility preference
12% want child < 2 years
40% want child >2 years
Women still prefer to limit only after 3-4 children
Women in Kisumu were most likely to have a mistimed (wanted later) pregnancy (24%), regardless of number of children or other characteristics.
Women in Nairobi, Kisumu were least likely to report that their last birth was “wanted then”
Women in Kisumu (16%) and Mombasa (19%) were most likely to report an unwanted pregnancy
High knowledge levels for FP especially for short term methods

10. Background and Use of FP ...4
Nairobi 43.7%, Mombasa 29.4%, Machakos 45.3%, Kakamega 46.0%
Unmet need for FP 24.3% (Spacing 15.4%, Limiting 8.9%)
The poorest women and women with low levels of education have the highest need for FP
Youth have the greatest need for spacing and delaying first pregnancy

12. Use and Access to FP
Intention to use
Women who intend to use in the next 12 months are more likely to be years old, married, with primary complete or more education, and in the bottom three wealth quintiles
Nearly one-third (30%) of year olds and 26% of unmarried women in responded that they intend to use FP in the next 12 months (the highest)
Half (50%) of users have been informed of side effects from a health workers
Method related reasons for non-use - 25%
Opposition to use of FP is low (13%)
Few perceived barriers regarding access to FP,

14. Integration with Other Services
Limited integration of FP counselling in all types of facilities (79% of women coming for child health not informed of FP)
49% of births are in public health, 15% at home
Over 1/3 of women would accept FP from a CHW
Pill 33%, Injectable 36%, EC 32%

15. Media Exposure and Source
Exposure to media
31-45% read newspapers,
More than half watch/listen to TV (51-73%) and Radio (51-79%)
High access to mobile phones (90%), low access to internet (11-16%)
Women from KSM and KK are more likely than other women to have seen/heard info about IUCD

17. Beliefs and attitudes NRB MBS KSM MCK KK 54% 39% 46% 57% 75 78 74 83
Percent of women who agree that…
NRB
MBS
KSM
MCK KK
Use of injectable can make a woman permanently infertile
54%
39%
46%
57%
People who use contraception end up with health problems 75 78 74 83 79
Contraceptives can harm womb 62 72 53 63 70
Contraceptives can cause cancer 56 68 41 71 61
Contraceptives can give you deformed babies 64 67
Contraceptives are dangerous to your health 73 77
Women who use contraception may become promiscuous 38 32 18 24
Contraceptives reduces woman’s sexual urge 59 48 58
Derived from (var w379-w382)
These are women perception and often they agree with these statements even when they do not necessary believe in them.

18. Key FP highlights from Kenya SPA, 2010
Nairobi
68% of facilities offer modern FP
11% provider male/female sterilization
39% have all items to support quality counselling
52% have items for infection control
39% can perform quality pelvic examination
46% of staff receive routine training
77% receive routine personal supervision
1 A private room or a visual barrier, individual client health cards, written guidelines for FP, and visual aids for
FP.
2 Soap and running water or else hand disinfectant, disposable latex gloves, disinfecting solution, and sharps
box.
3 Private room offering visual and auditory privacy, examination bed, examination light, and vaginal speculum.
2 A facility has routine staff training if at least half of interviewed providers reported that they had received pre- or in-service
training related to their work during the 12 months preceding the survey. This refers to structured sessions and does not include
individual instruction received during routine supervision.
3 A facility has routine staff supervision if at least half of interviewed providers reported that they had been personally supervised
at least once during the six months preceding the survey.

19. Questions ??