1. Walter Shikuku Odhiambo, Marie Stopes Kenya Kigali 2010
Involving the Private Sector in Increasing Access to and Utilization of Family Planning: Experiences from Kenya
Walter Shikuku Odhiambo, Marie Stopes Kenya
Kigali 2010

2. Population: 40 million (75% Rural)
Country FP Context
Population: 40 million (75% Rural)
Population growth rate: 2.8%, GDP growth rate: 11%
Unmet need for FP: 25%
Currently not using contraception: 54.5%
Rural: 57%
Urban: 47%

3. Why Public-Private Partnerships
Private sector largest contributor of funds for FP;
Private sector (41.0%), Public sector (34.2%), Donor (24.1%), Other (0.7%)
Significant number of providers in private sector ;
Public providers (61.0%), Private providers (29.8%), Other (9.2%)
Households make 57% out of pocket expenditure on FP at private providers
Significant size of total HF (6,190) private provider owned;
GoK Owned (52%), Private provider Owned (48%)
GoK vision for healthcare: An integrated, holistic system to access FP

4. Innovations in Private Sector Delivery
Social Franchising of FP
Social Marketing
Output Based Approach
Peer Support Networks
“voucher babies”

5. Success Story – the AMUA case
Rural Western Kenya
Built provider capacity
Built CBD capacity
Achieved 1.2 million CYPs
Enhanced public-private relationships
Joint ICC under MoPHS
MoPHS-led PMCG
Created strong brand of quality services

6. Challenges Limited regulation & coordination
Limited government funding
Adverse macro-economic performance
Variable quality of care
Disproportionate distribution of qualified personnel
Challenges in engaging the private sector
Limited regulation and coordination of the usually fragmented private sector, occasionally unlicensed providers.
Insufficient GoK funding to contract with private sector for FP service delivery, IEC, BCC.
Adverse macro-economic performance, high poverty levels, affects viability of commercial FP services.
Quality of care highly variable, the poor may not be getting value for money.
Disproportionate distribution of qualified personnel especially in rural areas to provide permanent FP.

7. Lessons Learnt Collaboration & networking works
Joint training & supportive
supervision enhances partnerships
CBD linkage increases access
Rapid scale-up

8. Gaps & Next steps Financial sustainability Scale-up, add services
Commodity security
Advocacy
Institutionalisation
Community Health Workers

9. Public-Private Partnerships rapidly expands access!
Maximum
Speed
Allowed
Public-Private Partnerships rapidly expands access!