Impact of the Urban Reproductive Health Initiative on family planning uptake at facilities in Kenya, Nigeria, and Senegal
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Winston, Jennifer, et al. Impact of the Urban Reproductive Health Initiative On Family Planning Uptake At Facilities In Kenya, Nigeria, and Senegal. BioMed Central, 2018. https://doi.org/10.17615/0843-5b44APA
Winston, J., Calhoun, L., Corroon, M., Guilkey, D., & Speizer, I. (2018). Impact of the Urban Reproductive Health Initiative on family planning uptake at facilities in Kenya, Nigeria, and Senegal. BioMed Central. https://doi.org/10.17615/0843-5b44Chicago
Winston, Jennifer, Lisa M Calhoun, Meghan Corroon, David Guilkey, and Ilene Speizer. 2018. Impact of the Urban Reproductive Health Initiative On Family Planning Uptake At Facilities In Kenya, Nigeria, and Senegal. BioMed Central. https://doi.org/10.17615/0843-5b44- Creator
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Winston, Jennifer
- Affiliation: Carolina Population Center
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Calhoun, Lisa M
- Affiliation: Carolina Population Center
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Corroon, Meghan
- Affiliation: Carolina Population Center
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Guilkey, David
- Affiliation: Carolina Population Center
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Speizer, Ilene
- Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
- Abstract
- Background The 2012 London Summit on Family Planning set ambitious goals to enable 120 million more women and adolescent girls to use modern contraceptives by 2020. The Urban Reproductive Health Initiative (URHI) was a Bill & Melinda Gates Foundation funded program designed to help contribute to these goals in urban areas in India, Kenya, Nigeria, and Senegal. URHI implemented a range of country-specific demand and supply side interventions, with supply interventions generally focused on improved service quality, provider training, outreach to patients, and commodity stock management. This study uses data collected by the Measurement, Learning & Evaluation (MLE) Project to examine the effectiveness of these supply-side interventions by considering URHI’s influence on the number of family planning clients at health facilities over a four-year period in Kenya, Nigeria, and Senegal. Methods The analysis used facility audits and provider surveys. Principal-components analysis was used to create country-specific program exposure variables for health facilities. Fixed-effects regression was used to determine whether family planning uptake increased at facilities with higher exposure. Outcomes of interest were the number of new family planning acceptors and the total number of family planning clients per reproductive health care provider in the last year. Results Higher program component scores were associated with an increase in new family planning acceptors per provider in Kenya (β = 18, 95% CI = 7–29), Nigeria (β = 14, 95% CI = 8–20), and Senegal (β = 7, 95% CI = 3–12). Higher scores were also associated with more family planning clients per provider in Kenya (β = 31, 95% CI = 7–56) and Nigeria (β = 26, 95% CI = 15–38), but not in Senegal. Conclusions Supply-side interventions have increased the number of new family planning acceptors at facilities in urban Nigeria, Kenya, and Senegal and the overall number of clients in urban Nigeria and Kenya. While tailoring to the local environment, programs seeking to increase family planning use should include components to improve availability and quality of family planning services, which are part of a rights-based approach to family planning programming.
- Date of publication
- January 5, 2018
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- The Author(s).
- Journal title
- BMC Women's Health
- Journal volume
- 18
- Journal issue
- 1
- Page start
- 9
- Language
- English
- Bibliographic citation
- BMC Women's Health. 2018 Jan 05;18(1):9
- Publisher
- BioMed Central
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