A comparison of the 1995 and 1989 Kenya Situation Analysis Study findings

Afr J Fertil Sexual Reprod Heal. 1996 Dec;1(2):162-8.


PIP: This study examined quality of care in delivery of services among Ministry of Health Service Delivery Points (SDPs) in Kenya in 1989 and 1995. The situation analysis focused on method availability, IEC, supervision, training, number of clients served by method, choice of methods, information provided, and integration of services. More information was collected and a diversity of sites were included in 1995. The logistics system for contraceptive availability was viewed as low to moderate in 1989, with under 50% of the SDPs offering foam, condoms, and IUDs. Depo-Provera and Norplant were more available in 1995. Foam tablets were less available in 1995. Sterilization data was not available in 1989. In 1995, 25% of SDPs offered tubal ligation and 11% offered vasectomy. Method availability increased over time. IEC was rated as low in 1989. The display of family planning posters and the availability of pamphlets improved by 1995, but the lack of health talks on the day of the visit remained the same. Supervision was rated low in both 1989 and 1995, based on the number and quality of supervisory visits. Personnel and training were rated as moderate in 1989. In-service training for nurses delivering family planning increased from 1989 to 1995, from 32% to about 60%. During 1989-95, the proportion of clinics that served no clients for each method declined sharply, and the proportion of SDPs serving 1-19 clients/month increased sharply. There were large shifts in the proportion serving over 100 clients/month. The proportion of clinics serving oral pills to over 100 clients/month declined from 28% to 13%, and the proportion offering Depo-Provera increased from 4% to 25% during 1989-95. More clients had heard about permanent methods and fewer about spermicides. More clients had heard about side effects and their management in 1995. The Situation Analysis documented important changes and showed quality of care improvements.

Publication types

  • Comparative Study

MeSH terms

  • Africa
  • Africa South of the Sahara
  • Africa, Eastern
  • Contraception
  • Delivery of Health Care
  • Developing Countries
  • Education
  • Family Planning Services
  • Health
  • Health Planning*
  • Health Services
  • Health Services Accessibility*
  • Health Services Research
  • Information Services*
  • Kenya
  • Maternal-Child Health Centers*
  • Operations Research*
  • Organization and Administration*
  • Primary Health Care
  • Program Evaluation
  • Quality of Health Care*
  • Research
  • Sex Education*