Improving maternal and newborn outcomes in Kenya

Mother and baby resting

The Kenya National reproductive health strategy (2009-2015) highlighted key cross cutting strategies required to understand and address the factors that limit the scope of coverage and impede the demand for and utilisation of reproductive health (RH) services in Kenya. These strategies include strengthened monitoring and evaluation (M&E), accountability, with a key activity being the periodic assessment of the status of RH and M&E at all levels.

Although family planning and maternal and newborn services are offered in Kenya, provision is often hampered by logistical factors such as drug and equipment supply and procurement. The first comprehensive programme on reproductive health commodity security was launched by UNFPA in 2007, which entered its second phase in 2013 with the launch of the Global Programme to Enhance Reproductive Health Commodity Security (GPRHCS). 

Kenya is one of 46 countries supported by GPRHCS, to secure reproductive commodity availability through attaining the following outputs:

  • Enabled environment for RHCS, including family planning, at national, regional and global levels.
  • Increased demand for RHCS by poor and marginalized women and girls.
  • Improved efficiency for procurement and supply of reproductive health commodities.
  • Improved access to quality reproductive health/family planning services for poor and marginalized women and girls.
  • Strengthened capacity and systems for supply chain management.
  • Management output.

To monitor the impact of UNFPA’s support to assure reproductive health commodity security a survey will be conducted to assess availability and quality of reproductive and maternal health services in all 47 counties in Kenya.

The assessment will look at progress made in this area, in light of recent country level policy changes through devolution with more financial and logistical responsibility for county authorities.

Objectives and expected deliverables

CMNH will support the Ministry of Health (MoH) in the design, planning, implementation and dissemination of a national assessment on the availability of family planning and maternal health commodities and services in Kenya.

The survey will be designed in collaboration with UNFPA and the MoH, and will use the tools and methodology developed by GPRHCS, in order to ensure alignment of the assessment results with the global GPRHCS indicators. In line with the UNFPA and MOH requirements, through the proposed national assessment we will:

  • Estimate the availability of at least three modern methods of contraception at service delivery points;
  • Estimate the availability of life-saving reproductive health medicines within facilities offering delivery services;
  • Document the main reasons for non-availability of at least three modern methods of family planning methods in some facilities;
  • Document the quality of family planning services at facility level;
  • Estimate stock out of family planning commodities within the 6 months preceding the survey.

A mix of qualitative and quantitative methods will be used to provide a comprehensive report addressing the above mentioned research questions.
The deliverables that we aim to provide are:

Study protocol, inclusive of questionnaires, data collection tools, sample size calculations and implementation plan. The protocol will be developed in partnership with the MOH and UNFPA, and submitted for ethical approval.

  • Training of field supervisors and data collectors; the training will ensure that the survey teams are familiar with the tools, with survey procedures and protocols, and with review and validation of data at field level.
  • A complete data set will be made available in a raw database format in English version.
  • Survey report; the report will present, analyse and interpret the data collected through the national assessment.
  • Dissemination workshop: a final dissemination event will be planned with the MOH and UNFPA, to present the results of the survey to relevant authorities at all levels, as well as to other stakeholders supporting the health system in Kenya.