Abstract
The purpose of the study was to empirically examine the determinants of demand for family planning services in Kenya’s slums using a binomial logit model. The study revealed low usage of family planning services due to various factors. In order of significance, these include partner’s approval, quality of the services, friendliness of the staff administering the services and the woman’s knowledge about family planning services. Others were the woman’s income level, proximity to the provider and the religious background of the woman. In lieu of the findings, various recommendations were suggested to enhance use of family planning services in the slums as a bold step towards enhance uptake of family planning services. Other than reviving and enhancing the activities of community based distributors, promotion of family planning education and activities at the household level should be carried out. Similarly, formation of lobby groups to enhance cultural change, as well as awareness creation and counselling, and integration of family planning services with HIV/AIDS were also been recommended.
Highlights
Many economies in the Sub-Saharan Africa (SSA) are characterized by rapid population growth
With regard to quality of family planning services, the marginal effect was 0.17. This implies that the probability of a woman using family planning services was 17 percent higher for respondents who perceived the services to be of high quality than for those who perceived otherwise
All explanatory variables positively influenced the usage of family planning services except religion and proximity to the family planning facility
Summary
Many economies in the Sub-Saharan Africa (SSA) are characterized by rapid population growth This according to Oyedokun (2007) is partly attributed to high fertility rate, high birth rates accompanied by steady declines in death rates, low contraceptive prevalence rate and high but declining mortality rate. To reinforce its commitment further, the government launched Sessional Paper No 1 of 1996 on National Population Policy for Sustainable Development, in which it recognized population challenges as unmet need for family planning and high level of adolescent fertility. In the Paper, the government reiterated its commitment to increasing availability, acceptability and affordability of quality family planning services by developing guidelines and standards for family planning service providers (Republic of Kenya, 1997)
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