Delivering Increased Family Planning Across Rural Kenya

Ugandan nurses being trained on newborn infant services

Cardno is helping to improve rural Kenyans’ access to family planning services by better understanding the gaps, and meeting them with smart and sustainable strategies that also benefit local community growth and development.

Thirty-four per cent of Kenyan women aged 15 to 49 have an unmet need for family planning (FP), including 14 per cent of married women. The unmet need is highest amongst unmarried, 15 to 19-year-old, rural, uneducated and poor women. For this reason, the Department for International Development (DFID) commissioned the Enabling Sustainable Health Equity (ESHE) programme being managed by Palladium Group, to understand the Family Planning (FP) market dynamics, as well as determine the options available for greater involvement of the commercial sector in serving unmet FP needs. 

The programme aims to increase the use of family planning in Kenya, by giving rural Kenyans and adolescent girls, greater access to relevant resources and services. Its impact is measured by increasing the contraceptive prevalence rate (CPR), with an emphasis on poor rural women and adolescent girls. 

This means:  

  • providing increased choice and access to quality family planning  
  • reducing socio-cultural barriers to family planning  
  • encouraging greater involvement by the private sector in delivering these essential services.  

Cardno has been subcontracted by Palladium to provide support to the programme and has drawn on its field of expertise generated through the Private Sector Innovation Programme for Health (PSP4H) programme. The PSP4H focused on Market Systems Development (M4P) research methodologies for health in Kenya.  

We applied the Market Systems Development approach to lead ESHE’s initial study of Kenya’s family planning market. Under this assignment, Cardno successfully conducted a supply chain study, Total Market Approach study, and continues to support the formation, branding, coaching, mentorship and sustainability of ESHE’s formed Integrated Health Kiosks. 

The supply chain study objective was to improve the efficiency and effectiveness of the FP supply chain by diagnosing the root causes of system inefficiencies and providing evidence- based analysis on the supply and distribution channels. The Total Market Approach for Family Planning took into account free, subsidised, and private commercial delivery methods to ensure that anyone who wants to use a particular health product or service, can.