Effect of a Comprehensive Package of Interventions on the Provision of Immediate Post-Pregnancy Family Planning Services: Preliminary Analysis of a PPFP Program in Kenya

Daisy Ruto , Jhpiego
Elaine Charurat, Jhpiego
Sara Kennedy
Michael Muthamia, Jhpiego

Background: Many Kenyan women return home after delivery or pregnancy loss without a family planning (FP) method. Skilled providers, facility readiness and client knowledge of PPFP are key to providing PPFP services. Method: A quasi-experimental study was conducted to assess the effect of a multifaceted intervention on PPFP use among women in Kenya. Preliminary quantitative data on PPFP counseling and use were collected December 2017-December 2018 from 46 private and public facilities. Results: Over the 13-month period, PPFP counseling increased by 55% in the intervention facilities, as compared to a 19% increase in the control facilities. Immediate postpartum FP use increased by 20% in the intervention and fell by 2% in the control. Post-pregnancy-loss FP uptake was 67% and 43% in the intervention and control facilities, respectively. Conclusion: Interventions that target provider skills, facility system preparedness, clients’ needs and community perspectives are affiliated with increased PPFP counseling and method uptake.

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 Presented in Session 10. Fertility, Family Planning, Sexual Behavior & Reproductive Health 2