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Trends and Contributing Factors to Contraceptive Use in Kenya: A Large Population-Based Survey 1989 to 2014

Author

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  • Asantesana Kamuyango

    (Department and Graduate Institute of Public Health, National Cheng Kung University, Tainan 701, Taiwan)

  • Wen-Hsuan Hou

    (Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei 110, Taiwan
    Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei 110, Taiwan
    Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
    Center of Evidence-Based Medicine, Department of Education, Taipei Medical University Hospital, Taipei 110, Taiwan)

  • Chung-Yi Li

    (Department and Graduate Institute of Public Health, National Cheng Kung University, Tainan 701, Taiwan
    Department of Public Health, College of Public Health, China Medical University, Taichung 404, Taiwan
    Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung 413, Taiwan)

Abstract

Kenya is among the leading nations in family planning in Africa, having the first official nationwide family planning program in sub-Saharan Africa. However, Kenya is still one of the most highly populated countries in Africa with a population of more than 52 million. The objective of this study was to assess the trends and contributing factors of contraceptive use. We conducted a multi-wave cross-sectional study using both the demographic health survey (DHS) and family planning effort index (FPE) datasets, analyzing five-year waves from 1989 to 2014. This study indicates that contraceptive use increased from 24.0% to 42.6%, with a change % of 77.5%. Despite changes in women’s characteristics, these characteristics posed little on the time trend of contraceptive use in Kenya. In addition, the policy component of FPE scores had a positive association with contraceptive use with negligible change after adjusting for social and demographic factors 1.055 (1.046–1.065). There was a fluctuating trend of the additional FPE components throughout the years. Women with lower education, those married to husbands with lower education, unmarried, and rural women remain behind in family planning service utilization. Targeted programs are still needed for these special groups. Policy adherence is vital for continued progress.

Suggested Citation

  • Asantesana Kamuyango & Wen-Hsuan Hou & Chung-Yi Li, 2020. "Trends and Contributing Factors to Contraceptive Use in Kenya: A Large Population-Based Survey 1989 to 2014," IJERPH, MDPI, vol. 17(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7065-:d:420440
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    References listed on IDEAS

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    1. Alissa Koski & Shelley Clark & Arijit Nandi, 2017. "Has Child Marriage Declined in sub-Saharan Africa? An Analysis of Trends in 31 Countries," Population and Development Review, The Population Council, Inc., vol. 43(1), pages 7-29, March.
    2. John B. Casterline & John Bongaarts & Amy O. Tsui & Win Brown & Qingfeng Li, 2017. "Contraceptive Practice in sub-Saharan Africa," Population and Development Review, The Population Council, Inc., vol. 43, pages 166-191, May.
    3. Martha J. Bailey, 2013. "Fifty Years of Family Planning: New Evidence on the Long-Run Effects of Increasing Access to Contraception," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 44(1 (Spring), pages 341-409.
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