Authors :
Benson Wafula Khisa ; Athuman Ndalila ; John Wechabe
Volume/Issue :
Volume 10 - 2025, Issue 5 - May
Google Scholar :
https://tinyurl.com/2kr434n8
DOI :
https://doi.org/10.38124/ijisrt/25may1381
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
The Kenyan government put in place policies to increase uptake of family planning services with an aim of reducing
the fertility rate (TFR). It was aimed at improving the gross domestic product, reduce poverty and at the same time reduce
maternal mortality and morbidity. Despite this, TFR in Kenya has remained high at 3.9 with some counties recording a TFR
of more than 3.9. Teso north Sub County hospital despite having a Contraceptive Prevalence Rate (CPR) of 39% still have
a TFR of 4.7%. Since their receptions of COVID-19 pandemic, measures put by the government to curtail the viral spread,
have been drastic enough to an extent that they may have influenced contraceptive uptake. This study therefore sought to
find out how COVID-19 affected the uptake of family planning in Teso north Sub county hospital. The main objective of the
study was to determine the effects of COVID 19 on uptake of family planning services in Teso north sub county hospital.
Specific objectives were to determine Family Planning attendance during acute COVID19 and assess the utilization of family
planning commodities (by method) before and during the acute COVID19 period in Teso north Sub County hospital. It was
retrospective study design carried out from September 2019 to February 2020 and compared with data from March 2020
to October 2021.Measures of central tendency and dispersion were used and data analyzed using SPSS with a P value <0.05
taken to be statistical significant. The study found out that there was a drop in the number of clients seeking family planning
services both women and male during covid 19. The pandemic affected utilization of family planning commodities in Teso
Sub county hospital. Recommendations to service providers and policy makers were that all service providers should make
active use of cellular phones and other electronic technologies for creating awareness and use of family planning services
and there should be round-the-clock family planning counseling available at all service outlets in order to avoid unplanned
pregnancies. National/County Government should provide patient-focused telehealth counseling for a range of contraceptive
methods in a way that is respectful of individual patient needs and preferences, implement support supervision systems for
monitoring service delivery, especially involving senior staff in reviewing commodity stocks and encouraging provider health
through in-person or web-based engagement, campaign for policy change allowing dispensing larger packs of short-acting
contraceptives to reduce facility visitation frequency and develop and disseminate clear, concise messages across various
media outlets such as television scrolls, talk shows, radio, social media, and public service announcements to generate
awareness and educate the public. Lastly there is need to strengthen emergency preparedness and response, utilize
community structures for contraceptive delivery.
Keywords :
Family Planning, COVID-19, Contraceptives Supply, use During COVID19, Effects of COVID19 And Morbidity and Maternal Mortality and COVID19.
References :
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- Adelekan, T., Mihretu, B., Mapanga, W., Nqeketo, S., Chauke, L., Dwane, Z., &Baldwin-Ragaven, L. (2020). Early effects of the COVID-19 pandemic on family planning
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- Liambila, W., Dwyer, S.C., Warren, C.E., Jain, A., Lutomia, M., Loech, J., &Washika, E. (2020). Implementation process brief: Integrated family planning and HIV services at the community level in Kenya.
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The Kenyan government put in place policies to increase uptake of family planning services with an aim of reducing
the fertility rate (TFR). It was aimed at improving the gross domestic product, reduce poverty and at the same time reduce
maternal mortality and morbidity. Despite this, TFR in Kenya has remained high at 3.9 with some counties recording a TFR
of more than 3.9. Teso north Sub County hospital despite having a Contraceptive Prevalence Rate (CPR) of 39% still have
a TFR of 4.7%. Since their receptions of COVID-19 pandemic, measures put by the government to curtail the viral spread,
have been drastic enough to an extent that they may have influenced contraceptive uptake. This study therefore sought to
find out how COVID-19 affected the uptake of family planning in Teso north Sub county hospital. The main objective of the
study was to determine the effects of COVID 19 on uptake of family planning services in Teso north sub county hospital.
Specific objectives were to determine Family Planning attendance during acute COVID19 and assess the utilization of family
planning commodities (by method) before and during the acute COVID19 period in Teso north Sub County hospital. It was
retrospective study design carried out from September 2019 to February 2020 and compared with data from March 2020
to October 2021.Measures of central tendency and dispersion were used and data analyzed using SPSS with a P value <0.05
taken to be statistical significant. The study found out that there was a drop in the number of clients seeking family planning
services both women and male during covid 19. The pandemic affected utilization of family planning commodities in Teso
Sub county hospital. Recommendations to service providers and policy makers were that all service providers should make
active use of cellular phones and other electronic technologies for creating awareness and use of family planning services
and there should be round-the-clock family planning counseling available at all service outlets in order to avoid unplanned
pregnancies. National/County Government should provide patient-focused telehealth counseling for a range of contraceptive
methods in a way that is respectful of individual patient needs and preferences, implement support supervision systems for
monitoring service delivery, especially involving senior staff in reviewing commodity stocks and encouraging provider health
through in-person or web-based engagement, campaign for policy change allowing dispensing larger packs of short-acting
contraceptives to reduce facility visitation frequency and develop and disseminate clear, concise messages across various
media outlets such as television scrolls, talk shows, radio, social media, and public service announcements to generate
awareness and educate the public. Lastly there is need to strengthen emergency preparedness and response, utilize
community structures for contraceptive delivery.
Keywords :
Family Planning, COVID-19, Contraceptives Supply, use During COVID19, Effects of COVID19 And Morbidity and Maternal Mortality and COVID19.