Choice of a Family Planning Outlet in Urban Areas: The Role of Distance and Quality of Services in Kenya and Uganda

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Citation

Winston, Jennifer Jane; Calhoun, Lisa M.; Guilkey, David K.; Macharia, Peter M.; & Speizer, Ilene S. (2023). Choice of a Family Planning Outlet in Urban Areas: The Role of Distance and Quality of Services in Kenya and Uganda. Frontiers in Global Womens Health, 4, 1117849. PMCID: PMC10099502

Abstract

INTRODUCTION: Quality of care and physical access to health facilities affect facility choice for family planning (FP). These factors may disproportionately impact young contraceptive users. Understanding which components of service quality drive facility choice among contraceptive users of all ages can inform strategies to strengthen FP programming for all potential users of FP.
METHODS: This study uses data from Population Services International's Consumer's Market for Family Planning (CM4FP) project, to examine drivers of facility choice among female FP users. The data collected from female contraceptive users, the outlet where they obtained their contraceptive method, and the complete set of alternative outlets in select urban areas of Kenya and Uganda were used. We use a mixed logit model, with inverse probability weights to correct for selection into categories of nonuse and missing facility data. We consider results separately for youth (18-24) and women aged 25-49 in both countries.
RESULTS: We find that in both countries and across age groups, users were willing to travel further to public outlets and to outlets offering more methods. Other outlet attributes, including signage, pharmacy, stockouts, and provider training, were important to women in certain age groups or country.
DISCUSSION: These results shed light on what components of service quality drive outlet choice among young and older users and can inform strategies to strengthen FP programming for all potential users of FP in urban settings.

URL

http://dx.doi.org/10.3389/fgwh.2023.1117849

Reference Type

Journal Article

Year Published

2023

Journal Title

Frontiers in Global Womens Health

Author(s)

Winston, Jennifer Jane
Calhoun, Lisa M.
Guilkey, David K.
Macharia, Peter M.
Speizer, Ilene S.

Article Type

Regular

PMCID

PMC10099502

Data Set/Study

Population Services International’s Consumer’s Market for Family Planning (CM4FP) Project

Continent/Country

Kenya
Uganda

Sex/Gender

Women

ORCiD

Speizer - 0000-0001-6204-1316
Calhoun - 000-0002-3499-9372