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Evaluation of Adolescent Long-acting Reversible Contraception (LARC) Project in Kenya (Choice 4 Change Project), Baseline Data

Kenya, 2016 - 2018
Health and Well-Being (HaW)
African Population and Health Research Center
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Identification

IDNO
APHRC-C4C-2018-1.0
Title
Evaluation of Adolescent Long-acting Reversible Contraception (LARC) Project in Kenya (Choice 4 Change Project), Baseline Data
Subtitle
Baseline Data
Country
Name Country code
Kenya KEN
Abstract
The Choice for Change (C4C) project is aimed at increasing methods choice to adolescent girls in Kenya through demand generating activities and supply-side interventions to increase the uptake of contraceptive use, with an emphasis on LARC method. APHRC, in collaboration with ICRW, will assess the effectiveness of the C4C project, which is being implemented by Marie Stopes, Kenya (MSK), IPAS and the United Nations Population Fund (UNFPA). The evaluation will focus on developing the evidence base around “what works” to increase access and use of contraception, in particular LARC methods, among sexually active adolescent girls. A mixed methods study design will be used to assess the primary outcomes, through the use of crosssectional surveys at baseline and again at endline. The survey will be implemented in the program implementation areas defined as within 5 kilometers of a C4C youth friendly adolescents’ sexual and reproductive health (ASRH) service provider. Data will be analyzed to understand differences in key indicators between baseline and endline, and between exposed and unexposed 15-19 year old girls.

Version

Version Date
2018-12-14
Version Notes
This is the only version.

Scope

Keywords
Keyword
na

Coverage

Geographic Coverage
The survey was conducted in Busia and Meru Counties
Unit of Analysis
Individuals, households and communities
Universe
Adolescent girls aged 15-19 who are usual resident in sampled households.

Producers and sponsors

Authoring entity/Primary investigators
Agency Name Affiliation
African Population and Health Research Center APHRC
Producers
Name Affiliation
Chimaraoke O Izugbara APHRC
Estelle M. Sidze APHRC
Caroline W. Kabiru APHRC
Amy Gregowski ICRW
Michael M. Mutua APHRC
Beatrice W. Maina APHRC
Lydia Murithi ICRW
Funding Agency/Sponsor
Name Abbreviation
Children’s Investment Fund Foundation CIFF
Other Identifications/Acknowledgments
Name
Swedish International Development Cooperation Agency
Hewlett Foundation

Sampling

Sampling Procedure
A multistage cluster sampling approach will be used to select a total of 24 villages from the implementation areas of both implementing partners, and will include both urban and rural areas. The village will be our primary sampling unit (PSU). In the first stage, PSUs will be selected from the implementation areas using probability proportional to size to account for different village sizes. The second stage will involve the systematic selection of at least 500 households in the PSU. A total of 63 households would need to be visited to reach the desired number of sexually active respondents in our age category (25) per PSU
Deviations from the Sample Design
na
Response Rate
Meru County: All of the 30 selected villages were successfully reached. In Meru Municipality, 2,673 household were listed out of which 522 had eligible adolescents and 521 households had adolescents with completed interviews (household response rate of 99.8%). Five hundred and ninety-four adolescents were eligible in Meru Municipality out of whom 579 were successfully interviewed giving an individual response rate of 97.5%. In Ntunene, 2,871 households were listed out of which 659 had eligible adolescents. Of the eligible households, 634 households completed adolescent interviews for a household response rate of 96.2%. From these households, 868 eligible adolescents were identified out of whom 790 were successfully interviewed for an individual response rate of 91.0%

Busia County: All of the 30 sampled villages were successfully reached. During data collection, it was determined that two of the selected villages were actually part of other selected villages, therefore, with those two pairs combined, the total number of villages sampled became 28. In Nangoma, 2,113 households were listed out of which 393 had eligible adolescents with interviews being successfully conducted in 383 households (household response rate of 97.5%). From these households, 482 eligible adolescents were identified and 445 were interviewed for an individual response rate of 92.3%. In Kocholia, out of 1,049 listed households, 207 had eligible adolescents with interviews being successfully conducted in 199 households for a household response rate of 96.1%. From these households, 261 eligible adolescents were identified, with 246 being successfully interviewed, for an individual response rate of 94.3%
Weighting
na

Data Collection

Dates of Data Collection (YYYY/MM/DD)
Start date End date Cycle
2016-10-30 2016-11-30 One
2018-05-01 2018-05-30 Two
Mode of data collection
Face-to-face [f2f]
Supervision
Once the boundaries were established, fieldworkers visited each household within the boundaries of the selected PSU (second stage) and introduced the study to the head of household and enquired if there was a girl living in the household between the ages of 15-19 years who met the basic recruitment criteria and was available to participate in the survey. If there was an eligible participant, the interviewer then moved onto the third stage of recruitment obtain informed consent from the parent/guardian, and assent from the adolescent girl if she was aged under 18, OR obtained informed consent from the adolescent if she was aged 18-19 years or if she was an emancipated minor (married 15-17 year olds living within their partners'/husbands' household). Once consented/assented the survey was administered. The survey was designed so that the first several sections of the survey were asked to all eligible girls. Girls who reported that they had ever had sex completed additional sections of the survey. If the eligible participant was not available on the first visit, the fieldworker made two additional attempts to contact that participant. Eligible participants not reached after a third attempt were considered as not available.
Type of Research Instrument
A household schedule was administered and it collected information on household members, relationship to household head, age, sex, marital status and eligibility of respondent to particpate in the survey.

The survey instrument collected data on:
Respondent's background information; Household amenities and infrastructure, respondent's age, level of education, religion, marital status and economic activities.
Reproduction, sexual and reproductive health knowledge and sources of information; Sources of sexual and reproductive systems, pregnancy
Exposure to reproductive health and family planning programs; Information about reproductve health, family planning and pregnancy
Family planning knowledge and access; Family planning methods and access to FP methods
Sexual actvity and contraceptive use

Data Processing

Cleaning Operations
Data was collected electronically using tablets that were linked to SurveyCTO® online database. This database was restricted to access only by the research team and the data base manager. Electronic data was synchronized with the survey online database every evening after the survey supervisor was convinced on the accuracy of the collected data. In cases of later interviews, all data was synchronized in the next morning, first thing, to avoid any cases of data loss. Once data were synchronized, the completed data were deleted from the field worker tablet and copied to the server for additional checks for data collection quality and accuracy by the survey data analyst. Any data errors were reported back to the field supervisor for corrections before data could be accepted for further cleaning.
Other Processing
Data were then extracted from the SurveyCTO database in flat format of comma separated versions, which would then, using specially written Stata® syntax/codes (do-files), be cleaned further and transformed into the required format for analysis. The process of cleaning and reshaping the data created analytical Stata files, which were used in this analysis.

Data access

Contact
Name Affiliation Email URI
Director of Research APHRC info@aphrc.org www.aphrc.org
Conditions
na
Citation requirement
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download

Metadata production

Document ID
APHRC-C4C-2018-1.0
Producers
Name Abbreviation Affiliation Role
African Population and Health Research Center APHRC The World Bank Documentation of the DDI
Date of Production
2018-12-14
Document version
C4C 1.0 (December 2018)