DDI-KEN-APHRC-KAS-KIS-2022-v1.0
Abortion Incidence and Severity of Complications in Kenya 2022
Knowledgeable Informants Survey(KIS)
| Name | Country code |
|---|---|
| KENYA | KEN |
Demographic and Health Survey [hh/dhs]
N/A
Background: Unsafe abortion remains a significant cause of maternal morbidity and mortality in many African countries, including Kenya. In Kenya, abortion is legally restricted except when the life or health of a pregnant woman is in danger and in cases of rape or incest. The restrictions around abortion, pervasive stigma and negative attitudes of healthcare providers often increase the risks of unsafe abortion. Ten years ago, a study by the Ministry of Health, the African Population and Health Research Center (APHRC), and the Guttmacher Institute reported close to 464,690 induced abortions in 2012. Given the time that has passed since that study, and changes in the landscape of abortion in Kenya (e.g., the availability of medication abortion drugs, enactment of the 2017 Health Act that defined "trained providers" to include nurses and midwives, and the 2019 High Court ruling that reinstated the withdrawn Standards and guidelines for reduction of maternal mortality from unsafe abortion), policymakers and advocates in Kenya have raised the need for another national abortion incidence study.
Objectives: To determine the incidence of induced abortions and the severity of abortion-related complications in Kenya.
Methods: The proposed study will employ a quantitative cross-sectional design. The study will have four separate surveys: i) a nationally representative Health Facility Survey (HFS) to estimate the number of women who receive post-abortion care (PAC) following abortion complications, ii) a Knowledgeable Informants Survey (KIS) to collect information on the proportion of all women having abortions who receive facility-based treatment for abortion-related complications, iii) a Respondent-Driven Sampling survey (RDS) of women who have had an abortion to understand abortion incidence and safety, and iv) a Prospective Morbidity Survey (PMS) to provide the data necessary to describe characteristics of women receiving treatment for abortion complications, the severity of complications, the type of treatment received, and the delays in access to PAC. The PMS will also include a limited component involving clinical data abstraction from the medical charts/records of PAC clients.
Utility of study: Evidence generated will contribute to a greater understanding of the incidence of induced abortions and the magnitude and severity of abortion-related complications. The evidence will support investment and decision-making toward addressing the contributors of unsafe abortions and unintended pregnancies, improving access to quality PAC services, and ultimately improving adolescent and maternal health in Kenya.
professionals knowledgeable about the conditions of abortion and the provision of post-abortion care abortion in Kenya
2024-11-01
N/A
Background information on professionals knowledgeable about the conditions of abortion and the provision of post-abortion care abortion in Kenya
General questions of the knowledgeable professionals
Knowledge on induced abortion
Knowlege on miscarriage treatment
Stigma questions
National coverage
The survey covered professionals knowledgeable about the conditions of abortion and the provision of post-abortion care abortion in Kenya, they included medical doctors and midwives in public and private practice, policymakers, advocates, researchers, NGO staff, community health workers, and community leaders
| Name | Affiliation |
|---|---|
| Kenneth Juma | African Population and Heath Research Center |
| Name | Affiliation | Role |
|---|---|---|
| Margaret Giorgio | Guttmacher Institute | Co-Investigator and a Senior Research Scientist |
| Yohannes Dibaba Wado | African Population and Heath Research Center | Co-Investigator and a Senior Research Scientist |
| Jesse Philbin | Guttmacher Institute | Senior Research Associate |
| Sherine Athero | African Population and Heath Research Center | Research Officer |
| Esther Mutuku | African Population and Heath Research Center | Data analyst |
| Boniface Ushie | African Population and Heath Research Center | Co-Investigator and an expert researcher |
| Hellen Akinyi | African Population and Heath Research Center | Data Documentarist |
| Isaiah Akuku | African Population and Heath Research Center | Data Manager |
| Bonface Ingumba | African Population and Heath Research Center | Data Governance Officer |
| Name | Role |
|---|---|
| Hewlett Foundation | Funder |
| Norwegian Agency for Development Cooperation | Funder |
| Name | Affiliation | Role |
|---|---|---|
| Ministry of Health,Kenya | MOH | Ministerial partners |
KIS was conducted with a purposive sample of professionals who are well informed about abortion provision and post-abortion care in the public and private sectors, and in rural and urban areas. The KIS sample includes both health and non-health professionals (e.g., law, media, teachers, research, education, nursing, policymaking, advocacy, and family planning program implementation and management) who are nevertheless well-informed about the context of abortion (access, safety, care-seeking behavior) in their regions.
N/A
KIS had 297 observation
N/A
KIS was used to sample and recruit both health and non-health professionals (e.g., law, media, teachers, research, education, nursing, policymaking, advocacy, and family planning program implementation and management) who are nevertheless well-informed about the context of abortion (access, safety, care-seeking behavior) in their regions.
Interviews will be carried out at the respondents' place of work or location of the respondents' choice
The questionnaire was written in English. It explored a number of questions that served to refine further an understanding and the opinion of abortion incidence and safety in Kenya.
| Start | End |
|---|---|
| 2023-08-25 | 2023-10-18 |
The Interview was conducted by a team of field interviewers. Each team included 6 interviewers, in addition to 1 team lead.
The supervisor's role was to coordinate field data collection and manage teams. They also assigned tasks to interviewers, spot-checked work, maintained control documents, and sent completed questionnaires and progress reports to the central data portal.
Frequent Field visits were made after every two weeks for period of data collection by the Kenya abortion members
the software used was survey CTO for data colllection, the data was later downloaded in STATA format.
N/A
| Name | Affiliation | |
|---|---|---|
| African Population and Heath Research Center | APHRC | datarequest@aphrc.org |
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DDI-KEN-APHRC-KAS-KIS-2022-v1.0
| Name | Abbreviation | Role |
|---|---|---|
| African Population and Health Research Center | APHRC | Documentation of the DDI |
2024-11-01
Version 1.0(NOVEMBER 2024)
