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Prevalence, Perceptions, and Experiences of Unwanted Pregnancy among Women in Slum and Non-Slum Settlements of Nairobi, Kenya.

KENYA, 2010 - 2013
Health and Well-Being (HaW)
African Population and Health Research Center
Last modified November 19, 2014 Page views 167499 Documentation in PDF Metadata DDI/XML JSON

Identification

IDNO
APHRC-UWP-2010-1.1
Title
Prevalence, Perceptions, and Experiences of Unwanted Pregnancy among Women in Slum and Non-Slum Settlements of Nairobi, Kenya.
Translated Title
ENGLISH
Country
Name Country code
KENYA KEN
Abstract
The wantedness of a pregnancy has critical implications as it could affect the uptake of appropriate maternal health care and influence pregnancy outcomes. Unwanted pregnancy is thus a key risk factor for adverse pregnancy and maternal outcomes, including mortality, morbidity and unsafe induced abortions. Scholars have argued that existing research on unwanted pregnancy in Kenya has been inattentive to its dynamics at community levels, and to how livelihood realities impinge on it. The quantitative bias of extant research has also hindered systematic understanding of lay beliefs, perceptions, and experiences related to unwanted pregnancy in Kenya, leaving critical gaps in our understanding of the issues which circumscribe it in Kenya. To begin to fill these gaps in unwanted pregnancy research in Kenya, we propose a study to (a) investigate the prevalence, drivers and management of unwanted pregnancy in slum and non-slum urban settlements of Kenya and (b) interrogate the beliefs, perceptions, attitudes and experiences surrounding unwanted pregnancy among Kenyan women who reside in these settlements Findings from this study can inform the design of more effective reproductive health and family planning policies and programs in Kenya and elsewhere.

Version

Version Notes
Version 1.1, November 2014. Anonymized with DOI and Recommended Citation added.

Scope

Keywords
Keyword Vocabulary
Reproduction Health RH
Maternal and Child Health MCH

Coverage

Geographic Coverage
Two slum settlements - Korogocho and Viwandani- and two non-slum settlements- Harambee and Jericho all in Nairobi - Kenya
Unit of Analysis
Individuals
Universe
Women aged 15 - 49 years residing in the two slum and the two non-slum settlements

Producers and sponsors

Authoring entity/Primary investigators
Agency Name Affiliation
African Population and Health Research Center APHRC
Producers
Name Affiliation Role
Dr Alex Ezeh APHRC Investigator
Dr Chima Izugbara APHRC Investigator
Dr Jean-Christophe Fotso APHRC Investigator
Dr Latifat Ibisomi APHRC Investigator
Lawrence Ikamari University of Nairobi Investigator
Funding Agency/Sponsor
Name Abbreviation Role
Department for International Development (UK) DFID Funder
Other Identifications/Acknowledgments
Name Role
GOVERNMENT OF KENYA Study partner

Sampling

Sampling Procedure
A two-stage sampling strategy will be used to recruit the study participants. The first stage will involve a random sample of households from each settlement type drawn from APHRC's sampling frame of households in these settlements. The second stage will involve a simple random selection of one eligible woman in each household.
Response Rate
1985 women interviewed out of 2000.

Responses rates = 99%
Weighting
The data are not weighted.

Data Collection

Dates of Data Collection (YYYY/MM/DD)
Start date End date
2010-12-28 2013-09-02
Frequency of Data Collection
Data entry was done at the office using CSO Pro.
Time periods (YYYY/MM/DD)
Start date End date
2013-08-26 2013-09-07
Data source
from November 13, 2010 to December 25, 2010
Mode of data collection
Face-to-face [f2f]
Type of Research Instrument
The questionnaire was collecting information on respondents' social, economic, demographic, pregnancy and birth histories (including miscarriages and or abortions, stillbirths, and neonatal deaths). It also included information on whether the responding woman had ever had a pregnancy that she did not want to have, the number of times this had happened, why the pregnancy was unwanted etc. Women who admitted to experiencing unwanted pregnancy were also asked questions about how they managed the pregnancy.

Data Processing

Cleaning Operations
Data editing took place at a number of stages throughout the processing, including:

a) Office editing and coding

b) Transcription of IDIs from Kswahili to English
Other Processing
Information collected by hard copy of questionnaires

Data access

Contact
Name Affiliation Email URI
African Population and Health Research Center APHRC info@aphrc.org http://www.aphrc.org
Conditions
All non-APHRC staff seeking to use data generated at the Center must obtain written approval to use the data from the Director of Research. This form is developed to assess applications for data use and facilitate responsible sharing of data with external partners/collaborators/researchers. By entering into this agreement, the undersigned agrees to use these data only for the purpose for which they were obtained and to abide by the conditions outlined below:

1. Data Ownership: The data remain the property of APHRC; any unauthorized reproduction and sharing of the data is strictly prohibited. The user will, therefore, not release nor permit others to use or release the data to any other person without the written authorization from the Center.

2. Purpose: The provided data must be used for the purpose specified in the Data Request Form; any other use not specified in the form must receive additional or separate authorization.

3. Respondent Identifiers: The Center is committed to protecting the identity of the respondents who provide information in its research. All analytical data sets (both qualitative and quantitative) released by the Data Unit MUST are stripped of respondent identifiers to protect the identity of the respondents. By accepting to use APHRC data, the user is pledging that he/she will not, under any circumstance, regenerate the identifiers or permit others to use the data to learn the identity of any individual, household or community included in any data set.

4. Confidentiality pledge: The user will not use nor permit others to use the data to report any information in the data sets that could identify, directly or by inference, individuals or households.

5. Reporting of errors or inconsistencies: The user will promptly notify the Head of the Statistics and Survey Unit any errors discovered in the data as soon as the errors are discovered.

6. Publications resulting from APHRC data: The Center requires external collaborators to work with APHRC staff on all publications resulting from its data. In order to facilitate this, lead authors should send a detailed concept note of the paper (including the background, rationale, data, analytical methods, and preliminary findings) to the Principle Investigator (or Theme Leader) for the project (with a copy to the Director of Research), who will circulate the abstract to concerned researchers for possible expression of interest in participating in the publication as co-authors. Any exception to the involvement of APHRC staff should be approved by the Director of Research, APHRC.

7. Security: The user will take responsibility for the security of the data by ensuring that the data are used and stored in a secure environment where access is password protected. This will ensure that non-authorized people should not have access to the data.

8. Loss of privilege to use data: In the event that APHRC determines that the data user is in violation of the conditions for using the data, or if the user wishes to cancel this agreement, the user will destroy the data files provided to him/her. APHRC retains the right to revoke this agreement or informs publishers to withhold publication of any work based wholly or in part on its data if the conditions for using the data are violated.

9. Acknowledgement: Any work/reports from this data must acknowledge APHRC as the source of these data. For example, the suggested acknowledgement for NUHDSS data is:

“This research uses livelihoods data collected under the longitudinal Nairobi Urban Health and Demographic Surveillance System (NUHDSS) since 2006. The NUHDSS is carried out by the African Population and Health Research Center in two slums settlements (Korogocho and Viwandani) in Nairobi City.”

Additionally all funders, the study communities that provided the data, and staff who collected and analyzed or processed the data should be acknowledged.

10. Deposit of Reports/Papers: The user should submit electronic and paper copies of all publications generated using APHRC data to the Policy Engagement and Communications Department, with copies to the Director of Research.

11. Change of contact details: The user will promptly inform the Director of Research of any change in your personal details as contained on this data request form.
Citation requirement
African Population and Health Research Center, Prevalence, Perceptions and Experiences of Unwanted Pregnancy among Women in Slum and Non-Slum Settlements of Nairobi, Kenya, October 2013. APHRC, Nairobi - Kenya. doi:11239/176-2010-017-1.1
Location of Data Collection
Women data

Contacts

Contact
Name Affiliation Email
Head, Statistics and Surveys Unit APHRC datarequests@aphrc.org

Metadata production

Document ID
APHRC-UWP-2010-1.1
Producers
Name Abbreviation Affiliation Role
African Population & Health Research Center APHRC APHRC Metadata Producer
Date of Production
2013-10-03
Document version
Version 1.1