Prevalence, Perceptions, and Experiences of Unwanted Pregnancy among Women in Slum and Non-Slum Settlements of Nairobi, Kenya.
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 1.1, November 2014. Anonymized with DOI and Recommended Citation added.
Maternal and Child Health
Two slum settlements - Korogocho and Viwandani- and two non-slum settlements- Harambee and Jericho all in Nairobi - Kenya
Unit of Analysis
Women aged 15 - 49 years residing in the two slum and the two non-slum settlements
Producers and sponsors
Authoring entity/Primary investigators
African Population and Health Research Center
Dr Alex Ezeh
Dr Chima Izugbara
Dr Jean-Christophe Fotso
Dr Latifat Ibisomi
University of Nairobi
Department for International Development (UK)
GOVERNMENT OF KENYA
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.
1985 women interviewed out of 2000.
Responses rates = 99%
The data are not weighted.
Dates of Data Collection (YYYY/MM/DD)
Frequency of Data Collection
Data entry was done at the office using CSO Pro.
Time periods (YYYY/MM/DD)
from November 13, 2010 to December 25, 2010
Mode of data collection
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 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
Information collected by hard copy of questionnaires
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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
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