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Reversing the Stall in Fertility Decline in Western Kenya, Programme Monitoring Data

KENYA, 2012 - 2015
Health and Well-Being (HaW)
African Population and Health Research Centre
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Identification

IDNO
APHRC-PWK-2016-1.0
Title
Reversing the Stall in Fertility Decline in Western Kenya, Programme Monitoring Data
Subtitle
Programme Monitoring Data
Country
Name Country code
KENYA KEN
Abstract
The Reversing the Stall in Fertility Decline in Western Kenya Project, also referred to as the Packard Western Kenya Project, is a community-based family planning initiative implemented in two large western Kenyan counties: Busia and Siaya. The project was funded by the David and Lucile Packard Foundation and builds on the lessons and achievements of a demonstration project phase, which ran from November 2009 to September 2012. The demonstration project covered Busia and Siaya districts (later counties) which, as of September 2012, had an estimated total population of 1.654 million (739,000 in Busia and 915,000 in Siaya). These counties had the highest fertility rates in the country at an average total fertility rate (TFR) of 5.5 against a national TFR of 4.6. Modern contraceptive use prevalence in the two areas stood at around 32%. The Reversing the Stall in Fertility Decline in Western Kenya Project is implemented by a consortium of partners with diverse strengths. The implementation model allows partners to oversee and implement aspects of the project in which they have expertise. The consortium is led by the African Population and Health Research Center (APHRC), which coordinates all project activities. Marie Stopes Kenya (MSK) and Family Health Options Kenya (FHOK) are responsible for service delivery in Busia and Siaya respectively. The Great Lakes University of Kisumu (GLUK) is responsible for the monitoring and evaluation of project activities. The team also works in close collaboration with the Ministry of Health (MoH) at the county government and national government levels; the Centre for the Study of Adolescence (CSA), which works with youth; the Forum for Women Educationalists (FAWE) Kenya, which works with school- going youth; and the Christian Health Association of Kenya (CHAK), which works with religious leaders and groups.

The expansion phase of this project began in October 2012, seeking to bring to scale activities that had been started in the demonstration phase (2009-2012). These activities included:

i) Capacity-building through the training of service providers, peer educators, religious leaders, Community Health Volunteers (CHVs) and community members

ii) Delivery of family planning (FP) services at community facilities and through outreach activities.

iii) Generating demand for FP services through community sensitization meetings, e.g., barazas, women's and youth group meetings, distribution of information education communication (IEC) materials and use of social media

iv) Advocacy, policy engagement and influencing policy through advocacy meetings and distribution of advocacy materials

v) Monitoring, documenting and disseminating the project's achievements, lessons and best practices.

Version

Version Date
2016-12-07

Scope

Keywords
Keyword
Modern Contraceptives
Family Planning
Reproductive Health
Family planning method switching

Coverage

Geographic Coverage
The project was implemented in the following sub-counties in Busia County; Matayos, Nambale, Samia, Butula, Teso North & South. In Siaya County the following sub-counties were covered; Alego Usonga, Ugenya, Ugunja, Bondo & Rarieda
Unit of Analysis
Household individuals & facility family planning clients
Universe
Women 15-49 and Men 15-59

Producers and sponsors

Authoring entity/Primary investigators
Agency Name Affiliation
African Population and Health Research Centre APHRC
Producers
Name Affiliation Role
Chimaraoke Izugbara African Population and Health Research Centre Principal Investigator
Richard Muga Great Lakes University of Kisumu Principal Investigator
Funding Agency/Sponsor
Name Abbreviation Role
David & Lucile Packard Foundation DLPF Funder
Other Identifications/Acknowledgments
Name Affiliation Role
David & Lucile Packard Packard Foundation Programme Funder
Sahlu Haile Packard Foundation Programme Officer Sub Sahara Africa
Dr. Alex Ezah African Population and Health Research Centre Programme Coordination
Dr. Chimaraoke Izugbara African Population and Health Research Centre Programme Coordination
Michael Mutua African Population and Health Research Centre Programme Coordination
Sherine Adhiambo African Population and Health Research Centre Programme Coordination
Prof. Richard Muga Great Lakes University of Kisumu Programme Monitoring & Evaluation
Prof. Gonzo Mayasi Great Lakes University of Kisumu Programme Monitoring & Evaluation
Aringo Kandie Great Lakes University of Kisumu Programme Monitoring & Evaluation
Amos Simpano Family Health Options Kenya Programme Implementation
Ndenga Indagala Family Health Options Kenya Programme Implementation
Henry Anyona Family Health Options Kenya Programme Implementation
Mori Ogambi Family Health Options Kenya Programme Implementation
Lilian Omollo Marie Stopes Kenya Programme Implementation
Jenipher Abonyo Marie Stopes Kenya Programme Implementation
Jacob Khaoya Marie Stopes Kenya Programme Implementation
Julia Mayersohn Marie Stopes Kenya Programme Implementation
Jacob Ochieng Centre for the Study of Adolescence Programme Implementation
Maureen Ayimba Centre for the Study of Adolescence Programme Implementation
Albert Obbuyi Centre for the Study of Adolescence Programme Implementation
Teresa Otieno Forum for African Women Educationalists Programme Implementation
Isabel Naibei Forum for African Women Educationalists Programme Implementation
Jane Kishoyian Christian Health Association of Kenya Programme Implementation
Dr. Omondi Owino Ministry of Health KENYA Siaya County Director of Health
Dr. Julius Oliech Ministry of Health KENYA Siaya County Deputy Director of Health
Dr. Rachel Omamo Ministry of Health KENYA Siaya Sub-County Medical Officer of Health
July Odingo Ministry of Health KENYA Siaya Sub-County Public Health Nurse
Dr. Alphonce Uyara Ministry of Health KENYA Rarieda Sub-County Medical Officer of Health
Assumpta Matekwa Ministry of Health KENYA Busia County Reproductive Health Coordinator/Chief County Nurse
Bernard Juma Ministry of Health KENYA Teso South Sub-County Reproductive Health Coordinator
Taphrosa Peru Ministry of Health KENYA Butula Sub-County Reproductive Health Coordinator
Phelgona Otieno Ministry of Health KENYA Samia Sub-County Public Health Nurse
Vincent Wadera Ministry of Health KENYA Bunyala Sub-County Medical Officer of Health/Reproductive Health Coordinator
Dr. Maurice Simiyu Ministry of Health KENYA Busia Cabinet Minister of Health
Dr. Melsa Lutomia Ministry of Health KENYA Busia County Director of Health
James Kuya Ministry of Health KENYA Busia County Health Records Manager
David Wangila Ministry of Health KENYA Siaya County Health Records Manager
Dr. Kibaru Mbae National Council for Population Development Director General
Dr. Patrick Amoth Ministry of Health KENYA Head of Division of Family Health
Fatuma Dubow Ministry of Health KENYA Programme Officer Division of Reproductive Health

Sampling

Deviations from the Sample Design
Not Applicable
Response Rate
Not Applicable
Weighting
Not Applicable

Data Collection

Dates of Data Collection (YYYY/MM/DD)
Start date End date
2012-10-04 2015-11-30
Mode of data collection
Face-to-face [f2f]
Supervision
CHVs monthly review meetings were held to review data, set targets and make corrections before submission to the project coordinators.In order to ensure proper use of the reporting tools by CHVs is sustained, additional support from the well conversant CHVs was required and hence creation of M&E CHVs, who were responsible for checking on discrepancies and common errors. This process ensured supervision at all levels.
Type of Research Instrument
These tools were utilized by the CHVs and service providers to record data on persons reached with FP services and information. They included household information form, client service statistics log and mobilization activity register. CHVs collected household information door-to-door while distributing pills & condoms and capturing the distribution data. Servive providers captured data on clients serviced at the health facilities. Tools used for data collection included satisfaction cards, which were available at the health facilities, and the reporting tool for the peer advocates for life skills (PALS), both in and out of school. These tools were printed in triplicate, with one copy for the health facility, one for the partners and one retained by the CHV/service provider. The MIS was then stationed at GLUK to capture data generated during the expansion phase.

Data Processing

Cleaning Operations
The entry and analysis of monitoring data from the MIS was done on a monthly basis to determine progress in achieving the project indicators against defined targets. The MIS was then stationed at GLUK to capture data generated during the expansion phase. To ensure data quality control, training was conducted for all M&E staff, including data entry clerks, on the new system. The entry and analysis of monitoring data from the MIS was done on a monthly basis to determine progress in achieving the project indicators against defined targets. This data was summarized in simple reports and shared with partners on a monthly basis.



The copy of a Packard Western Kenya (PWK) project report sent to the health facility would be summarized and captured on the MoH FP register stationed at the facility level and channeled to the sub-county health records and information officer, and to the MoH system. The copy to partners would be sent for entry into the MIS stationed at GLUK and analyzed, and the statistics sent to partners to complete their reports, which were sent to APHRC and finally to the Packard Foundation
Other Processing
The program developed and later redesigned reporting tools for data collection at service delivery points and a monitoring information system (MIS) that captured key project indicators following a rapid appraisal of the Phase 1 project conducted in April 2013. On a quarterly basis, partners organized review meetings to deliberate on project progress, including achievements and challenges, according to the data from the MIS. They would further develop acceleration plans on indicators that were lagging behind. Furthermore, CSA had an online M&E system where data was fed in and analyzed.

Data Appraisal

Estimates of Sampling Error
Not Applicable

Data access

Contact
Name Affiliation Email URI
Head of Statistics and Surveys Unit APHRC datarequests@aphrc.org www.aphrc.org
Conditions
The user agrees to comply with the following conditions:

1. Access to the restricted data will be limited to the Lead Researcher and other members of the research team listed in this request.

2. Copies of the restricted data or any data created on the basis of the original data will not be copied or made available to anyone other than those mentioned in this Data Access Agreement, unless formally authorized by the APHRC Director of Research.

3. The data will only be processed for the stated statistical and research purpose. They will be used for solely for reporting of aggregated information, and not for investigation of specific individuals or organizations. Data will not in any way be used for any administrative, proprietary or law enforcement purposes.

4. The Lead Researcher must state if it is their intention to match the restricted microdata with any other micro dataset. If any matching is to take place, details must be provided of the datasets to be matched and of the reasons for the matching. Any datasets created as a result of matching will be considered to be restricted and must comply with the terms of this Data Access Agreement.

5. The Lead Researcher undertakes that no attempt will be made to identify any individual person, family, business, enterprise or organization. If such a unique disclosure is made inadvertently, no use will be made of the identity of any person or establishment discovered and full details will be reported to the APHRC Director of Research (info@aphrc.org <mailto:info@aphrc.org> or datarequests@aphrc.org <mailto:datarequests@aphrc.org>). The identification will not be revealed to any other person not included in the Data Access Agreement.

6. The Lead Researcher will implement security measures to prevent unauthorized access to licensed microdata acquired from the APHRC Microdata Portal. The microdata must be destroyed upon the completion of this research, unless the APHRC Director of Research obtains satisfactory guarantee that the data can be secured and provides written authorization to the Receiving Organization to retain them. Destruction of the microdata will be confirmed in writing by the Lead Researcher to the APHRC Director of Research.

7. Any books, articles, conference papers, theses, dissertations, reports, or other publications that employ data obtained from the APHRC Microdata Portal will cite the source of data in accordance with the citation requirement provided with the dataset.

8. An electronic copy of all reports and publications based on the requested data will be sent to the APHRC Director of Research (info@aphrc.org <mailto:info@aphrc.org> or datarequests@aphrc.org <mailto:datarequests@aphrc.org>).

9. APHRC and the relevant funding agencies bear no responsibility for use of the data or for interpretations or inferences based upon such uses.

10. This agreement will come into force on the date that approval is given for access to the restricted dataset and remain in force until the completion date of the project or an earlier date if the project is completed ahead of time.

11. If there are any changes to the project specification, security arrangements, personnel or organization detailed in this application form, it is the responsibility of the Lead Researcher to seek the agreement of the APHRC Director of Research to these changes. Where there is a change to the employer organization of the Lead Researcher this will involve a new application being made and termination of the original project.

Breaches of the agreement will be taken seriously and APHRC will take action against those responsible for the lapse if willful or accidental. Failure to comply with APHRC's directions of the Data Archive will be deemed to be a major breach of the agreement and may involve recourse to legal proceedings. APHRC will maintain and share with partner data archives a register of those individuals and organizations which are responsible for breaching the terms of the Data Access Agreement and will impose sanctions on release of future data to these parties.
Citation requirement
African Population and Health Research Center (APHRC), Great Lakes University of Kisumu (GLUK), Family Health Options Kenya (FHOK), Marie Stopes Kenya (MSK), Center for the Study of Adolescence (CSA), Forum for African Women Educationalists (FAWE) and Christian Health Association of Kenya (CHAK). 2016. Reversing the Stall in Fertility in Western Kenya: Programme Monitoring Data,

2012-2015; Nairobi.

Metadata production

Document ID
APHRC-PWK-2016-1.0
Producers
Name Abbreviation Affiliation Role
African Population and Health Research Centre APHRC APHRC Programme Coordination
Great Lakes University of Kisumu GLUK GLUK Monitoring & Evaluation Partner
Date of Production
2016-12-07
Document version
Version 1.0