{"doc_desc":{"title":"PWK Phase II","idno":"APHRC-PWK-2016-1.0","producers":[{"name":"African Population and Health Research Centre","abbreviation":"APHRC","affiliation":"APHRC","role":"Programme Coordination"},{"name":"Great Lakes University of Kisumu","abbreviation":"GLUK","affiliation":"GLUK","role":"Monitoring & Evaluation Partner"}],"prod_date":"2016-12-07","version_statement":{"version":"Version 1.0"}},"study_desc":{"title_statement":{"idno":"APHRC-PWK-2016-1.0","title":"Reversing the Stall in Fertility Decline in Western Kenya","sub_title":"Programme Monitoring Data","alt_title":"PWK II"},"authoring_entity":[{"name":"African Population and Health Research Centre","affiliation":"APHRC"}],"oth_id":[{"name":"David & Lucile Packard","affiliation":"Packard Foundation","email":"","role":"Programme Funder"},{"name":"Sahlu Haile","affiliation":"Packard Foundation","email":"","role":"Programme Officer Sub Sahara Africa"},{"name":"Dr. Alex Ezah","affiliation":"African Population and Health Research Centre","email":"","role":"Programme Coordination"},{"name":"Dr. Chimaraoke Izugbara","affiliation":"African Population and Health Research Centre","email":"","role":"Programme Coordination"},{"name":"Michael Mutua","affiliation":"African Population and Health Research Centre","email":"","role":"Programme Coordination"},{"name":"Sherine Adhiambo","affiliation":"African Population and Health Research Centre","email":"","role":"Programme Coordination"},{"name":"Prof. Richard Muga","affiliation":"Great Lakes University of Kisumu","email":"","role":"Programme Monitoring & Evaluation"},{"name":"Prof. Gonzo Mayasi","affiliation":"Great Lakes University of Kisumu","email":"","role":"Programme Monitoring & Evaluation"},{"name":"Aringo Kandie","affiliation":"Great Lakes University of Kisumu","email":"","role":"Programme Monitoring & Evaluation"},{"name":"Amos Simpano","affiliation":"Family Health Options Kenya","email":"","role":"Programme Implementation"},{"name":"Ndenga Indagala","affiliation":"Family Health Options Kenya","email":"","role":"Programme Implementation"},{"name":"Henry Anyona","affiliation":"Family Health Options Kenya","email":"","role":"Programme Implementation"},{"name":"Mori Ogambi","affiliation":"Family Health Options Kenya","email":"","role":"Programme Implementation"},{"name":"Lilian Omollo","affiliation":"Marie Stopes Kenya","email":"","role":"Programme Implementation"},{"name":"Jenipher Abonyo","affiliation":"Marie Stopes Kenya","email":"","role":"Programme Implementation"},{"name":"Jacob Khaoya","affiliation":"Marie Stopes Kenya","email":"","role":"Programme Implementation"},{"name":"Julia Mayersohn","affiliation":"Marie Stopes Kenya","email":"","role":"Programme Implementation"},{"name":"Jacob Ochieng","affiliation":"Centre for the Study of Adolescence","email":"","role":"Programme Implementation"},{"name":"Maureen Ayimba","affiliation":"Centre for the Study of Adolescence","email":"","role":"Programme Implementation"},{"name":"Albert Obbuyi","affiliation":"Centre for the Study of Adolescence","email":"","role":"Programme Implementation"},{"name":"Teresa Otieno","affiliation":"Forum for African Women Educationalists","email":"","role":"Programme Implementation"},{"name":"Isabel Naibei","affiliation":"Forum for African Women Educationalists","email":"","role":"Programme Implementation"},{"name":"Jane Kishoyian","affiliation":"Christian Health Association of Kenya","email":"","role":"Programme Implementation"},{"name":"Dr. Omondi Owino","affiliation":"Ministry of Health KENYA","email":"","role":"Siaya County Director of Health"},{"name":"Dr. Julius Oliech","affiliation":"Ministry of Health KENYA","email":"","role":"Siaya County Deputy Director of Health"},{"name":"Dr. Rachel Omamo","affiliation":"Ministry of Health KENYA","email":"","role":"Siaya Sub-County Medical Officer of Health"},{"name":"July Odingo","affiliation":"Ministry of Health KENYA","email":"","role":"Siaya Sub-County Public Health Nurse"},{"name":"Dr. Alphonce Uyara","affiliation":"Ministry of Health KENYA","email":"","role":"Rarieda Sub-County Medical Officer of Health"},{"name":"Assumpta Matekwa","affiliation":"Ministry of Health KENYA","email":"","role":"Busia County Reproductive Health Coordinator\/Chief County Nurse"},{"name":"Bernard Juma","affiliation":"Ministry of Health KENYA","email":"","role":"Teso South Sub-County Reproductive Health Coordinator"},{"name":"Taphrosa Peru","affiliation":"Ministry of Health KENYA","email":"","role":"Butula Sub-County Reproductive Health Coordinator"},{"name":"Phelgona Otieno","affiliation":"Ministry of Health KENYA","email":"","role":"Samia Sub-County Public Health Nurse"},{"name":"Vincent Wadera","affiliation":"Ministry of Health KENYA","email":"","role":"Bunyala Sub-County Medical Officer of Health\/Reproductive Health Coordinator"},{"name":"Dr. Maurice Simiyu","affiliation":"Ministry of Health KENYA","email":"","role":"Busia Cabinet Minister of Health"},{"name":"Dr. Melsa Lutomia","affiliation":"Ministry of Health KENYA","email":"","role":"Busia County Director of Health"},{"name":"James Kuya","affiliation":"Ministry of Health KENYA","email":"","role":"Busia County Health Records Manager"},{"name":"David Wangila","affiliation":"Ministry of Health KENYA","email":"","role":"Siaya County Health Records Manager"},{"name":"Dr. Kibaru Mbae","affiliation":"National Council for Population Development","email":"","role":"Director General"},{"name":"Dr. Patrick Amoth","affiliation":"Ministry of Health KENYA","email":"","role":"Head of Division of Family Health"},{"name":"Fatuma Dubow","affiliation":"Ministry of Health KENYA","email":"","role":"Programme Officer Division of Reproductive Health"}],"production_statement":{"producers":[{"name":"Chimaraoke Izugbara","affiliation":"African Population and Health Research Centre","role":"Principal Investigator"},{"name":"Richard Muga","affiliation":"Great Lakes University of Kisumu","role":"Principal Investigator"}],"copyright":"\u00a9 APHRC, 2016","funding_agencies":[{"name":"David & Lucile Packard Foundation","abbreviation":"DLPF","role":"Funder"}],"grant_no":"2012-38124"},"series_statement":{"series_name":"Statistical Info. & Monitoring Prog. [hh\/simpoc]","series_info":"PWK wave 2 monitoring data"},"version_statement":{"version_date":"2016-12-07"},"holdings":[{"text":"","location":"","callno":"","uri":"doi:10.20369\/aphrc-035:2017.1.01"}],"study_info":{"keywords":[{"keyword":"Modern Contraceptives","vocab":"","uri":""},{"keyword":"Family Planning","vocab":"","uri":""},{"keyword":"Reproductive Health","vocab":"","uri":""},{"keyword":"Family planning method switching","vocab":"","uri":""}],"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.\n\nThe 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:\n\n      i) Capacity-building through the training of service providers, peer educators, religious leaders, Community Health Volunteers (CHVs) and community members\n\n     ii) Delivery of family planning (FP) services   at community facilities and through   outreach activities.\n\n     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\n\n    iv) Advocacy, policy engagement and influencing policy through advocacy meetings and distribution of advocacy materials\n\n     v) Monitoring, documenting and disseminating the project's achievements, lessons and best practices.","coll_dates":[{"start":"2012-10-04","end":"2015-11-30","cycle":""}],"nation":[{"name":"KENYA","abbreviation":"KEN"}],"geog_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","analysis_unit":"Household individuals & facility family planning clients","universe":"Women 15-49 and Men 15-59","notes":"The  project's long-term  goal  is to  improve  general  health  status in the  target  communities through  reducing  unwanted and  mistimed  pregnancies, unsafe  and  illegal abortions, maternal morbidity and mortality, and the fertility rate. The medium-term goals were to:\n\n\n\na) Increase routine use of modern contraceptive methods among women of reproductive age by eight percentage points during a three-year period; and\n\n\n\nb) Reduce the preferred family size and influence fertility intentions among women and men. These goals were to be achieved through:\n\n\n\ni) Improved supply of FP services at community and facility levels through community-based\n\nFP distribution by CHVs and mobile outreach services;\n\n\n\nii) Generating demand for FP services through effective community mobilization and outreach activities and the distribution of IEC materials;\n\n\n\nc) Advocating for a supportive  policy environment for FP programs through championing more resource allocation of the county health budget to FP and empowering  communities to reject socio-cultural norms promoting early marriage and preference for large family sizes; and\n\n\n\nd) Monitoring and dissemination of the project's achievements and lessons learned at the county and national levels.\n\n\n\nThe project was implemented by a consortium of partners with strengths in different areas of approach. A clear  implementation  model  was  designed to  guide  the  partners'  work and engagement (both within and outside  the consortium) and to provide a clear set of distinct roles and  responsibilities  aimed  at achieving  the  same  goals  but  tailored to partners'  strengths to avoid duplication of effort. \n\n\n\nThe project activities were implemented by different partners within the consortium. Each partner had specific roles, all geared towards achieving a common objective: increasing the uptake of family planning\/reproductive health (FP\/RH) services at the community level. APHRC was in charge of the overall coordination of partners' activities. MSK and  FHOK delivered  services to all the  women  and  men  of reproductive age  in Busia  and  Siaya counties, respectively,  at the community  level through  CBD or facility and  outreach clinics. CHAK delivered FP services to and through religious groups. The Division of Reproductive Health (DRH) and the Division of Community Health Services (DCHS) in the Ministry of Health, Government of Kenya, were involved in the service quality assessment for services provided by the project partners to ensure they were up to standard and in line with community strategy.\n\n\n\nThe provision of information in order to create demand involved community sensitization on various FP\/RH services.  MSK and FHOK conducted sensitization of all women of reproductive age, men aged 15-59 years and youth in organized groups. CSA educated in- and out-of- school youths aged 15-24 years on adolescent sexual and reproductive health (ASRH). CHAK sensitized  religious groups  on RH issues  while Forum for African Women Educationalists (FAWE) educated school  going adolescent girls about  adolescent sexual and  reproductive health and rights (ASRHR).\n\n\n\nCapacity-building activities included training service providers to deliver high-quality FP services and to conduct sensitization, counseling and referrals. All implementing partners were involved in capacity building. CHAK trained religious leaders, Community Health Volunteers and service providers. CSA trained youth, youth service providers and Community Health Volunteers. FAWE trained adolescent girls, teachers and parents. FHOK and MSK trained Community Health Volunteers and volunteers, and service providers.  FHOK also conducted targeted training for youth using the Magnet Theater Group.\n\n\n\nAll partners played a role in monitoring and dissemination, led by GLUK. This involved designing data  collection  tools  and  monitoring  information  systems (MIS), data  collection,  data  entry, and data  analysis and interpretation.  These results were disseminated in various stakeholders' meetings workshops and conferences. Led by APHRC, all partners were also tasked with advocacy and policy engagement. Generally, advocacy and policy engagement and knowledge translation involved conducting meetings with policymakers in the counties to share evidence and to attempt to inform certain policy shifts in favor of family planning.","study_scope":"The  project's long-term  goal  is to  improve  general  health  status in the  target  communities through  reducing  unwanted and  mistimed  pregnancies, unsafe  and  illegal abortions, maternal morbidity and mortality, and the fertility rate. The medium-term goals were to:\n\n\n\na) Increase routine use of modern contraceptive methods among women of reproductive age by eight percentage points during a three-year period; and\n\n\n\nb) Reduce the preferred family size and influence fertility intentions among women and men. These goals were to be achieved through:\n\n\n\ni) Improved supply of FP services at community and facility levels through community-based\n\nFP distribution by CHVs and mobile outreach services;\n\n\n\nii) Generating demand for FP services through effective community mobilization and outreach activities and the distribution of IEC materials;\n\n\n\nc) Advocating for a supportive  policy environment for FP programs through championing more resource allocation of the county health budget to FP and empowering  communities to reject socio-cultural norms promoting early marriage and preference for large family sizes; and\n\n\n\nd) Monitoring and dissemination of the project's achievements and lessons learned at the county and national levels.\n\n\n\nThe project was implemented by a consortium of partners with strengths in different areas of approach. A clear  implementation  model  was  designed to  guide  the  partners'  work and engagement (both within and outside  the consortium) and to provide a clear set of distinct roles and  responsibilities  aimed  at achieving  the  same  goals  but  tailored to partners'  strengths to avoid duplication of effort. \n\n\n\nThe project activities were implemented by different partners within the consortium. Each partner had specific roles, all geared towards achieving a common objective: increasing the uptake of family planning\/reproductive health (FP\/RH) services at the community level. APHRC was in charge of the overall coordination of partners' activities. MSK and  FHOK delivered  services to all the  women  and  men  of reproductive age  in Busia  and  Siaya counties, respectively,  at the community  level through  CBD or facility and  outreach clinics. CHAK delivered FP services to and through religious groups. The Division of Reproductive Health (DRH) and the Division of Community Health Services (DCHS) in the Ministry of Health, Government of Kenya, were involved in the service quality assessment for services provided by the project partners to ensure they were up to standard and in line with community strategy.\n\n\n\nThe provision of information in order to create demand involved community sensitization on various FP\/RH services.  MSK and FHOK conducted sensitization of all women of reproductive age, men aged 15-59 years and youth in organized groups. CSA educated in- and out-of- school youths aged 15-24 years on adolescent sexual and reproductive health (ASRH). CHAK sensitized  religious groups  on RH issues  while Forum for African Women Educationalists (FAWE) educated school  going adolescent girls about  adolescent sexual and  reproductive health and rights (ASRHR).\n\n\n\nCapacity-building activities included training service providers to deliver high-quality FP services and to conduct sensitization, counseling and referrals. All implementing partners were involved in capacity building. CHAK trained religious leaders, Community Health Volunteers and service providers. CSA trained youth, youth service providers and Community Health Volunteers. FAWE trained adolescent girls, teachers and parents. FHOK and MSK trained Community Health Volunteers and volunteers, and service providers.  FHOK also conducted targeted training for youth using the Magnet Theater Group.\n\n\n\nAll partners played a role in monitoring and dissemination, led by GLUK. This involved designing data  collection  tools  and  monitoring  information  systems (MIS), data  collection,  data  entry, and data  analysis and interpretation.  These results were disseminated in various stakeholders' meetings workshops and conferences. Led by APHRC, all partners were also tasked with advocacy and policy engagement. Generally, advocacy and policy engagement and knowledge translation involved conducting meetings with policymakers in the counties to share evidence and to attempt to inform certain policy shifts in favor of family planning."},"method":{"data_collection":{"sampling_deviation":"Not Applicable","coll_mode":"Face-to-face [f2f]","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.","act_min":"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.","weight":"Not Applicable","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.\n\n\n\nThe 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","method_notes":"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."},"analysis_info":{"response_rate":"Not Applicable","sampling_error_estimates":"Not Applicable"}},"data_access":{"dataset_use":{"contact":[{"name":"Head of Statistics and Surveys Unit","affiliation":"APHRC","email":"datarequests@aphrc.org","uri":"www.aphrc.org"}],"cit_req":"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,\n\n2012-2015; Nairobi.","conditions":"The user agrees to comply with the following conditions: \n\n1.\tAccess to the restricted data will be limited to the Lead Researcher and other members of the research team listed in this request.\n\n2.\tCopies 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.\n\n3.\tThe 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.\n\n4.\tThe 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.\n\n5.\tThe 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.\n\n6.\tThe 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.\n\n7.\tAny 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.\n\n8.\tAn 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>).\n\n9.\tAPHRC and the relevant funding agencies bear no responsibility for use of the data or for interpretations or inferences based upon such uses.\n\n10.\tThis 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.\n\n11.\tIf 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.\n\nBreaches 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.","disclaimer":"The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses."}}}}