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Findings from a mixed-methods journey map study of barriers to family planning in western Kenya

Bibliographic Data

ID15217531
AuthorsLaura E Britton (0000-0003-4051-3751, Columbia University School of Nursing, New York City, New York, USA, corresponding author), Katherine Tumlinson (0000-0001-8314-8219, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA), Christopher R Williams (0000-0002-4925-869X, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA), Debborah Muthoki Wambua (0000-0003-0670-5848, Innovations for Poverty Action-Kenya, Nairobi, Kenya), Dickens Onyango (0000-0002-1634-0531, Kisumu County Department of Health, Kisumu, Kenya), Elise Mantell (0000-0001-5867-0902, Columbia University School of Nursing, New York City, New York, USA), Maureen George (0000-0001-9234-7842, Columbia University School of Nursing, New York City, New York, USA)
Year2022
Volume45
Issue1
Pages144-160
Publication date2022-11-17
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueHealth Care For Women International (JOURNAL)
Journal identifiersISSN: 0739-9332 • E-ISSN: 1096-4665
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2022.2135097
PMID36394947
OpenAlexW4309183496
LanguageEN
References cited37

Our objective was to map and prioritize barriers to high-quality family planning care in western Kenya. We conducted key informant interviews ( n = 19); focus group discussions with clients ( n = 55); mystery client visits ( n = 180); unannounced visitors ( n = 120); and direct observation of client-provider interactions ( n = 256) at public facilities offering family planning. We synthesized the data into a client and a provider journey map, which we used to facilitate client ( n = 9) and provider ( n = 12) discussions. For both groups, stockouts were frequent, impactful, and important barriers. Clients also reported male partner resistance, insufficient counseling, and informal fees were priority barriers

Business · Environmental health · Family medicine · Focus group · Library science · Medical education · Population · Adolescent Sexual and Reproductive Health · Child and Adolescent Health · Global Maternal and Child Health · Medicine · Nursing · Psychology

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Citation velocityhistorical
Highly citedNo
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