Contraceptive use dynamics in Kenya. Further analysis of Demographic and Health Survey (DHS) data.
Despite substantial declines in fertility and increases in contraceptive adoption over the past two decades, unmet need for family planning remains high in Kenya with about one in four married women having an unmet need for family planning. This represents a major reproductive health challenge given the government’s commitment to “make available quality and sustainable family planning services to all who need them, in order to reduce the unmet needs for family planning”. It also suggests a large potential for further increases in contraceptive use. Further Analysis of Contraceptive Use Dynamics in Kenya is an effort to provide information base for future family planning programming in Kenya through a comprehensive analysis of trends in, and determinants of, contraceptive behavior in the country. The study utilizes the three waves of the Kenya Demographic and Health Surveys (KDHS) conducted in 1989, 1993, and 1998. Focusing on program relevant issues, the study examines: the evolution of family planning programs in Kenya; the quality of data on contraceptive use in the three KDHS surveys; non-users of family planning in Kenya; first use of contraception; trends and determinants of current method choice; and contraceptive discontinuation, switching, and method failure. (excerpt)