Kenya Service Provision Assessment 2004: Maternal and Child Health, Family Planning and STIs

The 2004 Kenya Service Provision Assessment survey (KSPA) was conducted in a representative sample of 440 health care facilities throughout Kenya including those managed by government, nongovernmental organizations, private for-profit, and faith-based organizations. The survey assessed the strengths and weaknesses of the infrastructure and systems supporting maternal and child health, family planning, and communicable diseases. The SPA showed severe deficits in health system infrastructure with only half of facilities having regular electricity or back-up generators and only one-fourth having a regular year-round water supply. Family planning, child health services, STI treatment, and antenatal care are available in over 75 percent of facilities, but only one-third of facilities provide normal childbirth services. Less than one-half of facilities provide any TB services, and only 27 percent follow the Directly Observed Treatment Short-Course (DOTS) strategy. Observation of client-provider consultations show significant lapses in quality, especially: adherence to Integrated Management of Childhood Illnesses (IMCI) and counseling pregnant women about warning signs during pregnancy and postpartum family planning. Infection control is below standard in all service areas.

For the full report go to:http://www.measuredhs.com/pubs/pdftoc.cfm?ID=561