Quality of Care and Contraceptive Use in Urban Kenya

摘要: CONTEXT: Family planning is highly beneficial to womens overall health particularly in developing countries. Yet much of Sub-Saharan Africa contraceptive prevalence remains low and unmet need for family high. It hypothesized that the poor quality service provision many low-income settings a barrier use but this hypothesis has not been rigorously tested. METHODS: Survey data from 3990 women were used investigate whether was associated with current modern five cities Kenya 2010. In addition audits selected facilities provider interviews conducted 260 exit clients at 126 high-volume clinics. Individual- facility-level linked according source womans method or other service. Binomial regression estimate adjusted ratios robust standard errors account clustering observations within facilities. RESULTS: Sixty-five percent reported currently using method. Providers solicitation preferences assistance selection information on side effects good treatment positively (prevalence 1.1 each); associations often stronger among younger less educated women. CONCLUSION: Efforts assist improve content counseling by providers have potential increase urban Kenya.