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  • Title: Kenya: many women know about contraceptives, but few use them.
    Journal: Prog Hum Reprod Res; 1991; (18):5-6. PubMed ID: 12284508.
    Abstract:
    The 1989 Kenya Demographic and Health Survey found women to be well informed about contraceptive methods, yet Kenya's population growth rate is higher than India's where contraceptive knowledge is less universal. 89% of women surveyed in Kenya knew of at least 1 modern method. Contraceptives are, however, used less than one would expect given such high levels of contraceptive awareness and knowledge. A study of contraceptive use dynamics was, therefore, conducted different districts. A total 982 currently or ever-married women were interviewed. 81% knew of at least 1 method; with highest awareness of the oral pill at 71.4%, and lowest for traditional methods at 3%. Health workers and friends were identified as the most important information sources. While a full 51% were pregnant at the time of the study, only 34% had ever used contraceptives. Those opting to use selected contraceptives did do on the basis of perceived ease and safety, as well as from health worker recommendations. Most acceptors began with a contraceptive method shortly after bearing the 1st child. While varied reasons were cited for switching methods, unavailability of the 1st was the most common. Non-users offered a range of reasons including health problems, ignorance, personal and familial opposition, religion, and fatalism, among others. Steps suggested to increase the use of modern contraceptives include providing better and more education, improving living standards, information/education/communication targeted to illiterate women in rural areas, improving contraceptive supply and service quality, and providing better advice to clients regarding method suitability.
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