Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda
IntroductionQuality of care and physical access to health facilities affect facility choice for family planning (FP). These factors may disproportionately impact young contraceptive users. Understanding which components of service quality drive facility choice among contraceptive users of all ages c...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-03-01
|
| Series: | Frontiers in Global Women's Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1117849/full |
| _version_ | 1797856079477997568 |
|---|---|
| author | Jennifer Winston Lisa M. Calhoun David Guilkey David Guilkey Peter M. Macharia Peter M. Macharia Ilene S. Speizer Ilene S. Speizer |
| author_facet | Jennifer Winston Lisa M. Calhoun David Guilkey David Guilkey Peter M. Macharia Peter M. Macharia Ilene S. Speizer Ilene S. Speizer |
| author_sort | Jennifer Winston |
| collection | DOAJ |
| description | IntroductionQuality of care and physical access to health facilities affect facility choice for family planning (FP). These factors may disproportionately impact young contraceptive users. Understanding which components of service quality drive facility choice among contraceptive users of all ages can inform strategies to strengthen FP programming for all potential users of FP.MethodsThis study uses data from Population Services International's Consumer's Market for Family Planning (CM4FP) project, to examine drivers of facility choice among female FP users. The data collected from female contraceptive users, the outlet where they obtained their contraceptive method, and the complete set of alternative outlets in select urban areas of Kenya and Uganda were used. We use a mixed logit model, with inverse probability weights to correct for selection into categories of nonuse and missing facility data. We consider results separately for youth (18–24) and women aged 25–49 in both countries.ResultsWe find that in both countries and across age groups, users were willing to travel further to public outlets and to outlets offering more methods. Other outlet attributes, including signage, pharmacy, stockouts, and provider training, were important to women in certain age groups or country.DiscussionThese results shed light on what components of service quality drive outlet choice among young and older users and can inform strategies to strengthen FP programming for all potential users of FP in urban settings. |
| first_indexed | 2024-04-09T20:33:30Z |
| format | Article |
| id | doaj.art-5c4e7534dc9f41ff80d2d2b34a4885c2 |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-04-09T20:33:30Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-5c4e7534dc9f41ff80d2d2b34a4885c22023-03-30T11:15:54ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592023-03-01410.3389/fgwh.2023.11178491117849Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and UgandaJennifer Winston0Lisa M. Calhoun1David Guilkey2David Guilkey3Peter M. Macharia4Peter M. Macharia5Ilene S. Speizer6Ilene S. Speizer7Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Economics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesCentre for Health Informatics, Computing, and Statistics, Lancaster Medical School, Lancaster University, Lancaster, United KingdomPopulation Health Unit, Kenya Medical Research Institute – Wellcome Trust Research Programme, Nairobi, KenyaCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Maternal and Child Health, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesIntroductionQuality of care and physical access to health facilities affect facility choice for family planning (FP). These factors may disproportionately impact young contraceptive users. Understanding which components of service quality drive facility choice among contraceptive users of all ages can inform strategies to strengthen FP programming for all potential users of FP.MethodsThis study uses data from Population Services International's Consumer's Market for Family Planning (CM4FP) project, to examine drivers of facility choice among female FP users. The data collected from female contraceptive users, the outlet where they obtained their contraceptive method, and the complete set of alternative outlets in select urban areas of Kenya and Uganda were used. We use a mixed logit model, with inverse probability weights to correct for selection into categories of nonuse and missing facility data. We consider results separately for youth (18–24) and women aged 25–49 in both countries.ResultsWe find that in both countries and across age groups, users were willing to travel further to public outlets and to outlets offering more methods. Other outlet attributes, including signage, pharmacy, stockouts, and provider training, were important to women in certain age groups or country.DiscussionThese results shed light on what components of service quality drive outlet choice among young and older users and can inform strategies to strengthen FP programming for all potential users of FP in urban settings.https://www.frontiersin.org/articles/10.3389/fgwh.2023.1117849/fullwillingness to travelfacility choicequality of carefamily planningKenyaUganda |
| spellingShingle | Jennifer Winston Lisa M. Calhoun David Guilkey David Guilkey Peter M. Macharia Peter M. Macharia Ilene S. Speizer Ilene S. Speizer Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda Frontiers in Global Women's Health willingness to travel facility choice quality of care family planning Kenya Uganda |
| title | Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda |
| title_full | Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda |
| title_fullStr | Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda |
| title_full_unstemmed | Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda |
| title_short | Choice of a family planning outlet in urban areas: The role of distance and quality of services in Kenya and Uganda |
| title_sort | choice of a family planning outlet in urban areas the role of distance and quality of services in kenya and uganda |
| topic | willingness to travel facility choice quality of care family planning Kenya Uganda |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1117849/full |
| work_keys_str_mv | AT jenniferwinston choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT lisamcalhoun choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT davidguilkey choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT davidguilkey choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT petermmacharia choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT petermmacharia choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT ilenesspeizer choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda AT ilenesspeizer choiceofafamilyplanningoutletinurbanareastheroleofdistanceandqualityofservicesinkenyaanduganda |