National Stakeholders Tackle Stalled Fertility Decline  in Kenya Business as  Unusual
The increase in contraceptive prevalence has slowed in the recent past At current fertility levels,  a woman in Kenya will...
Addressing the situation <ul><li>What caused the plateau in contraceptive prevalence? </li></ul><ul><li>What strategies co...
Expanding stakeholder involvement Symposium2008 www.cpc.unc.edu/measure Stakeholder involvement Investigators Public debat...
Areas of secondary analysis <ul><ul><li>Demographic change and contraceptive use dynamics </li></ul></ul><ul><ul><li>Socio...
Process to expand DDIU <ul><li>Stakeholder consultation to identify study topics </li></ul><ul><li>Teams of local research...
<ul><li>Advocacy:   Public awareness increased, politicians re-engaged </li></ul><ul><li>Monitoring and evaluation plannin...
<ul><li>Media coverage increased public dialogue </li></ul><ul><li>Process strengthened existing cross-organization collab...
<ul><li>Media coverage increased public access to information </li></ul><ul><li>Process strengthened existing cross-organi...
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National Stakeholders Tackle Stalled Fertility Decline in Kenya

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  • Good morning everyone and welcome to this presentation about how the tools that support data demand and information use were applied to a specific problem in Kenya. The title of my presentation is Business as Unusual: National Stakeholders Tackle Stalled Fertility Decline in Kenya.
  • National Stakeholders Tackle Stalled Fertility Decline in Kenya

    1. 1. National Stakeholders Tackle Stalled Fertility Decline in Kenya Business as Unusual
    2. 2. The increase in contraceptive prevalence has slowed in the recent past At current fertility levels, a woman in Kenya will have about 5 children on average in her lifetime Contraceptive Prevalence Rate Total Fertility Rate
    3. 3. Addressing the situation <ul><li>What caused the plateau in contraceptive prevalence? </li></ul><ul><li>What strategies could be used to increase the contraceptive prevalence rate and reverse the stagnation in fertility decline? </li></ul><ul><li>How could the government generate awareness and support for corrective actions? </li></ul>Symposium 2008 www.cpc.unc.edu/measure
    4. 4. Expanding stakeholder involvement Symposium2008 www.cpc.unc.edu/measure Stakeholder involvement Investigators Public debate about the issue Most donor-funded studies Limited International consultants with local counterparts Limited effort beyond report dissemination Secondary analysis of Kenya 1999 Service Provision Assessment <ul><li>MOH - national, provincial & district level </li></ul><ul><li>NCAPD </li></ul><ul><li>Medical community </li></ul><ul><li>Local NGOs </li></ul><ul><li>Implementing agencies </li></ul><ul><li>Donor community </li></ul><ul><li>Private sector </li></ul>Led by local academics and program staff Report dissemination Secondary analysis of Kenya 2003 Demographic and Health Survey Led by local academics and program staff Stakeholder workshops with broad press coverage led to national dialogue
    5. 5. Areas of secondary analysis <ul><ul><li>Demographic change and contraceptive use dynamics </li></ul></ul><ul><ul><li>Socioeconomic correlates of contraceptive use </li></ul></ul><ul><ul><li>Effects of infant and child mortality on fertility </li></ul></ul><ul><ul><li>Impact of HIV on fertility and contraceptive use </li></ul></ul><ul><ul><li>Trends in community-based family planning services </li></ul></ul><ul><ul><li>Effect of declining IEC efforts on contraceptive use </li></ul></ul>Symposium2008 www.cpc.unc.edu/measure
    6. 6. Process to expand DDIU <ul><li>Stakeholder consultation to identify study topics </li></ul><ul><li>Teams of local researchers conducted analyses </li></ul><ul><li>Stakeholders formulated Decision Calendar </li></ul><ul><li>Formation of Parliamentary Caucus on Reproductive Health </li></ul>Symposium2008 www.cpc.unc.edu/measure
    7. 7. <ul><li>Advocacy: Public awareness increased, politicians re-engaged </li></ul><ul><li>Monitoring and evaluation planning: Baseline indicators produced </li></ul><ul><li>Policy development: National Reproductive Health Policy revised </li></ul><ul><li>Resource allocation: Commodities line item in national budget </li></ul>Making a difference Symposium2008 www.cpc.unc.edu/measure
    8. 8. <ul><li>Media coverage increased public dialogue </li></ul><ul><li>Process strengthened existing cross-organization collaboration </li></ul><ul><li>Process provided framework for ongoing stakeholder involvement </li></ul><ul><li>Decision calendar focused attention on how to use the information </li></ul><ul><li>Secondary research identified factors that required corrective actions </li></ul>DDIU in action Symposium2008 www.cpc.unc.edu/measure
    9. 9. <ul><li>Media coverage increased public access to information </li></ul><ul><li>Process strengthened existing cross-organization collaboration </li></ul><ul><li>Process provided framework for ongoing stakeholder involvement </li></ul><ul><li>NCAPD developed clear framework for data use </li></ul><ul><li>Secondary research identified causes of the fertility decline </li></ul>Making a difference Symposium2008 www.cpc.unc.edu/measure Additional achievements:

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