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Involving the Private Sector in Increasing Access to and Utilization of Family Planning: Experiences from Kenya. Walter Shikuku Odhiambo, Marie Stopes Kenya Kigali 2010. Country FP Context. Population: 40 million (75% Rural) Population growth rate: 2.8%, GDP growth rate: 11%
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Involving the Private Sector in Increasing Access to and Utilization of Family Planning:Experiences from Kenya Walter Shikuku Odhiambo, Marie Stopes Kenya Kigali 2010
Country FP Context Population: 40 million (75% Rural) Population growth rate: 2.8%, GDP growth rate: 11% Unmet need for FP: 25% Currently not using contraception: 54.5% Rural: 57% Urban: 47%
Why Public-Private Partnerships Private sector largest contributor of funds for FP; Private sector (41.0%), Public sector (34.2%), Donor (24.1%), Other (0.7%) Significant number of providers in private sector ; Public providers (61.0%), Private providers (29.8%), Other (9.2%) Households make 57% out of pocket expenditure on FP at private providers Significant size of total HF (6,190) private provider owned; GoK Owned (52%), Private provider Owned (48%) GoK vision for healthcare: An integrated, holistic system to access FP
Innovations in Private Sector Delivery Social Franchising of FP Social Marketing Output Based Approach Peer Support Networks “voucher babies”
Success Story – the AMUA case Rural Western Kenya Built provider capacity Built CBD capacity Achieved 1.2 million CYPs Enhanced public-private relationships Joint ICC under MoPHS MoPHS-led PMCG Created strong brand of quality services
Challenges Limited regulation & coordination Limited government funding Adverse macro-economic performance Variable quality of care Disproportionate distribution of qualified personnel
Lessons Learnt Collaboration & networking works Joint training & supportive supervision enhances partnerships CBD linkage increases access Rapid scale-up
Gaps & Next steps Financial sustainability Scale-up, add services Commodity security Advocacy Institutionalisation Community Health Workers
Public-Private Partnerships rapidly expands access! Maximum Speed Allowed