•   Jenifer Wothaya Wambugu

  •   Dorothy Kyalo

  •   John Mbugua

  •   Regina Mutave


This study investigated access to quality services influence on performance of family planning program in Kuresoi North Sub-County, Nakuru County, Kenya. The study was founded on the theory of constraint and adopted a pragmatism paradigm. It applied descriptive research method using mixed method approach to investigate the influence of access to quality services on performance of family planning program in Kuresoi North Sub-County, Nakuru County, Kenya. The target population in the study was women of reproductive age in 33,482 households distributed in the four Wards of Kuresoi North Sub-County and 19 health management leaders in-charge of all government health facilities offering family planning services in the Sub-County. A sample size of 400 of women of reproductive age and 19 nursing officers in-charge of government health facilities was utilized. The data collection tools used were questionnaire, interview guide, and observation checklist for women of reproductive age and the interview guide for the health facility managers. The research study adopted stratified sampling method. Qualitative data was analyzed according to themes and patterns, and then summarizing the data and linking it to objectives and hypothesis. The study findings exhibited that there was a significant and strong positive individual correlation between access to quality services and performance of family planning program in Kuresoi North Sub-County. The study findings also displayed that there is a significant positive relationship between access to quality services and performance of family planning program in Kuresoi North Sub-County and it predicted the performance of family planning programmes. in Kuresoi North Sub-County.

Keywords: access to quality services, family planning program, reproductive age.


Family planning/Contraception Key facts, World Health Organization, (2018).

S. Cohen and W. Yu. Rockville, “The Concentration and persistence in the level of health expenditures over time: Estimates for the U.S. population 2009-2010,” MD: Agency for Healthcare Research and Quality; Nov, 2012.

Implementation Guideline for Kenya Quality Model of Health (KQMH) Care, Ministry of Medical services and Ministry of Public Health and sanitation, 2012.

Nepal Health Facility Survey: Key Findings, Kathmandu, Nepal, Ministry of Health, Kathmandu; New ERA, Nepal, 2015.

J. Bhatt, and P. Bathija, “Ensuring access to quality health care in vulnerable communities,” Academic Medicine: Journal of the Association of American Medical Colleges, vol 93, no 9, pp 1271–1275, 2018.

H. Daniel, and L. S. Sulmas, “Policy Recommendations to Guide the Use of Telemedicine in Primary Care Settings,” for the Health and Public Policy Committee of the American College of Physicians: An American College of Physicians Position Paper, Ann Intern Med, 2015, 163, pp 787–789.

L. Mwaikambo, I. S. Speizer, A. Schurmann, G. Morgan, and F. Fikree, “What works in family planning interventions: A systematic review,” Studies in family planning, vol 42, no 2, pp 67–82, 2011.

G. Nalwadda, F. Mirembe, J. Byamugisha, and E. Faxelid, “Persistent high fertility in Uganda: Young people recount obstacles and enabling factors to use of contraceptives,” BMC Public Health, 2010, 10, p 530.

Uganda Demographic and Health Survey, Uganda Bureau of Statistics (UBOS) &ICF, Kampala, Uganda and Rockville, Maryland, USA: UBOS and ICF, 2016.

K. M. Sileo, R. K. Wanyenze, H. Lule, and S. M. Kiene, "That would be good but most men are afraid of coming to the clinic: Men and women's perspectives on strategies to increase male involvement in women's reproductive health services in rural Uganda,” Journal of Health Psychology, vol 22, no 12, pp 1552–1562, 2017.

C. C. Okigbo, I. S. Speizer, M. Corroon, and A. Gueye, “Exposure to family planning messages and modern contraceptive use among men in urban Kenya, Nigeria, and Senegal: A cross-sectional study,” Reprod Health, vol 12, no 63, 2015.

R. Hong, L. Montana, and V. Mishra, “Family planning services quality as a determinant of use of IUD in Egypt,” BMC Health Services Research, vol 6, no 79, 2006.

H. Wang, M. A. Juma, N. Rosemberg, and M. M. Ulisubisya, “Universal health coverage in low-income countries: Tanzania’s efforts to overcome barriers to equitable health service access,” Universal Health Coverage Studies, World Bank, Washington, DC, 2018, 39.

M. MacLachlan, and H. Mannan, “The world report on disability and its implications for rehabilitation psychology,” Rehabilitation Psychology, vol 59, no 2, pp 117-124, 2014.

J. O. Parkhurst, S. A. Rahman, and F. Ssengooba, “Overcoming access barriers for facility-based delivery in low-income settings: insights from Bangladesh and Uganda,” Journal of Health, Population, and Nutrition, vol 24, no 4, pp 438–445, 2006.

Applying a Quality Improvement Model to Strengthen Community-based Family Planning Services in Busia District, Uganda, USAID, 2016, 1.

D. Peters, A. Garg, G. Bloom, D. G. Walker, W. R. Brieger, and M. H. Rahman, “Poverty and access to health care in developing countries,” Annals of the New York Academy of Sciences, vol 1136, pp 161-171, 2008.

J. Yao, A. T. Murray, and V. Agadjanian, “A geographical perspective on access to sexual and reproductive health care for women in rural Africa,” Social Science and Medicine, vol 96, pp 60–68, 2013.

D. R. Feikin, L. M. Nguyen, K. Adazu, M. Ombok, A. Audi, L. Slutsker, A. Kim and A. Lindblade (2009). The impact of distance of residence from a peripheral health facility on paediatric health utilisation in rural western Kenya, https://doi.org/10.1111/j.1365-3156.2008.02193.

M. Målqvist, N. Sohel, and T. T. Do, “Distance decay in delivery care utilization associated with neonatal mortality. A case referent study in northern Vietnam,” BMC Public Health, 2010, 10, p 762.

M. Campbell, “Consumer behavior and contraceptive decisions: Resolving a decades-long puzzle,” J Fam Plann Reprod Health Care, vol 32, no 4, pp 241–244, 2006.

R. O'Loughlin, and A. Kelly, “Equity in resource allocation in the Irish health service. A policy Delphi study,” Health Policy, vol 67, no 3, pp 271–280, Mar 2004.

B. L. Cameron, M. D. P. C. Plazas, A. S. Salas, and K. Hungler, “Understanding inequalities in access to health care services for aboriginal people,” Advances in Nursing Science, Vol. 37, No. 3, pp. E1–E16, 2014.

J. E. Ataguba, J. Akazili, and D. McIntyre, “Socioeconomic-related health inequality in South Africa: Evidence from general household surveys,” International Journal for Equity in Health, Vol 10, pp. 48, 2011.

A. Dougherty, A. Kayongo, S. Deans, J. Mundaka, F. Nassali, J. Sewanyana, and R. Kalyesubula, “Knowledge and use of family planning among men in rural Uganda” BMC Public Health, 2018, 18, 1294.

Uganda Family Planning Costed Implementation Plan, 2015–2020, Kampala: Ministry of Health, Uganda, 2014.

J. W. Creswell, Research Design: Qualitative, Quantitative, and Mixed Methods Approaches, 4th ed, 2014.

J. F. Molina-Azorin, “Mixed methods research: An opportunity to improve our studies and our research skills,” European Journal of Management and Business Economics, vol 25, pp 37-38, 2016.

A. Mitchell, “A review of the mixed methods, pragmatism and abduction techniques,” The Electronic Journal of Business Research Methods, vol 16, pp 103-116, 2018.

J. W. Creswell, and V. L Plano-Clark, Designing and Conducting Mixed Methods Research,2nd ed., Thousand Oaks, CA: Sage Publications, Inc, 2018.

D. L. Morgan, pragmatism as a paradigm for social research, Qualitative Inquiry, vol 20, no 8, pp 1045–1053, 2014.

C. Robson, Real World Research, Oxford, UK: Blackwell, 1993.

J. Morse, and L. Niehaus, Mixed Method Design: Principles and Procedures, Walnut Creek, CA: Left Coast Press, 2010.

T. D. Nguyen, M. Shih, D. Srivastava, S. Tirthapura, and B. Xu, "Stratified Random Sampling from Streaming and Stored Data," Electrical and Computer Engineering Conference Papers, Posters and Presentations, 2019.

S. H. Leisher, A. Sprockett, K. Longfield, and D. Montagu, “Quality Measurement in Family Planning: Past, Present,Future,” Papers from the Bellagio Meeting on Family Planning Quality, Oakland, CA: Metrics for Management, October 2015.


Download data is not yet available.


How to Cite
Wambugu, J., Kyalo, D., Mbugua, J., & Mutave, R. (2020). Influence of Access to Quality Services on Performance of Family Planning Programs in Kuresoi North Sub-County, Nakuru County, Kenya. European Journal of Business and Management Research, 5(3). https://doi.org/10.24018/ejbmr.2020.5.3.307