A RESEARCH PROPOSAL PRESENTED IN PARTIAL FULFILMENT FOR THE AWARD OF A DEGREE IN BACHELOR OF SCIENCE IN NURSING AT THE UNIVERSITY OF NAIROBI. TITLE: ASSESSMENT OF QUALITY OF FAMIL Y PLANNING SERVICES IN GOVERNMENT FACILITIES IN DAGORETI DISTRICT; NAIROBI. BY: ONYANGO BEATRICE MAY BSc.N IV H32/6693/01 SUPERVISOR: MRS. EUNICE.A. ODHIAMBO LECTURER; SCHOOL OF NURSING SCIENCES, THE UNIVERSITY OF NAIROBI SEPTEMBER 2006
TABLE OF CONTENTS Declaration Certificate of approval Acknowledgements Abbreviations Operational definitions Executive summary CHAPTER 1: INTRODUCTION 1.01 Introduction 1.02 Problem statement 1.03 Justification 1.04 Expected benefits 1.05 Study questions 1.06 Study objectives 1.06.1Broad objectives 1.06.2Specific objectives 1.07 Hypothesis CHAPTER II: LITERATURE REVIEW 2.01 Introduction 2.02 Previous studies 2.03 Counseling 2.04 Examination 2.05 Availability and frequency of services 2.06 Infrastructure, Resources and staff development to Support quality service provision CHAPTER III:METHODOLOGY 3.01 study design 3.02 study area 3.03study population 3.04samplng criteria 3.05 sample size determination 3.07 study instrument 3.08 pre-testing of study instrument 3.09 data recording and processing 3.1 Odata analysis and presenting 3.11 study limitation 3.12 ethical considerations GANTT CHART BUDGET REFERENCES PAGE IV V VI VII VIII IX 1 4 7 9 10 10 10 11 12 12 13 13 14 15 17 17 17 17 18 20 21 23 11
APPENDICES Appendix 1: table showing availability offamily planning services. Appendix 2: table showing frequency of availability of family planning Services. Appendix 3: letter seeking permission to conduct research. Appendix 4: research participant consent form. Appendix 5: questionnaire 111
DECLARATION I Onyango Beatrice May, hereby declare that this research is my own original work and has not been presented for any award of degree or diploma in any University. Signature: ~ Date: 0,/-/01/0k> IV
CERTIFICATE OF APPROVAL This research proposal has been submitted for examination for the degree of Bachelor of Science in nursing with my approval as a university supervisor. Signature: ~~U Mrs. Eunice A. Odhiambo Date: 0 ----~+-~r+--~ Lecturer, School of Nursing Sciences. v
ACKOWLEDGEMENTS I wish to express my gratitude and appreciation to all those who helped me in one-way or another in the development of this proposal. I wish to thank Mrs. Eunice A. Odhiambo, my lecturer and supervisor, in all her efforts to see me through. I would also like to thank the several institutions that have helped me obtain the necessary data. Your kindness is highly appreciated. VI
ABBREVIATIONS F.P IUD K.S.P.A Family Planning Intrauterine Device Kenya Service Provision Assessment K.D.H.S Kenya Demographic Health Survey NGO Non-Governmental Organization HLD FBO MOH SPSS High-Level Disinfections Faith Based Organization Ministry Of Health Statistical Package for Social Scientist Vll
OPERATIONAL Barrier method DEFINITION Mechanical barrier preventing the sperm from entering the cervical canal e.g. diaphragm, condom, and cervical cap. Contraceptive An agent used to prevent conception Counseling Face-to-face communication between a client and a health care provider to help a client make an informed reproductive choice on a contraceptive method to use with the GATHER method i.e. Greeting the client, Asking him/her what method, Telling them of the available options, Helping them make an informed choice, Explaining how its used, side effects and warning signs and giving a Return date. Examination Assessment ofthe bodily state of a client by ordinary physical means such as; inspection, palpation, percussion and auscultation. Quality Fully meeting the needs of those who need the services Most at the lowest cost to both the organization and the individual within the limits and directive set by the higher authority. Unintended Pregnancy Conception occurring without the intention of a person who is taking precaution against getting pregnant Vlll
EXECUTIVE SUMMARY The KDHS 2003 shows that the contraceptive prevalence rate has stagnated at around 39% between 98 and 2003. Providing high quality FP services require the adoption of sound evidence based knowledge and principles of practice 13 The objectives ofthis study will be to assess the quality offp services being offered in government service delivery points in Dagoreti district, Nairobi province. This is a descriptive cross-sectional study design. A standard pre tested closed ended questionnaire will be used to collect data. Simple random sampling will be used to select the participants. Trained research assistants will assist to carry out the study. The study is expected to take 15 weeks at a cost of Kshs. 162118. The data obtained will analyzed using SPSS. The analyzed data will be useful in giving recommendations for adjustments of quality family planning service delivery in Kenya. This information will be made available to hospitals, health centers, dispensaries and maternities. IX