Reversing the Stall in Fertility Decline in Western Kenya, Programme Monitoring Data

The Reversing the Stall in Fertility Decline in Western Kenya Project, also referred to as the Packard Western Kenya Project, is a community-based family planning initiative implemented in two large western Kenyan counties: Busia and Siaya. The project was funded by the David and Lucile Packard Foundation and builds on the lessons and achievements of a demonstration project phase, which ran from November 2009 to September 2012. The demonstration project covered Busia and Siaya districts (later counties) which, as of September 2012, had an estimated total population of 1.654 million (739,000 in Busia and 915,000 in Siaya). These counties had the highest fertility rates in the country at an average total fertility rate (TFR) of 5.5 against a national TFR of 4.6. Modern contraceptive use prevalence in the two areas stood at around 32%. The Reversing the Stall in Fertility Decline in Western Kenya Project is implemented by a consortium of partners with diverse strengths. The implementation model allows partners to oversee and implement aspects of the project in which they have expertise. The consortium is led by the African Population and Health Research Center (APHRC), which coordinates all project activities. Marie Stopes Kenya (MSK) and Family Health Options Kenya (FHOK) are responsible for service delivery in Busia and Siaya respectively. The Great Lakes University of Kisumu (GLUK) is responsible for the monitoring and evaluation of project activities. The team also works in close collaboration with the Ministry of Health (MoH) at the county government and national government levels; the Centre for the Study of Adolescence (CSA), which works with youth; the Forum for Women Educationalists (FAWE) Kenya, which works with school- going youth; and the Christian Health Association of Kenya (CHAK), which works with religious leaders and groups.