A new study highlights that religious beliefs, conflict, and resource limitations significantly impede the use of modern contraception among Kenyan women.
The research, conducted by the African Institute for Development Policy (AFIDEP) and led by Dr. McEwen Khundi, reveals critical gaps in Kenya’s family planning efforts. Published in BMC Public Health, the study shows that meeting Sustainable Development Goal indicator 3.7.1, which aims to address family planning needs for women aged 15–49 through modern contraceptive methods, remains a significant challenge.
“Our findings expose severe disparities in access to modern contraception across Kenya, particularly in areas affected by drought and conflict,” said Khundi. “This serves as a wake-up call for policymakers to urgently reassess and address these unmet needs.”
The study, based on Demographic and Health Surveys data, highlights that counties such as Garissa, Isiolo, Mandera, Marsabit, Tana River, Samburu, Turkana, and Wajir have low contraceptive coverage. This situation is largely due to the prioritization of survival over healthcare in resource-limited areas, compounded by inter-communal conflicts driven by competition for scarce resources.
“To improve modern contraception use in these challenging regions, an integrated approach that addresses both conflict and climate change is essential,” the report recommends.
Dr. Patrick Amoth, Director General of Health, emphasized the need for targeted interventions to bridge these regional disparities. “The difference in access to family planning services is especially pronounced in arid and semi-arid counties. Ensuring equitable access for all Kenyans is not just a goal but an urgent necessity,” he stated.
The research also extends its analysis to Nigeria and Ethiopia, where similar barriers exist in conflict-affected areas. The report notes that in northern Nigeria, misconceptions about modern contraception—such as fears of infertility or cancer, particularly among Muslim communities—contribute to low usage rates. In Ethiopia, the impact of women’s education on contraception use varies, highlighting the complexity of addressing these issues regionally.
“This study underscores that a one-size-fits-all approach is insufficient. Tailored interventions that consider the unique cultural and socio-economic contexts of each region are crucial,” Khundi concluded.
