Family planning in Kenya’s coastal counties of Kilifi, Kwale, and Mombasa has witnessed a groundbreaking transformation, thanks to innovative technological solutions. Previously characterized by high fertility rates, these regions are now embracing modern approaches to contraceptive management, signaling a new era in reproductive health.
One of the pivotal advancements is the adoption of the Integrated Logistics Management Information System (iLMIS), a digital tool developed by the Kenya Medical Supplies Authority (KEMSA) with support from UNFPA, the National Council for Population and Development (NCPD), and the Division of Reproductive and Maternal Health (DRMH-MoH). iLMIS has streamlined the management and distribution of contraceptives, tracking stock levels in real-time to prevent stockouts and ensure continuous access to essential commodities.
Addressing Supply Chain Challenges
Kwale County has implemented automated systems and electronic proof of delivery to tackle pilferage and inefficiencies in drug distribution. This innovation ensures that family planning services are consistently available. “In partnership with KEMSA, Kwale County trialed drone deliveries of medical supplies, including contraceptives, to remote areas,” stated Dr. Francis Gwama, the Health CEC for Kwale County. “Each drone can carry up to four kilograms, ensuring timely delivery and reducing logistical challenges.”
Kwale County has also targeted a reduction in teenage pregnancy rates from 15% to 10% by addressing cultural barriers and misconceptions about family planning. The prevalence of contraceptive use in the county now stands at 54%, just three percentage points shy of the national average of 57%.
Real-Time Inventory Management
The integration of iLMIS with the Kenya Health Information System (KHIS) has further transformed inventory management. Facilities like Kwale Sub-County Hospital now update monthly consumption reports digitally, with data synchronized directly to iLMIS. This eliminates manual data transfer and reduces turnaround times, improving the efficiency of the supply chain.
“From quantification and placing orders to reviewing data and preventing stockouts, iLMIS has been invaluable,” noted Dr. Fatia Wangala, a pharmacist at Kwale Sub-County Hospital. Real-time tracking of inventory has empowered facilities like Mtwapa Sub-County Hospital to make timely decisions. According to Dr. Terry Kamau, in charge of pharmaceutical and store supplies, the system’s real-time alerts on stock levels and expiry dates have revolutionized operations, enabling facilities to focus on delivering high-quality care.
Male Involvement and Outreach Programs
Efforts to involve men in maternal and reproductive health are also yielding results. Through partnerships and outreach programs supported by the International Centre for Reproductive Health (ICRH) and UNFPA, family planning services in Kilifi County have become more accessible. These initiatives aim to bridge cultural gaps and encourage male participation, a critical component in enhancing reproductive health outcomes.
National Progress in Family Planning
The impact of these technological interventions is reflected in national statistics. According to UNFPA, the percentage of married women using modern contraceptives has risen from 32% in 2003 to 57% in 2022, while the unmet need for family planning has dropped from 27% to 14%. By 2030, the goal is to achieve a 64% Modern Contraceptive Prevalence Rate (mCPR).
UNFPA continues to work toward this target by ensuring a reliable supply of quality contraceptives, strengthening supply chain systems, and training health workers in providing long-acting and permanent family planning methods.
The Road Ahead
As technology reshapes family planning in Kenya’s coastal counties, the integration of innovative tools like iLMIS and community-focused outreach programs is paving the way for sustained progress. By addressing cultural, logistical, and technological barriers, counties like Kilifi, Kwale, and Mombasa are setting a precedent for transforming reproductive health systems across the country.
