ArticleGlobal health action2022
Frequency and impact of long wait times for family planning in public-sector healthcare facilities in Western Kenya.
Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed.
- "It Reduces Stigma Now That the Service Is Under One Roof" Women and Provider Experiences on Factors Influencing Effective Integration of Oral PrEP Delivery in Family Planning Clinics in Kenya: A Qualitative Study.Journal of the International AIDS Society · 2026Trial
- Barriers to access and use of sexual reproductive health and human immunodeficiency virus services among adolescent girls and young women in Maputo City, Mozambique.African journal of reproductive health · 2026Article
- From silenced shock to strategic resilience: a longitudinal qualitative study of nurse residents' trajectory in coping with patient verbal abuse.Frontiers in psychology · 2026Article
- A multilevel analysis on the predictors of client satisfaction with family planning services in Ethiopia: evidence from the Ethiopian service provision assessment (ESPA) 2021/22.Global health action · 2025Article
- Comparative perceptions of wait times for family planning services among contraceptive users and mystery clients in Kisumu, Kenya: a mixed methods analysis.BMC health services research · 2025Article
- Exploring client satisfaction and determinants of family planning services at public health facilities in Debre Tabor town, Northwest Ethiopia: a mixed-method study.Frontiers in reproductive health · 2025Article
- Article
- "COVID-19 affected me greatly (sigh), imagine I'm being called a mother and yet I'm also a child": the effect of COVID-19 on fertility management practices among women in Nairobi and Kisumu cities, Kenya.Frontiers in global women's health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundLong wait times for family planning services are a barrier to high quality care and client satisfaction. Existing literature examining family planning wait times has methodological limitations, as most studies use data collected during exit interviews, which are subject to recall, courtesy, and selection bias.
objectiveWe sought to employ a mixed methods approach to capture the prevalence, length, causes, and impacts of wait times for family planning services in Western Kenya.
methodsWe used mystery clients, focus groups, key informant interviews, and journey mapping workshops to measure and describe family planning wait times. Fifteen mystery clients visited 60 public-sector facilities to quantitatively capture wait times. We conducted eight focus group discussions with 55 current or former family planning clients and 19 key informant interviews to understand facility-level barriers to family planning and feasible solutions. Finally, we visualized the process of seeking and providing family planning with journey mapping workshops with nine clients and 12 providers.
resultsMystery clients waited, on average, 74 minutes to be seen for family planning services. In focus group discussions and key informant interviews, three themes emerged: the nature of wait times, the impact of wait times, and how to address wait times. Clients characterized long wait times as a barrier to achieving their reproductive desires. Key informants perceived provider shortages to cause long wait times, which reduced quality of family planning services. Both providers and family planning clients suggested increasing staffing or offering specialization to decrease wait times and increase quality of care.
conclusionOur mixed methods approach revealed that wait times for family planning services were common, could be extensive, and were viewed as a barrier to high quality of care by clients, providers, and key informants. Across the board, participants felt that addressing workforce shortages would enhance service delivery and thus promote reproductive autonomy among women in Kenya.
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