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.

肯尼亚西部生育率下降停滞逆转项目（Reversing the Stall in Fertility Decline in Western Kenya Project），亦称帕卡德肯尼亚西部项目（Packard Western Kenya Project），是一项面向社区的计划生育倡议，在肯尼亚西部两大郡——布西亚（Busia）与西亚亚（Siaya）落地实施。本项目由戴维与露西尔·帕卡德基金会（David and Lucile Packard Foundation）资助，其实施依托2009年11月至2012年9月运行的示范项目阶段积累的经验与成果。该示范项目覆盖布西亚与西亚亚地区（后升格为郡级行政单位），截至2012年9月，两地预估总人口达165.4万，其中布西亚郡73.9万，西亚亚郡91.5万。上述两郡的总和生育率（total fertility rate, TFR）均值达5.5，为全国最高；同期肯尼亚全国总和生育率为4.6，两地现代避孕药具使用率约为32%。肯尼亚西部生育率下降停滞逆转项目由一支具备多元专业优势的合作伙伴联盟牵头实施，该模式允许各伙伴依托自身专长，主导并落地项目的相关模块工作。该联盟由非洲人口与健康研究中心（African Population and Health Research Center, APHRC）担任牵头方，统筹协调所有项目活动。肯尼亚玛丽·斯托普斯（Marie Stopes Kenya, MSK）与肯尼亚家庭健康选择机构（Family Health Options Kenya, FHOK）分别负责布西亚郡与西亚亚郡的计生服务交付工作；基苏木大湖大学（Great Lakes University of Kisumu, GLUK）则负责项目全流程的监测与评估工作。项目团队还与郡级及国家级卫生部门（Ministry of Health, MoH）保持密切协作，同时联动青少年研究中心（Centre for the Study of Adolescence, CSA，服务青少年群体）、肯尼亚女性教育工作者论坛（Forum for Women Educationalists, FAWE Kenya，服务在校青少年）以及肯尼亚基督教卫生协会（Christian Health Association of Kenya, CHAK，联动宗教领袖与宗教团体）开展相关工作。