Advocating with Data and Deference to Stakeholders: Increasing Community Access to Injectable Contraceptives in Kenya
This case study describes the advocacy approach behind the Government of Kenya’s decision to allow community-based distribution of injectable contraceptives by community health workers. This decision to amend Kenya’s national family planning guidelines was formalized in a policy circular, which was jointly signed in November 2012 by the Director of Public Health and Sanitation and the Director of Medical Services. The amendment is the culmination of a focused advocacy strategy facilitated by the Advance Family Planning initiative and its lead Kenya partner, Jhpiego. Advocacy efforts relied heavily on disseminating evidence of the safety and effectiveness of the provision of injections by community health workers and by galvanizing support from medical, nursing, and midwifery leaders. This case study is part of a series to showcase the advocacy activities behind a “quick win” or policy advancement.