Insights for Provider Behavior Change from Qualitative Research in Nairobi

Source
Save the Children

In 2018, Save the Children conducted qualitative research to better understand the influence of social norms on a health worker’s decision to provide contraceptive services to adolescents.

The objective was to explore the root causes of bias via the following questions:

  • What are health workers’ attitudes and beliefs related to contraception for adolescents?
  • What individuals influence health workers’ attitudes and beliefs?
  • How are health workers’ attitudes and beliefs shaped by those influential individuals?

Data were collected in Kibera, the largest informal settlement in Nairobi, Kenya. Both clinical and non-clinical staff participated. While clinical providers (nurses, physicians, pharmacists) are direct service providers, non-clinical staff (receptionists, housekeeping staff, and security personnel) are often the first facility representatives that an adolescent interacts with. Data collection involved interactive and participatory methods to spark discussions.