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Kenya Postabortion Care Sustainability Study: A Focus on Private Nurse-Midwives

Private sector primary providers have become an important source of good quality postabortion care (PAC) services in Kenya. PRIME I and II worked in partnership with the National Nursing Association of Kenya (NNAK) and the Nursing Council of Kenya (NCK) to train and equip an estimated 200 primary level private nurse-midwives in four provinces to deliver comprehensive PAC services. The provinces include Nairobi, Rift Valley, Central and Coast provinces. Before more effort is invested in further scale-up of PAC among private providers in Kenya it is important to identify and document the key determinants of long-term sustainability of PAC services. The key expected result from this study is to identify the factors that contribute to or hinder the provision of comprehensive PAC services and outline recommendations for increasing the sustainability of PAC services offered by private sector nurse-midwives in Kenya. The study results will also inform the discussion on the further scale-up of PAC among private providers in Kenya. This study seeks to answer the key question: "What needs to be done to increase the sustainability of comprehensive PAC services offered by private nurse-midwives in Kenya, both current PAC providers and for PAC providers targeted for future scale-up?