An Interfaith Approach to Delivering Family Planning Services to Underserved Populations in Kenya

Kenya has made significant strides in family planning (FP), exceeding its FP2020 commitment with a 61% modern contraceptive prevalence rate (mCPR) nationally.1 However, substantial regional disparities persist, particularly in underserved counties like Wajir, Mandera, Marsabit, Garissa, and Isiolo, where mCPR can be as low as 2%.1 These regions face complex barriers including entrenched socio-cultural norms, a strong desire for large families, patriarchal decision-making, high poverty, illiteracy, and faith-motivated opposition often stemming from misinterpretations of religious texts. Service delivery is further hampered by limited coverage, long distances to facilities, and insufficient trained personnel. Recognizing the profound influence of religious leaders as trusted community figures, Faith to Action Network (F2AN) implemented an interfaith, client-centered FP program across nine Kenyan counties from 2020-2023. This innovative approach partnered with diverse faith organizations (Muslim, Christian, Indigenous Christian) to address religious and cultural barriers. F2AN engaged 248 Faith Leaders through values clarification workshops, scriptural re-interpretation led by theologians, and FP training to dispel myths and foster positive attitudes. The program integrated faith-based Social Behavior Change and Communication (SBCC) strategies, including community dialogues, male engagement sessions, and radio broadcasts, providing scriptural backing for child spacing. Program results demonstrate significant impact: improved FP referral completion rates (e.g., Isiolo County from 75% to 87%), increased male acceptance and support for FP, and widespread awareness through faith platforms. Overall, the program reached 192,809 Women of Reproductive Age, including 20,748 adolescents and youth, and 850 persons with disabilities, providing 210,156 FP methods.2 This case study confirms the strategic role of interfaith organizations in mobilizing religious leaders to promote effective FP. The interfaith approach, by clarifying scripture and fostering a united front, offers a cost-effective, replicable, and scalable model for enhancing FP uptake in rural and underserved areas. It underscores the importance of incorporating faith and cultural leaders into national and county-level health planning structures to ensure culturally sensitive and effective service delivery.