**6. Conclusion**

Although the family planning program in Kenya appears to be doing well at the national level, experiences of women at sub-national levels suggest the need for targeted interventions to address challenges associated with contraceptive failure that might hamper the success of the program at the local levels. Interventions could include expanding the mix of available methods, provision of adequate information, improving counseling, as well as addressing health system factors that impede the provision of quality care such as limited staff skills, staff availability, inadequate supplies, and lack of or faulty equipment for administering longacting and permanent methods.
