Findings from a mixed-methods journey map study of barriers to family planning in western Kenya.

Our objective was to map and prioritize barriers to high-quality family planning care in western Kenya. We conducted key informant interviews ( n  = 19); focus group discussions with clients ( n  = 55); mystery client visits ( n  = 180); unannounced visitors ( n  = 120); and direct observation of client-provider interactions ( n  = 256) at public facilities offering family planning. We synthesized the data into a client and a provider journey map, which we used to facilitate client ( n  = 9) and provider ( n  = 12) discussions. For both groups, stockouts were frequent, impactful, and important barriers. Clients also reported male partner resistance, insufficient counseling, and informal fees were priority barriers.