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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Getting to 70%: Barriers to modern contraceptive use for women in Rwanda
International Journal of Gynecology and Obstetrics, Volume 123, No. SUPPL.1, Year 2013
Notification
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Description
Objective To identify reasons for non-use of modern family planning in Rwanda, to examine specific barriers to contraception, and to explore psychosocial factors influencing modern contraceptive use. Methods In total, 637 in-union, parous, and non-pregnant women aged 21-49 years participated in a cross-sectional community-based survey in 5 districts. In-depth interviews (IDIs) were conducted with 54 women and 27 male partners. Multivariate logistic regression examined correlates of current non-use. IDI transcripts were analyzed independently and compared thematically with survey findings. Results Overall, 50% of survey respondents were using a modern method. Fertility- and partner-related variables were key correlates of non-use. The most commonly reported reasons for non-use were related to perceived fecundity. Men were mostly supportive of contraceptive use and had an important role in a woman's decision to use contraception. Women's IDIs revealed misperceptions about fertility leading to gaps in contraceptive coverage, particularly postpartum. Those IDIs also highlighted how provider practices, including screening for pregnancy through direct observation of menses, may hamper contraceptive use. Conclusion Programmatic recommendations include increasing information efforts aimed at men; developing effective messages about postpartum risk of pregnancy and training providers on postpartum contraceptive eligibility and needs; and reinforcing use of alternative pregnancy-screening methods. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Brunie, Aurélie
United States, Durham
Research Triangle Park
Tolley, Elizabeth Ellen
United States, Durham
Fhi 360
Ngabo, Fidèle
Rwanda, Kigali
Ministry of Health
Wesson, Jennifer
United States, Durham
Fhi 360
Chen, Mario
United States, Durham
Fhi 360
Statistics
Citations: 69
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1016/j.ijgo.2013.07.005
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Qualitative
Quantitative
Study Locations
Rwanda
Participants Gender
Male
Female