Motivations and Constraints to Family Planning: A Qualitative Study in Rwanda’s Southern Kayonza District

Farmer, Didi Bertrand; Berman, Leslie; Ryan, Grace; Habumugisha, Lameck; Basinga, Paulin; Nutt, Cameron T; Kamali, Francois; Ngizwenayo, Elias; Fleur, Jacklin St; Niyigena, Peter; Ngabo, Fidèle; Farmer, Paul; Rich, Michael

doi:10.9745/ghsp-d-14-00198

Cited by 78 publications

(115 citation statements)

References 22 publications

(21 reference statements)

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“…) as well as in other East African countries (Farmer et al. ), and Uganda (Morse et al. ), thousands of miles away in West Africa (Otiode, Oronsaye, and Okonofua ; Richards ; Adongo et al.…”

Section: Discussionmentioning

confidence: 99%

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“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Sedlander¹,

Bingenheimer²,

Thiongo³

et al. 2018

Studies in Family Planning

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A common reason for nonuse of modern contraceptives is concern about side effects and health complications. This article provides a detailed characterization of the belief that modern contraceptives cause infertility, and an examination of how this belief arises and spreads, and why it is so salient. We conducted focus group discussions and key informant interviews in three rural communities along Kenya's eastern coast, and identified the following themes: (1) the belief that using modern contraception at a young age or before childbirth can make women infertile is widespread; (2) according to this belief, the most commonly used methods in the community were linked to infertility; (3) when women observe other women who cannot get pregnant after using modern contraceptives, they attribute the infertility to the use of contraception; (4) within the communities, the primary goal of marriage is childbirth and thus community approval is rigidly tied to childbearing; and, therefore (5) the social consequences of infertility are devastating. These findings may help inform the design of programs to address this belief and reduce unmet need.

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Section: Discussionmentioning

confidence: 99%

“…), Rwanda (Farmer et al. ), and Uganda (Morse et al. ), participants mentioned infertility along with other side effects as reasons for nonuse.…”

mentioning

confidence: 99%

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Sedlander¹,

Bingenheimer²,

Thiongo³

et al. 2018

Studies in Family Planning

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show abstract

“…A cursory search of PubMed, alone, for FPMS, yields thousands of published articles including hundreds arising from any single Low-Mid Income Country (LMIC). Several factors, methods and programs are already known including but not limited to ideas such as behavioural change motivation 21,59 , getting closer to the people 60 , and family education 61 . Other issues of barriers, generational change and provider behaviour have also been identified 62,63 .…”

Section: Implication For Further Studiesmentioning

confidence: 99%

Sexual Behaviour, Knowledge and Use of Contraceptives Among Undergraduate Students

Okpokumoku

Nwose

Nwajei

2017

Journal of Health Science Research

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The reproductive health of young adult women is integral to the well being of a society. The independence, lifestyle and sociocultural environment within an undergraduate institution predisposes to sexual behaviour that has become a serious concern in Nigeria and the global community at large. Previous studies have shown that there is significant or sufficient knowledge of contraceptives, especially among the youth in universities. This study is aimed at determining data on the sexual behaviour, knowledge and use of contraceptive, with a view to what may be known and unknown among undergraduate university students in Delta State from the contextual point. The methodology employed for this study was a narrative literature review approach. In order to guide the researcher, four composite focus of inquiry included (1) healthy and risky sexual behaviours, (2) contraception, (3) determinants of choice and use of contraceptives, and (4) knowledge and use of contraceptives among undergraduate students. The finding of this study indicates abundance of knowledge about sexual health. However, two themes are of particular mention needing further attention. Firstly, characteristics of being sexually healthy seem to be mixed up with healthy sexual behaviour. Secondly, contraception usage does not seem to match acclaimed knowledge, which translates to risky sexual behavior. How the undergraduate girls are successfully preventing pregnancies in order to maintain uninterrupted education also seems to remain a gap in the literature. Further research will benefit to provide adequate information on these two themes.

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“…Additionally, lack of appropriate remuneration as balanced with responsibilities has implications for both motivation and the quality of work among CHWs 34 . Consequently, political will and financing, including incentives to CHWs, must be addressed to ensure sustainability and scalability of CBD programs 16 , 32 , 35 …”

Section: Discussionmentioning

confidence: 99%

Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

Weidert¹,

Gessessew

Bell

et al. 2017

Glob Health Sci Pract

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Volunteer community health workers (CHWs) administered injectable contraceptives to women in the community for a small fee while providing counseling and referrals for other methods. Over nearly 3 years, more than 600 CHWs provided an estimated 15,410 injections. The model has the potential to improve sustainability of community-based distribution programs by incorporating social marketing principles to partially recover commodity costs and compensate CHWs.

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Motivations and Constraints to Family Planning: A Qualitative Study in Rwanda’s Southern Kayonza District

Cited by 78 publications

References 22 publications

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

“They Destroy the Reproductive System”: Exploring the Belief that Modern Contraceptive Use Causes Infertility

Sexual Behaviour, Knowledge and Use of Contraceptives Among Undergraduate Students

Community Health Workers as Social Marketers of Injectable Contraceptives: A Case Study from Ethiopia

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