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Determinants of modern contraceptive utilization in urban slums of Kigali, Rwanda
박린지,( William Rutagengwa ),( Junghye Hwang ),( Dongwoon Han ) 한국모자보건학회 2019 한국모자보건학회 학술대회 연제집 Vol.2019 No.2
Purpose: Rwanda is considered the most densely populated country in Africa with 416 people per square kilometer. Population control has been on the Rwandan government’s agenda since 1981. With limited resources and an increase in population, the government first formulated a national population policy to limit the size of families by providing all children with access to primary and secondary education in 2003. Unfortunately, this plan was never successful because family planning services were not mentioned nor promoted due to the assumption that with improved education there would be a stimulation among families for the need for family limitation. This catches the attention of many researchers to further question those with a low tendency to use family planning services when provided. This is a crucial topic in the Public Health sector because it shows the importance of finding out the factors that determine the utilization of modern contraceptive utilization among women in developing countries such as Rwanda. The purpose of the study was to assess the determinants of modern contraceptive prevalence among reproductive women in Kigali city slums. Methods: A cross-sectional study using a structured questionnaire was conducted among 384 women of reproductive ages of 15-49years old who had visited the Kinyinya Health Center in Gasabo district, Kigali, Rwanda. The data was collected through 5 trained nursing lecturers from Kigali Health Institute. The collected data was then analyzed using SPSS version 21 and chi-square and binary logistic regression models were used to predict the association of study variables. Results: Among the observed subjects, 76.4% of women(265) of reproductive age in Kigali used modern contraceptive and among those, 77.2% of women(129) had knowledge of the utilization of modern contraceptive. Education, partner communication, and perceived need for family planning are key determinants for modern contraceptive use. Statistically significant factors of the use of modern contraceptive utilization include marital status, the number of children, satisfaction, knowledge on family planning services and the perception of modern contraceptive methods (p-value less than 0.05). Conclusion: Although the utilization of modern contraceptives seems high in this study, 54.3% of women(182) do not have the regularity of family planning information. Women received the highest source of information through radios(45.1%) and the lowest were community meetings(2.5%). The continuity of the utilization in modern contraceptive is key to a successful family planning policy. This shows that with the right method of promotion and rectifying the method of delivering information on family planning, family planning services could be successful in Rwanda. This study can aid the implementation and the development of proper regulations and policies for the government to continuously enhance the promotion of modern contraceptive methods among the women on a regional and national level.
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