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Journal article
Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation
BMC women's health, Vol.21(1), pp.361-361
11 Oct 2021
PMID: 34635111
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation.
Methods
This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach.
Results
Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods.
Conclusions
The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.
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Details
- Title
- Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation
- Creators
- Hilary Schwandt - Western Washington UniversityAngel Boulware - Spelman CollegeJulia Corey - Wheaton College - MassachusettsAna Herrera - Berkeley City CollegeEthan Hudler - Whatcom Community CollegeClaudette Imbabazi - INES-RuhengeriIlia King - Xavier UniversityJessica Linus - University of Maryland, Baltimore CountyInnocent Manzi - INES-RuhengeriMadelyn Merritt - Western Washington UniversityLyn Mezier - State University of New York at OswegoAbigail Miller - Western Washington UniversityHaley Morris - Western Oregon UniversityDieudonne Musemakweli - INES-RuhengeriUwase Musekura - Eastern Oregon UniversityDivine Mutuyimana - INES-RuhengeriChimene Ntakarutimana - University of KentuckyNirali Patel - Arcadia UniversityAdriana Scanteianu - Rutgers, The State University of New JerseyGi’anna Sterling-Donaldson - Drexel UniversityChantal Umutoni - INES-RuhengeriBiganette-Evidente Shemeza - INES-RuhengeriLyse Uwera - INES-RuhengeriMadeleine Zeiler - Western Washington UniversitySeth Feinberg - Western Washington University
- Publication Details
- BMC women's health, Vol.21(1), pp.361-361
- Publisher
- BioMed Central
- Grant note
- 1852411; 1852411 / ;
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000706117000002
- Scopus ID
- 2-s2.0-85116814547
- Other Identifier
- 991021860661004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Public, Environmental & Occupational Health