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Journal article
“… the way we welcome them is how we will lead them to love family planning.”: family planning providers in Rwanda foster compassionate relationships with clients despite workplace challenges
BMC health services research, Vol.21(1), 293
01 Apr 2021
PMID: 33794871
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background
Rwanda has markedly increased the nation’s contraceptive use in a short period of time, tripling contraceptive prevalence in just 5 years between 2005 and 2010. An integral aspect of family planning programs is the interactions between family planning providers and clients. This study aims to understand the client-provider relationship in the Rwandan family planning program and to also examine barriers to those relationships.
Methods
This qualitative study in Rwanda utilized convenience sampling to include eight focus group discussions with family planning providers, both family planning nurses and community health workers, as well as in-depth interviews with 32 experienced modern contraceptive users. Study participants were drawn from the two districts in Rwanda with the highest and lowest modern contraceptive rates, Musanze and Nyamasheke, respectively Data analysis was guided by the thematic content approach, Atlas.ti 8 was utilized for coding the transcripts and collating the coding results, and Microsoft Excel for analyzing the data within code.
Results
Data analysis revealed that, despite workplace related challenges – including inadequate staffing, training, and resources, relationships between providers and clients are strong. Family planning providers work hard to understand, learn from, and support clients in their initiation and sustained use of contraceptives.
Conclusion
Given the existing context of purposeful efforts on the part of family planning providers to build relationships with their clients, if the current level of government support for family planning service provision is enhanced, Rwanda will likely sustain many current users of contraception and engage even more Rwandans in contraceptive services in the future.
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Details
- Title
- “… the way we welcome them is how we will lead them to love family planning.”: family planning providers in Rwanda foster compassionate relationships with clients despite workplace challenges
- Creators
- Hilary M. 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 JerseyBiganette-Evidente Shemeza - INES-RuhengeriGiànna Sterling-Donaldson - Drexel UniversityChantal Umutoni - INES-RuhengeriLyse Uwera - INES-RuhengeriMadeleine Zeiler - Western Washington UniversitySeth Feinberg - Western Washington University
- Publication Details
- BMC health services research, Vol.21(1), 293
- Publisher
- BioMed Central
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000636697800002
- Scopus ID
- 2-s2.0-85103807686
- Other Identifier
- 991021860658404721
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- Collaboration types
- Domestic collaboration
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- Web of Science research areas
- Health Care Sciences & Services