دورية أكاديمية
أعرض في EDS

An examination of the barriers to and benefits from collaborative couple contraceptive use in Rwanda.

التفاصيل البيبلوغرافية
العنوان: An examination of the barriers to and benefits from collaborative couple contraceptive use in Rwanda.
المؤلفون: Schwandt H; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA. hilary.schwandt@wwu.edu., Boulware A; Spelman College, 350 Spelman Ln SW, Atlanta, GA, 30314, USA., Corey J; Wheaton College, 26 E Main St, Norton, MA, 02766, USA., Herrera A; Northwest Vista Community College, 3535 N Ellison Dr., San Antonio, TX, 78251, USA., Hudler E; Whatcom Community College, 237 W Kellogg Rd, Bellingham, WA, 98226, USA., Imbabazi C; INES, Ruhengeri, Musanze, Rwanda., King I; Xavier University, 1 Drexel Dr., New Orleans, LA, 70125, USA., Linus J; UMBC, 1000 Hilltop Cir, Baltimore, MD, 21250, USA., Manzi I; INES, Ruhengeri, Musanze, Rwanda., Merritt M; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA., Mezier L; SUNY Oswego, 7060 NY-104, Oswego, NY, 13126, USA., Miller A; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA., Morris H; Western Oregon University, 345 Monmouth Ave N, Monmouth, OR, 97361, USA., Musemakweli D; INES, Ruhengeri, Musanze, Rwanda., Musekura U; Eastern Oregon University, One University Blvd, La Grande, OR, 97850, USA., Mutuyimana D; INES, Ruhengeri, Musanze, Rwanda., Ntakarutimana C; University of Kentucky, Lexington, KY, 40506, USA., Patel N; Arcadia University, 450 S Easton Rd, Glenside, PA, 19038, USA., Scanteianu A; Rutgers, New Brunswick, NJ, USA., Shemeza BE; INES, Ruhengeri, Musanze, Rwanda., Stapleton M; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA., Sterling-Donaldson G; Drexel University, 3141 Chestnut St, Philadelphia, PA, 19104, USA., Umutoni C; INES, Ruhengeri, Musanze, Rwanda., Uwera L; INES, Ruhengeri, Musanze, Rwanda., Zeiler M; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA., Feinberg S; Western Washington University, 516 High Street, MS9118, Bellingham, WA, 98225, USA.
المصدر: Reproductive health [Reprod Health] 2021 Apr 19; Vol. 18 (1), pp. 82. Date of Electronic Publication: 2021 Apr 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101224380 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-4755 (Electronic) Linking ISSN: 17424755 NLM ISO Abbreviation: Reprod Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2004-
مواضيع طبية MeSH: Contraception Behavior* , Family Planning Services*, Contraception/*statistics & numerical data , Spouses/*psychology, Communication ; Cooperative Behavior ; Female ; Humans ; Interviews as Topic ; Male ; Rwanda ; Third-Party Consent ; Young Adult
مستخلص: Background: Supportive male involvement is strongly correlated with contraceptive use. In Rwanda, where the contraceptive prevalence rate among married women increased from 17 to 52% from 2005 to 2010, and stagnated at 53% in 2015, understanding the role of male partners in collaborative couple contraceptive use can help inform programs designed to further increase the use of contraception in Rwanda.
Methods: This study utilized qualitative methods in 2018, specifically 32 in-depth interviewers with mostly current users of modern contraceptive methods and eight focus group discussions with family planning providers-both family planning nurses and community health workers (CHWs). Respondents were from Musanze and Nyamasheke Districts, the districts with the highest and lowest modern contraceptive use, respectively, to explore the role of couple collaboration in family planning use in Rwanda. Data were analyzed using the thematic content approach in Atlas.ti (8).
Results: Findings demonstrate that some men are opposed to use of male methods of contraception, and some are opposed to any contraceptive use, which can lead to covert use. Women and providers prefer collaborative couple contraceptive use-as a result, providers advocate for and encourage male partner participation in contraceptive use. Women are most often burdened with seeking out information, initiating discussions, and sharing information discovered about contraceptive use with partners. Decision-making about contraceptive use, once discussed, can be collaborative and motivated by financial considerations. When couple contraceptive use is collaborative, benefits range from marital harmony to husband's support of sustained use through reminders about appointments, joint counseling, and support in managing side effects.
Conclusion: Family planning providers at the community and clinic levels encourage collaborative contraceptive use among couples and some Rwandan couples communicate well about family planning use. Despite the positives, women are expected to source family planning information, share that information with their male partners, seek out family planning services, and use family planning. If more Rwandan male partners accepted use, used male methods of contraception, and participated even more in the work it takes to use family planning, the potential for sustained, and even enhanced, contraceptive use in Rwanda could be realized.
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معلومات مُعتمدة: 1852411 Directorate for Social, Behavioral and Economic Sciences
فهرسة مساهمة: Keywords: Contraception; Family planning; Male involvement; Rwanda; Spousal communication
تواريخ الأحداث: Date Created: 20210420 Date Completed: 20210621 Latest Revision: 20210621
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8054403
DOI: 10.1186/s12978-021-01135-6
PMID: 33874969
قاعدة البيانات: MEDLINE
الوصف
تدمد:1742-4755
DOI:10.1186/s12978-021-01135-6