Trends and socio-demographic components of modern contraceptive use among sexually active women in Rwanda: a multivariate decomposition analysis

Reproductive Health

Research

Chester Kalinda¹  Marie C. S. Ishimwe²  Kafiswe Chimpinde³  Simona J. Simona³  Million Phiri⁴ 

[1] Bill and Joyce Cummings Institute of Global Health, University of Global Health Equity, P. O. Box 6955, Kigali Heights, Plot 772 KG 7 Ave., Kigali, Rwanda;Institute of Global Health Equity Research (IGHER), University of Global Health Equity, P. O. Box 6955, Kigali Heights, Plot 772 KG 7 Ave, Kigali, Rwanda;School of Humanities and Social Sciences, University of Zambia, P. O. Box 32379, Great East Road Campus, Lusaka, Zambia;School of Humanities and Social Sciences, University of Zambia, P. O. Box 32379, Great East Road Campus, Lusaka, Zambia;School of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa;

关键词: Decomposition analysis;    Contraceptives use;    Rwanda demographic health surveys;   

DOI  :  10.1186/s12978-022-01545-0

 received in 2022-04-10, accepted in 2022-12-08,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe attainment of targets set for modern contraceptive use remains a challenge in sub-Saharan Africa. Rwanda, in its new Family Planning and Adolescent Sexual Reproductive Health/Family Planning (FP/ASRH) Strategic Plan 2018–2024 has set the attainment of a contraceptive prevalence rate (CPR) of 60% by 2024. To achieve this, identifying factors that enhance modern contraceptive use among sexually active women is critical.MethodsWe used three Rwanda Demographic Health Surveys (RDHS) datasets collected in 2010, 2015, and 2019/2020 in a multivariable decomposition analysis technique to describe trends and identify factors influencing change in modern contraceptive use among sexually active women aged 15–49 years. Results presented as coefficients and percentages took into consideration the complex survey design weighted using StataSE 17.ResultsModern contraceptive use increased from 40% in 2010 to 52.4% in 2020 among sexually active women. About 23.7% of the overall percentage change in modern contraceptive use was attributable to women’s characteristics which included women’s education levels, number of living children, and being told about family planning at health facilities. Coefficients contributed 76.26% to the change in modern contraceptive use. This change was attributed to modern contraceptive use among young women between the age of 20–24 years, women’s education level, the number of living children, changes in family size, and being visited by community health workers.ConclusionRwanda remains on course to archive its 2024 family planning targets. However, there is a need to enhance programs that target sexually active adolescents and young adults, and women from rural areas to sustain the gains made. Furthermore, continuous support of community health workers will be key in exceeding the set targets of modern contraceptive use among sexually active women in Rwanda.

【 授权许可】

CC BY   
© The Author(s) 2022

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