Prevalence and Factors Associated with Modern Contraceptive Methods Dropout among Women of Reproductive Age in Gatsibo District in Rwanda
Abstract
The use of modern contraceptive methods is important as it assists couples to give birth to the desired number of children and space pregnancies. Government of Rwanda has put much emphasis on family planning services accessibility as one of the pillars of sustainable development. The purpose of this paper was to determine the prevalence and factors associated with modern contraceptive methods dropout among reproductive age women in Gatsibo District in Rwanda. The study employed a cross-sectional research design. The target population was 122,859 women out of which a sample size of 399 women was obtained using Yamane formula. Questionnaire, focused group discussion and key informant interview were used as data collection instruments. The findings of the study showed the prevalence of family planning methods dropout in Gatsibo district was 30.1% and they were no longer using modern contraceptive methods while 69.9% are still using modern contraceptive methods. Findings also showed that pills are the most used at 37.1% followed by injectable 27.8% and lastly IUD with 13.3%. The findings further revealed that modern contraceptive drop out was significantly more among third social class (35.8%) than first social class category (13%) as the p value = 0.002. The findings similarly indicated that women in the third class social category are 4.26 times more likely to drop out modern contraceptive method compared to those women in first social class category [AOR : 4.26 ; 95%CI : 1.79 –9.92 ; P=0.001]. The paper recommended that the ministry of health to continuously work with Ministry of Public Service and Labour to ensure the increase of health care providers so that the health care are not overloaded, and they can provide high quality of services.
Keywords: Prevalence, modern contraceptive methods, modern contraceptive methods dropout and women of reproductive age
References
Ali, M., Cleland, J., and I. Shah (2012). Causes and consequences of contraceptive discontinuation: evidence from 60 Demographic and Health Surveys; Geneva: World Health Organization
Asekun-Olarinmoye, E.O., Adebimpe, W.O., Bamidele, J.O., Odu, O.O., Ojofeitimi, E.O. (2013). Barriers to use of modern contraceptives among women in an inner city area of Osogbo metropolis, Osun state, Nigeria; Int J Womens Health; 5:647
Azuike, E. C., Ikeako, L.C., Ezeobi, I., Ezebialu, I.U., Umeobika J.C., Obi K.M., Anene, J.O., Azuike, E.D. (2017). Predictors of discontinuation of contraceptive use among Nigerian women: Results of 2013 Nigeria Demographic and Health Surveys; Journal of Scientific Research and Studies; 4(7):171-176
Barden-O’Fallon, J., Speizer, I.S., Calhoun, L.M., and Meghan, C. (2012). Women’s contraceptive discontinuation and switching behavior in urban Senegal, 2010–2015; BMC Women's Health; 18:35
Belohlav, K. and Nolan, L. (2013). Unmet need and demand for smaller families in Rwanda
Nigisti Belete , Ayalnesh Zemene , Hadgay Hagos and Abere Yekoye (2018). Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia. BMC Women's Health https://doi.org/10.1186/s12905-018-0663-4
Castle, S. and Askew, I. (2015). Contraceptive discontinuation: reasons, challenges, and solutions; The Population Council; New York, US
Chola, L., McGee, S., Tugendhaft, A., Buchmann, E., Hofman, K. (2015). Scaling up to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa; 10(6)
Cleland J.G, Ndugwa R.P, Zulu, E.M. (2011). in sub-Saharan Africa: progress or stagnation? Bull World Health Organization; 89:137-43
Cox, C.L. (1982). An interaction model of client health behavior: theoretical prescription for nursing. Advances in Nursing Science 5, 41–56.
Darroch, J.E., Singh, S. (2013). Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: an analysis of national surveys. Lancet; London England; 381(9879):1756–62
Didi, B.F, Leslie, B., Grace, R., Habumugisha, L., Basinga, P., Cameron, N., Kamali, F., Ngizwenayo, E., St Fleur, J., Niyigena, P., Ngabo, F., Farmer, E.P., Rich, M.L. (2015). Motivations and constraints to family planning: a qualitative study in Rwanda’s Southern Kayonza District; Global Health: Science and Practice; 3(2)
Do, M., Kurimoto, N. (2012). Women’s Empowerment and Choice of Contraceptive Methods in Selected African Countries; International Perspective Sexual Reproductive Health
Farmer, D.B., Berman, L., Ryan, G., Habumugisha, L., Basinga, P., Nutt, C., et al. (2015). Motivations and Constraints to Family Planning: A Qualitative Study in Rwanda’s Southern Kayonza District. Global Health Science Practices; 13; 3(2):242–54
Farwa, R., Ghazia, I. (2012). Reasons for discontinuation of contraceptive methods among couples with different family size and educational status; Journal Ayub Medical Collection Abbottabad; 24(1)
Gelawdiwos, G., Nigussie, B., Kahsay, G. (2016). Prevalence and factors associated with unmet need for among the currently married reproductive age women in Shire-Enda-Slassie, Northern West of Tigray, Ethiopia: a community based cross-sectional study; Pan African Medical Journal; 23:195
Government of Rwanda, Ministry of Health (2012). Maternal and child health: policy; Kigali, Rwanda
Guttmacher Institute and UNFPA (2009). Adding It Up: The Costs and Benefits of Investing in and Maternal and Newborn Health. Updated figures at: Guttmacher Institute (2010) Facts on Investing in and Maternal and Newborn Health. Fact sheet; New York: Guttmacher.
Hubacher, D., Trussell, J. (2015). A definition of modern contraceptive methods: Contraception; 92(5):420–1.
Hussey, R. and Collis, J. (2007). Business Research; 2ndEdition, New York: Palgrave Macmillan publishers
Saunders, M., Lewis, P. and Thrornhill, A. (2009). Research Methods for Business Students; 5th Edition; New York: Pearson Education.
Singh S., Darroch, J.E., Ashford, L.S. (2014). Adding it up: the cost and benefits of investing in Sexual and Reproductive Health
Minnesota Department of Health (2013). Introduction to Family Planning; 1-3
Moreland S, Talbird S. (2006). Achieving the millennium development goals: the contribution of fulfilling the unmet need for family planning; Washington, DC
Mohamed, M.A., Cleland, J., Iqbal, H.S. (2012). Causes and consequences of contraceptive discontinuation: evidence from 60 demographic and health surveys; Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
Mufdlilah, Kanthi, A., Reza, B.J., Purnamasari, D. (2017). Drop out of acceptors based on contraceptive methods in rural and urban areas; International Journal of Sciences: Basic and Applied Research; 36(7):272-280
Muhoza, D.N., Rutayisire, P.C., Umubyeyi, A. (2013). Measuring the success of initiatives in Rwanda: a multivariate decomposition analysis
Muhoza, D.N. (2014). Excess Fertility and in Rwanda: Understanding the shift to a high contraceptive prevalence country. Utrecht University
Muhoza, DN., Broekhuis, A., and Hooimeijer, P. (2015). Demand and Unmet Need to Space Births in Rwanda: A Two-Step Analysis of Determinants; Journal of Population and Social Studies; 23(1): 57 – 72
Na, M., Jennings, L., Talegawkar, S.A, Ahmed, S. (2015). Association between women’s empowerment and infant and child feeding practices in sub-Saharan Africa: an analysis of Demographic and Health Surveys. Public Health Nutrition
National Institute of Statistics Rwanda (2016). Demographic and Health Survey [DHS] 2014/2015 Key findings; Kigali, Rwanda
Ndaruhuye DM, Broekhuis A, Hooimeijer P. (2009). Demand and unmet need for means of family limitation in Rwanda; International Perspective Sexual Reproductive Health; 122–30
OlaOlorun, F.M, Hindin, M.J. (2014). Having a Say Matters: Influence of Decision-Making Power on Contraceptive Use among Nigerian Women Ages 35–49 Years; PLOS ONE, 4:9(6):e98702
Olsen, J., Kaare, C., Murray, J., Ekbom, A. (2010). The cross-sectional study; Ed. Springer New York; Vol.1, pp. 79-79
Patton, G.C., Coffey, C., Sawyer, S.M., Viner, R.M., Haller, D.M., Bose, K., Vos, T., Ferguson, J., Mathers, C.D. (2009). Global patterns of mortality in young people: a systematic analysis of population health data. Lancet; 374:881–892
Rothman, K.J. (2012). Epidemiology: An Introduction; Oxford University Press; 53. London
Rhoune, O., Mwende, M., Stephen, A., Susan, K., Rachel, T., Marleen, T., Megan, K. (2015). Barriers to modern contraceptive methods uptake among young women in Kenya: a qualitative study; BMC Public Health; 15-118
Saunders, M., Lewis, P. and Thrornhill, A. (2009). Research Methods for Business Students; 5th Edition; New York: Pearson Education.
Singh S, Darroch J, Ashford L. (2014). Adding it up: the costs and benefits of investing in sexual and reproductive health; New York: Guttmacher Institute and United Nations Population Fund
Singh, S., Jacqueline, E., Darroch, L., Ashford, S. (2014). Adding it up: The cost and benefits of investing in Sexual and Reproductive Health
Smith R, Ashford L, Gribble J. (2009). saves lives; Population Reference Bureau; Washington, DC, USA
Sonfield, A., Hasstedt, K., Kavanaugh, M.L. and Anderson, R. (2013). The Social and Economic Benefits of Women’s Ability to Determine Whether and When to Have Children; New York: Guttmacher Institute
Tsui, O., McDonald-Mosley, R., Burke, E. (2010). and the Burden of Unintended Pregnancies; Epidemiology Review; 32(1):152-174
United Nations (2007). World Contraceptive Use 2007; New York: United Nations
United Nations, Department of Economic and Social Affairs, Population Division (2017). Model-based Estimates and Projections of Indicators 2017; New York: United Nations.
United Nations (2017). Model-based Estimates and Projections of Indicators;New York: United Nations
United States Agency of International Development (USAID)/Africa (2012). Three Successful Sub-Saharan Africa Programs: Lessons for Meeting the MDGs; Africa Bureau, USAID, Washington
Wang, W., Alva, S., Winter, R., Burgert, C. (2013). Contextual influences of modern contraceptive use among rural women in Rwanda and Nepal
Westoff, CF. (2013). The Recent Fertility Transition in Rwanda; Population Development Review; 38:169–78
World Health Organization Family (2013). Planning Fact Sheet No 351
