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“Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders
BACKGROUND: Rwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 2005 to 2015. METHODS: The data consist of 13 in-depth interviews conducted with...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245814/ https://www.ncbi.nlm.nih.gov/pubmed/30479830 http://dx.doi.org/10.1186/s40834-018-0072-y |
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author | Schwandt, Hilary M. Feinberg, Seth Akotiah, Akrofi Douville, Tong Yuan Gardner, Elliot V. Imbabazi, Claudette McQuin, Erin Mohamed, Maha Rugoyera, Alexis Musemakweli, Diuedonné Nichols, Cliff Wes Nyangezi, Nelly Uwajeneza Arizmendi, Joshua Serrano Welikala, Doopashika Yamuragiye, Benjamin Zigo, Liliana |
author_facet | Schwandt, Hilary M. Feinberg, Seth Akotiah, Akrofi Douville, Tong Yuan Gardner, Elliot V. Imbabazi, Claudette McQuin, Erin Mohamed, Maha Rugoyera, Alexis Musemakweli, Diuedonné Nichols, Cliff Wes Nyangezi, Nelly Uwajeneza Arizmendi, Joshua Serrano Welikala, Doopashika Yamuragiye, Benjamin Zigo, Liliana |
author_sort | Schwandt, Hilary M. |
collection | PubMed |
description | BACKGROUND: Rwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 2005 to 2015. METHODS: The data consist of 13 in-depth interviews conducted with family planning program experts in Rwanda to better understand the mechanisms for success, elucidate remaining challenges, speculate on the future of the program, and discuss potential applicability for translating aspects of the program in other settings. RESULTS: All respondents first noted the positive aspects of government will, leadership, and management of the family planning program when asked to describe the reasons for success. The challenges that loomed the largest for the program were service accessibility for rural Rwandans, adolescent access to and use of contraceptives, opposition from religious institutions, as well as inadequate human resources and funding. These challenges were openly acknowledged and are in the process of being addressed. CONCLUSION: The importance of government leadership and focus in the success of Rwanda’s family planning program was prominent. All positive aspects of the program are based upon the strong foundation the government has built and nurtured. Since innovation is welcomed and program evaluation is considered essential, the outlook for Rwanda’s family planning program is favorable. The issues that remain are common and persistent challenges for family planning programs. Other nations could learn tangible practices from Rwanda’s success and follow Rwanda’s efforts to mitigate the remaining challenges. |
format | Online Article Text |
id | pubmed-6245814 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-62458142018-11-26 “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders Schwandt, Hilary M. Feinberg, Seth Akotiah, Akrofi Douville, Tong Yuan Gardner, Elliot V. Imbabazi, Claudette McQuin, Erin Mohamed, Maha Rugoyera, Alexis Musemakweli, Diuedonné Nichols, Cliff Wes Nyangezi, Nelly Uwajeneza Arizmendi, Joshua Serrano Welikala, Doopashika Yamuragiye, Benjamin Zigo, Liliana Contracept Reprod Med Research BACKGROUND: Rwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 2005 to 2015. METHODS: The data consist of 13 in-depth interviews conducted with family planning program experts in Rwanda to better understand the mechanisms for success, elucidate remaining challenges, speculate on the future of the program, and discuss potential applicability for translating aspects of the program in other settings. RESULTS: All respondents first noted the positive aspects of government will, leadership, and management of the family planning program when asked to describe the reasons for success. The challenges that loomed the largest for the program were service accessibility for rural Rwandans, adolescent access to and use of contraceptives, opposition from religious institutions, as well as inadequate human resources and funding. These challenges were openly acknowledged and are in the process of being addressed. CONCLUSION: The importance of government leadership and focus in the success of Rwanda’s family planning program was prominent. All positive aspects of the program are based upon the strong foundation the government has built and nurtured. Since innovation is welcomed and program evaluation is considered essential, the outlook for Rwanda’s family planning program is favorable. The issues that remain are common and persistent challenges for family planning programs. Other nations could learn tangible practices from Rwanda’s success and follow Rwanda’s efforts to mitigate the remaining challenges. BioMed Central 2018-11-20 /pmc/articles/PMC6245814/ /pubmed/30479830 http://dx.doi.org/10.1186/s40834-018-0072-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Schwandt, Hilary M. Feinberg, Seth Akotiah, Akrofi Douville, Tong Yuan Gardner, Elliot V. Imbabazi, Claudette McQuin, Erin Mohamed, Maha Rugoyera, Alexis Musemakweli, Diuedonné Nichols, Cliff Wes Nyangezi, Nelly Uwajeneza Arizmendi, Joshua Serrano Welikala, Doopashika Yamuragiye, Benjamin Zigo, Liliana “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title | “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title_full | “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title_fullStr | “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title_full_unstemmed | “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title_short | “Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders |
title_sort | “family planning in rwanda is not seen as population control, but rather as a way to empower the people”: examining rwanda’s success in family planning from the perspective of public and private stakeholders |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245814/ https://www.ncbi.nlm.nih.gov/pubmed/30479830 http://dx.doi.org/10.1186/s40834-018-0072-y |
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