Cargando…

“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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
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
_version_ 1783372316741206016
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
work_keys_str_mv AT schwandthilarym familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT feinbergseth familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT akotiahakrofi familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT douvilletongyuan familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT gardnerelliotv familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT imbabaziclaudette familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT mcquinerin familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT mohamedmaha familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT rugoyeraalexis familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT musemakwelidiuedonne familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT nicholscliffwes familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT nyangezinellyuwajeneza familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT arizmendijoshuaserrano familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT welikaladoopashika familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT yamuragiyebenjamin familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders
AT zigoliliana familyplanninginrwandaisnotseenaspopulationcontrolbutratherasawaytoempowerthepeopleexaminingrwandassuccessinfamilyplanningfromtheperspectiveofpublicandprivatestakeholders