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Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms

Between 2005 and 2020, total contraceptive use among married women in Rwanda increased from 17% to 64%. The aim of this study is to better understand how the Rwandan government’s mobilization and demand generation efforts have impacted community norms and interpersonal discourse surrounding family p...

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Autores principales: Corey, Julia, Schwandt, Hilary, Boulware, Angel, Herrera, Ana, Hudler, Ethan, Imbabazi, Claudette, King, Ilia, Linus, Jessica, Manzi, Innocent, Merrit, Madelyn, Mezier, Lyn, Miller, Abigail, Morris, Haley, Musemakweli, Dieudonne, Musekura, Uwase, Mutuyimana, Divine, Ntakarutimana, Chimene, Patel, Nirali, Scanteianu, Adriana, Shemeza, Biganette-Evidente, Sterling-Donaldson, Gi’anna, Umutoni, Chantal, Uwera, Lyse, Zeiler, Madeleine, Feinberg, Seth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989356/
https://www.ncbi.nlm.nih.gov/pubmed/35390080
http://dx.doi.org/10.1371/journal.pone.0266520
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author Corey, Julia
Schwandt, Hilary
Boulware, Angel
Herrera, Ana
Hudler, Ethan
Imbabazi, Claudette
King, Ilia
Linus, Jessica
Manzi, Innocent
Merrit, Madelyn
Mezier, Lyn
Miller, Abigail
Morris, Haley
Musemakweli, Dieudonne
Musekura, Uwase
Mutuyimana, Divine
Ntakarutimana, Chimene
Patel, Nirali
Scanteianu, Adriana
Shemeza, Biganette-Evidente
Sterling-Donaldson, Gi’anna
Umutoni, Chantal
Uwera, Lyse
Zeiler, Madeleine
Feinberg, Seth
author_facet Corey, Julia
Schwandt, Hilary
Boulware, Angel
Herrera, Ana
Hudler, Ethan
Imbabazi, Claudette
King, Ilia
Linus, Jessica
Manzi, Innocent
Merrit, Madelyn
Mezier, Lyn
Miller, Abigail
Morris, Haley
Musemakweli, Dieudonne
Musekura, Uwase
Mutuyimana, Divine
Ntakarutimana, Chimene
Patel, Nirali
Scanteianu, Adriana
Shemeza, Biganette-Evidente
Sterling-Donaldson, Gi’anna
Umutoni, Chantal
Uwera, Lyse
Zeiler, Madeleine
Feinberg, Seth
author_sort Corey, Julia
collection PubMed
description Between 2005 and 2020, total contraceptive use among married women in Rwanda increased from 17% to 64%. The aim of this study is to better understand how the Rwandan government’s mobilization and demand generation efforts have impacted community norms and interpersonal discourse surrounding family planning. Eight focus group discussions with family planning providers and 32 in-depth interviews with experienced modern contraceptive users were conducted in 2018 in the two Rwandan districts with the highest and the lowest contraceptive prevalence rates. Results suggest that outspoken government support, mass media, and community meetings were valuable sources of information about family planning. Information received through these channels generated interpersonal dialogue about contraceptives through both conversation and observation; however, rumors and misinformation remained a significant barrier to use. A once taboo subject is now normative among married couples. Continuing to address common fears and misinformation through communication channels such as mass media and community meetings may help to further increase contraceptive uptake in Rwanda.
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spelling pubmed-89893562022-04-08 Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms Corey, Julia Schwandt, Hilary Boulware, Angel Herrera, Ana Hudler, Ethan Imbabazi, Claudette King, Ilia Linus, Jessica Manzi, Innocent Merrit, Madelyn Mezier, Lyn Miller, Abigail Morris, Haley Musemakweli, Dieudonne Musekura, Uwase Mutuyimana, Divine Ntakarutimana, Chimene Patel, Nirali Scanteianu, Adriana Shemeza, Biganette-Evidente Sterling-Donaldson, Gi’anna Umutoni, Chantal Uwera, Lyse Zeiler, Madeleine Feinberg, Seth PLoS One Research Article Between 2005 and 2020, total contraceptive use among married women in Rwanda increased from 17% to 64%. The aim of this study is to better understand how the Rwandan government’s mobilization and demand generation efforts have impacted community norms and interpersonal discourse surrounding family planning. Eight focus group discussions with family planning providers and 32 in-depth interviews with experienced modern contraceptive users were conducted in 2018 in the two Rwandan districts with the highest and the lowest contraceptive prevalence rates. Results suggest that outspoken government support, mass media, and community meetings were valuable sources of information about family planning. Information received through these channels generated interpersonal dialogue about contraceptives through both conversation and observation; however, rumors and misinformation remained a significant barrier to use. A once taboo subject is now normative among married couples. Continuing to address common fears and misinformation through communication channels such as mass media and community meetings may help to further increase contraceptive uptake in Rwanda. Public Library of Science 2022-04-07 /pmc/articles/PMC8989356/ /pubmed/35390080 http://dx.doi.org/10.1371/journal.pone.0266520 Text en © 2022 Corey et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Corey, Julia
Schwandt, Hilary
Boulware, Angel
Herrera, Ana
Hudler, Ethan
Imbabazi, Claudette
King, Ilia
Linus, Jessica
Manzi, Innocent
Merrit, Madelyn
Mezier, Lyn
Miller, Abigail
Morris, Haley
Musemakweli, Dieudonne
Musekura, Uwase
Mutuyimana, Divine
Ntakarutimana, Chimene
Patel, Nirali
Scanteianu, Adriana
Shemeza, Biganette-Evidente
Sterling-Donaldson, Gi’anna
Umutoni, Chantal
Uwera, Lyse
Zeiler, Madeleine
Feinberg, Seth
Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title_full Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title_fullStr Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title_full_unstemmed Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title_short Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms
title_sort family planning demand generation in rwanda: government efforts at the national and community level impact interpersonal communication and family norms
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989356/
https://www.ncbi.nlm.nih.gov/pubmed/35390080
http://dx.doi.org/10.1371/journal.pone.0266520
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