Postpartum family planning utilization in Burundi and Rwanda: a comparative analysis of population based cross-sectional data
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Date
2018
Authors
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Journal ISSN
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Publisher
The Pan African Medical Journal
Abstract
Promotion of modern family planning is a major policy action for Africa to harness the demographic dividend. Family planning is an
important public health intervention for maternal and child health. Methods: Analysis was based on data from Demographic and Health Surveys
conducted in 2010 on samples of women from Burundi (3396) and Rwanda (4670). Descriptive and multivariate logistic regression analyses to
examine the contribution and comparison of the various predictors of uptake of modern contraceptives during the postpartum period (PPFP) in the
two countries were carried out using STATA statistical software. Results: Descriptive findings show only 20% of the samples of women in Burundi
used while more than half of the women (51%) were using PPFP. Utilization of PPFP was significantly associated with primary (OR = 1.3, 95% CI
= 1.1-1.6) and higher education (OR = 2.2, 95% CI = 1.6-3.1) in Burundi. Similarly in Rwanda increased use of PPFP in primary was (OR = 1.4,
95% CI = 1.2-1.6) while secondary education (OR = 1.6, 95% CI = 1.2-2.1). Protestant women were less likely to use PPFP in both Burundi (OR =
0.75, 95% CI = 0.6-0.9) and Rwanda (OR = 0.69, 95% CI = 0.6-0.8). Other significant variables in the regression models of both countries
included wealth status, age of woman, number of living children and exposure to media. Professional birth delivery assistance was significant only
in Rwanda. Conclusion: Enhancing postpartum contraceptive use should target women with low education, low wealth status, and that the media
has an important role to play in this transformation. Policies and programs must be put in place to ensure that the rural urban differences are
eradicated.
Description
Keywords
Postpartum, Family planning, Contraception, Utilization, Burundi, Rwanda, Women
Citation
Rutaremwa, G., & Kabagenyi, A. (2018). Postpartum family planning utilization in Burundi and Rwanda: a comparative analysis of population based cross-sectional data. The Pan African Medical Journal, 30. doi:10.11604/pamj.2018.30.303.15105