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Barriers to Adoption of Family Planning among Women in Eastern Democratic Republic of Congo
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Barriers to Adoption of Family Planning among Women in Eastern Democratic Republic of Congo

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Findings from research conducted by the Université Catholique du Graben, a MEASURE Evaluation PRH small grants recipient in the DRC.

Findings from research conducted by the Université Catholique du Graben, a MEASURE Evaluation PRH small grants recipient in the DRC.

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  • This is showing ever use of modern methods in the past.
  • This is showing ever use of traditional methods in the past. The trend looked the same for use before the just delivered pregnancy and also for future use.
  • Based on the woman’s most current pregnancy, this chart indicates that only 48% wanted that pregnancy while the rest would have like to limit (stop getting pregnant) or space for more years. Figures on the graph are rounded.
  • Transcript

    • 1. Barriers to Adoption of Family Planning among Women in Eastern Democratic Republic of Congo Jeff K Mathe, Kennedy K Kasonia, Andre K Maliro Université Catholique du Graben (UCG), DRC; Presented by Ilene Speizer, University of North Carolina at Chapel Hill, USA
    • 2. General Background DRC: one of the largest countries in Africa(2.345 million sq Km). Capital City: Kinshasa Shares borders with nine countries:  To the east: Uganda, Rwanda, Burundi, and Tanzania  To the west: Congo  To the south: Zambia and Angola;  To the north: Central African Republic and Sudan Total population >60 million  High population growth since the 1970s: Growth rate is 3%.  Projected to be among the 10 most populous countries in the world by 2050
    • 3. General Background  DRC health system destroyed by years of neglect and conflict.  Health indicators are among the worst in the world:  Average fecundity: 6.3 *  FP: High level of knowledge on contraceptives (82%) but low CPR (7%)*  Infant mortality Rate: 148 per 1,000 live births*  Maternal mortality ratio: 549/100,000 live births** Latest DRC DHS 2007
    • 4. General Background The above DHS data apply to the whole country; Information specific to the eastern part of DRC is lacking DHS Results may not be representative enough to conclude the above for Eastern Democratic Republic of Congo, and specifically for the city of Butembo
    • 5. Study Objectives To assess the KAP about FP among women delivering in Butembo. To determine their preferred FP methods used or to use in the future. To determine their source(s) of information for modern contraceptive methods. To estimate the degree of unmet need To determine whether FP is being promoted by health workers
    • 6. Methodology Cross-sectional survey conducted in June 2010 in the city of Butembo, Questionnaire was developed, and pre- tested. A total of 53 Maternities in the city were included in the survey. Interviewed number proportional to number of deliveries at facility Women provided informed consent All approvals to conduct the survey were obtained Data entry, analysis done with EPIINFO 3.5.1
    • 7. Key Findings
    • 8. Demography 572 women were interviewed. Almost two-thirds of respondents (64%) were from urban areas of the city. Their mean age was 26.7 (range: 14 – 48). Most of the women were married (62%) and had some degree of education (83%). About two-thirds (60%) were Catholic and the rest Protestant. The mean daily expense was 4.6 US$ (range: 1 – 25 US$).
    • 9. Degree of Knowledge about Family PlanningCalendar (fertile period awareness) 56.1 Condom, Male 42.3 Pills 32.9 Injectables 25.9 Implants 18.4 BTL 10.5 Withdrawal 10.3 Condom, Female 10.3 IUCD 8.2 Others 3 Breastfeeding (LAM) 2.3 Diaphragm 1.4 Vasectomy 0.7
    • 10. Source of information about Family Planning Friends 50 Nurse 32.3 School 14 Other 5.4 Relative 4.5 Radio 3.1 Doctor 2.6 Church 2.4Newspaper/Book 1.9 TV 1.6
    • 11. Use of Family Planning and Preferred Methods Modern Methods Traditional 36% Methods 64%
    • 12. Modern Methods Used Condom, Male 25.3 Pills 11.5 Injectables 4 Implants 2Condom, Female 1.2 IUCD 1.2 BTL 0.4
    • 13. Traditional Methods Used Calendar 72.3 Withdrawal 8.7Breastfeeding 1.2
    • 14. Unmet Need for FP Spacing 21% Wanted Preg 48% Limiting 31%
    • 15. Barriers to using modern FP Barriers to using modern FP included:  lack of knowledge,  fear of side effects,  religious considerations  and husband opposition. Promotion of FP by health professionals was poor (42%).
    • 16. DISCUSSION & CONCLUSION Based on these findings, to help improve FP in this city,  integrating and improving FP access in all public health facilities,  advocacy for use of modern contraception,  training of health workers on FP,  intensifying promotion of FP to women at each contact is highly recommended.
    • 17. THANK YOU!

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