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 fam...

Full description

Bibliographic Details
Main Authors: Julia Corey, Hilary Schwandt, Angel Boulware, Ana Herrera, Ethan Hudler, Claudette Imbabazi, Ilia King, Jessica Linus, Innocent Manzi, Madelyn Merrit, Lyn Mezier, Abigail Miller, Haley Morris, Dieudonne Musemakweli, Uwase Musekura, Divine Mutuyimana, Chimene Ntakarutimana, Nirali Patel, Adriana Scanteianu, Biganette-Evidente Shemeza, Gi'anna Sterling-Donaldson, Chantal Umutoni, Lyse Uwera, Madeleine Zeiler, Seth Feinberg
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0266520
_version_ 1811341756890873856
author Julia Corey
Hilary Schwandt
Angel Boulware
Ana Herrera
Ethan Hudler
Claudette Imbabazi
Ilia King
Jessica Linus
Innocent Manzi
Madelyn Merrit
Lyn Mezier
Abigail Miller
Haley Morris
Dieudonne Musemakweli
Uwase Musekura
Divine Mutuyimana
Chimene Ntakarutimana
Nirali Patel
Adriana Scanteianu
Biganette-Evidente Shemeza
Gi'anna Sterling-Donaldson
Chantal Umutoni
Lyse Uwera
Madeleine Zeiler
Seth Feinberg
author_facet Julia Corey
Hilary Schwandt
Angel Boulware
Ana Herrera
Ethan Hudler
Claudette Imbabazi
Ilia King
Jessica Linus
Innocent Manzi
Madelyn Merrit
Lyn Mezier
Abigail Miller
Haley Morris
Dieudonne Musemakweli
Uwase Musekura
Divine Mutuyimana
Chimene Ntakarutimana
Nirali Patel
Adriana Scanteianu
Biganette-Evidente Shemeza
Gi'anna Sterling-Donaldson
Chantal Umutoni
Lyse Uwera
Madeleine Zeiler
Seth Feinberg
author_sort Julia Corey
collection DOAJ
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.
first_indexed 2024-04-13T18:58:44Z
format Article
id doaj.art-016d9cbca61340ed87538972a518bae6
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T18:58:44Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-016d9cbca61340ed87538972a518bae62022-12-22T02:34:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01174e026652010.1371/journal.pone.0266520Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms.Julia CoreyHilary SchwandtAngel BoulwareAna HerreraEthan HudlerClaudette ImbabaziIlia KingJessica LinusInnocent ManziMadelyn MerritLyn MezierAbigail MillerHaley MorrisDieudonne MusemakweliUwase MusekuraDivine MutuyimanaChimene NtakarutimanaNirali PatelAdriana ScanteianuBiganette-Evidente ShemezaGi'anna Sterling-DonaldsonChantal UmutoniLyse UweraMadeleine ZeilerSeth FeinbergBetween 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.https://doi.org/10.1371/journal.pone.0266520
spellingShingle Julia Corey
Hilary Schwandt
Angel Boulware
Ana Herrera
Ethan Hudler
Claudette Imbabazi
Ilia King
Jessica Linus
Innocent Manzi
Madelyn Merrit
Lyn Mezier
Abigail Miller
Haley Morris
Dieudonne Musemakweli
Uwase Musekura
Divine Mutuyimana
Chimene Ntakarutimana
Nirali Patel
Adriana Scanteianu
Biganette-Evidente Shemeza
Gi'anna Sterling-Donaldson
Chantal Umutoni
Lyse Uwera
Madeleine Zeiler
Seth Feinberg
Family planning demand generation in Rwanda: Government efforts at the national and community level impact interpersonal communication and family norms.
PLoS ONE
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
url https://doi.org/10.1371/journal.pone.0266520
work_keys_str_mv AT juliacorey familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT hilaryschwandt familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT angelboulware familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT anaherrera familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT ethanhudler familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT claudetteimbabazi familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT iliaking familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT jessicalinus familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT innocentmanzi familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT madelynmerrit familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT lynmezier familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT abigailmiller familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT haleymorris familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT dieudonnemusemakweli familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT uwasemusekura familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT divinemutuyimana familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT chimenentakarutimana familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT niralipatel familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT adrianascanteianu familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT biganetteevidenteshemeza familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT giannasterlingdonaldson familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT chantalumutoni familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT lyseuwera familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT madeleinezeiler familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms
AT sethfeinberg familyplanningdemandgenerationinrwandagovernmenteffortsatthenationalandcommunitylevelimpactinterpersonalcommunicationandfamilynorms