Department of Applied Statistics, National University of Rwanda, Butare, Rwanda.
Int Perspect Sex Reprod Health. 2009 Sep;35(3):122-30. doi: 10.1363/ipsrh.35.122.09.
Rwanda is the most densely populated country in Africa, with substantial annual population growth. The current government seeks new policies for family limitation as a way to facilitate more sustainable development.
Data from the 2005 Rwanda Demographic and Health Survey were used for a two-step analysis; binary logistic regression was used to identify factors associated with desiring to stop childbearing and having unmet need.
Eighty-seven percent of women aged 15-49 approve of family planning, but only 64% believe that their partner approves of it. There is a high level of unmet need for family limitation; 58% of women who want to stop childbearing do not use modern contraceptives. Demand was lower among women who did not approve of family planning, those who did not know their partner's attitude toward family planning and those who had discussed family planning with their partner fewer than three times. Unmet need was higher among women who did not approve of family planning, those who believed their partner did not approve of family planning or who did not know his attitude, and those who had never discussed family planning with their partner or had done so only once or twice.
Negative attitudes toward family planning and failing structures of provision are the dominant constraints on the use of modern contraceptives in Rwanda. Community-based family planning services could greatly expand access, especially in underserved provinces.
卢旺达是非洲人口密度最大的国家，人口每年呈实质性增长。为了实现更可持续的发展，卢旺达现政府正在寻求新的计划生育政策。
采用两步分析法，利用 2005 年卢旺达人口与健康调查的数据；采用二项逻辑回归法来确定与希望停止生育和生育需求未得到满足相关的因素。
15-49 岁的妇女中，87%赞成计划生育，但仅有 64%认为其伴侣也赞成。计划生育需求未得到满足的比例很高；58%希望停止生育的妇女未使用现代避孕药具。对计划生育不赞成、不知道其伴侣对计划生育的态度、与伴侣讨论计划生育次数少于 3 次的妇女，其需求较低。对计划生育不赞成、认为其伴侣不赞成计划生育或不知道其态度、从未与伴侣讨论过计划生育或仅讨论过 1-2 次的妇女，计划生育需求未得到满足的比例更高。
对计划生育的消极态度和提供服务的结构缺失是限制卢旺达现代避孕药具使用的主要因素。以社区为基础的计划生育服务可以大大扩大服务范围，特别是在服务不足的省份。
