Ntambue Abel Mukengeshayi, Tshiala Rachel Ngalula, Malonga Françoise Kaj, Ilunga Tabitha Mpoyi, Kamonayi Josaphat Mulumba, Kazadi Simon Tshimankinda, Matungulu Charles Matungu, Musau Angel Nkola, Mulamba Diese, Dramaix-Wilmet Michèle, Donnen Philippe
Unité d'Epidémiologie et de Santé de la Mère, du Nouveau-né et de l'Enfant, Ecole de Santé Publique, Université de Lubumbashi, Lubumbashi, RDC.
Institut Supérieur des Techniques Médicales de Mbuji-Mayi (ISTM/Mbuji-Mayi).
Pan Afr Med J. 2017 Apr 13;26:199. doi: 10.11604/pamj.2017.26.199.10897. eCollection 2017.
This study aimed to determine modern contraceptive prevalence and the barriers to using modern contraceptive methods among the couples in Dibindi health zone, Mbuji-Mayi, in the Democratic Republic of the Congo.
We conducted a cross-sectional descriptive study from May to June 2015. Nonpregnant married women aged 15-49 years old at the time of the investigation, living in Dibindi health zone for two years and having freely consented to participate in the study were included. Data were collected by open-ended interview of these women. Modern contraceptive prevalence was referred to women who were currently using, at the time of the investigation, modern contraceptives. The comparison between proportions was performed at the significance threshold of 5%. Bonferroni's test was used to compare, two by two, the proportions of barriers to using modern contraceptive methods.
Modern contraceptive prevalence in Dibindi was 18.4% in 2015. It was low with regard to family planning services available in this health zone. Several women refused to use modern contraceptive methods despite available information because of their desire for motherhood, religious prohibition, opposition on the part of their husband and fear of side effects.
Sufficient client-centered or couple-centered information and family planning information should be strengthened in order to eliminate the false beliefs and to increase the use of modern contraceptive methods.
本研究旨在确定刚果民主共和国姆布吉马伊迪宾迪健康区夫妇的现代避孕普及率以及使用现代避孕方法的障碍。
我们在2015年5月至6月进行了一项横断面描述性研究。纳入了在调查时年龄为15 - 49岁、居住在迪宾迪健康区两年且自愿同意参与研究的非孕期已婚妇女。通过对这些妇女进行开放式访谈收集数据。现代避孕普及率是指在调查时正在使用现代避孕方法的妇女。比例之间的比较在5%的显著性阈值下进行。采用Bonferroni检验对使用现代避孕方法的障碍比例进行两两比较。
2015年迪宾迪的现代避孕普及率为18.4%。就该健康区提供的计划生育服务而言，这一比例较低。尽管有相关信息，但由于渴望生育、宗教禁令、丈夫反对以及担心副作用等原因，一些妇女拒绝使用现代避孕方法。
应加强以服务对象为中心或夫妻为中心的充分信息以及计划生育信息，以消除错误观念并增加现代避孕方法的使用。
