Rinda Ubuzima, Kigali, Rwanda.
University of Liverpool, Institute of Infection and Global Health, Liverpool, United kingdom.
PLoS One. 2018 Jun 18;13(6):e0199096. doi: 10.1371/journal.pone.0199096. eCollection 2018.
Introduction of contraceptive vaginal rings (CVRs) could expand the contraceptive method mix reducing the unmet need for family planning in Rwanda, but data on acceptability of CVRs from low and middle-income countries are lacking.
This study explores acceptability of contraceptive vaginal ring (NuvaRing) use in Kigali, Rwanda using a mixed methods approach. We collected quantitative and qualitative data before, during and after conducting a clinical trial, using Case Report Forms, Interviewer Administered Questionnaires, In Depth Interviews and Focus Group Discussions. We analyzed the data using an existing theoretical framework including product attributes, relationship attributes and sexual encounter attributes as well as the contextual environment.
Our data showed that initial worries reduced over time with actual ring use and ring insertions and removals were described as easy. Most women did not feel the ring during daily activities, appreciated the lack of perceived negative side effects and the increased lubrication. Relationship attributes and sexual encounter attributes such as sexual comfort played a significant role in ring acceptability of the participants and their partners. The contextual environment including Rwandan cultural norms around sexuality positively influenced the acceptance of the NuvaRing. Overall satisfaction was high.
Acceptability of the Nuvaring was high among study participants and represents a promising option that could contribute to lowering the unmet need for family planning in Rwanda.
避孕阴道环（CVR）的引入可以扩大避孕方法组合，减少卢旺达计划生育未满足的需求，但缺乏来自中低收入国家的避孕阴道环可接受性的数据。
本研究采用混合方法，探索了卢旺达基加利地区对避孕阴道环（NuvaRing）使用的可接受性。我们在进行临床试验之前、期间和之后收集了定量和定性数据，使用病例报告表、访谈员管理问卷、深入访谈和焦点小组讨论。我们使用现有的理论框架（包括产品属性、关系属性和性接触属性以及环境背景）分析了数据。
我们的数据表明，随着实际环的使用，最初的担忧会随着时间的推移而减少，并且环的插入和取出被描述为容易。大多数女性在日常活动中感觉不到环，赞赏缺乏感知到的负面副作用和增加的润滑。关系属性和性接触属性，如性舒适，对参与者及其伴侣对环的可接受性起着重要作用。包括性方面的卢旺达文化规范在内的环境背景，对 NuvaRing 的接受度产生了积极影响。总体满意度很高。
研究参与者对 Nuvaring 的可接受性很高，这是一种有前途的选择，可以有助于降低卢旺达计划生育未满足的需求。
