Bakyono Richard, Tapsoba Ludovic Deo Gracias, Lépine Aurélia, Berthé Abdramane, Ilboudo Patrick G, Diallo Cheick Omar, Méda Nicolas, D'Exelle Ben
Observatoire National de la Santé de la Population, Ouagadougou, Burkina Faso.
Centre MURAZ, Bobo-Dioulasso, Burkina Faso.
Pan Afr Med J. 2020 Sep 18;37:72. doi: 10.11604/pamj.2020.37.72.23786. eCollection 2020.
low levels of contraceptive use in Western Africa are responsible for high fertility rates, which limits economic development. The cost of modern contraceptives is a significant constraint, then the government of Burkina Faso has implemented free family planning. Given this new policy, we provided rural women with a healthcare voucher giving free access to modern contraceptives. We conducted an analysis of the determinants of good free voucher use in order to implement adequate government policy.
six months after the distribution of vouchers to women living in 30 villages in the Houet Province, we conducted a focus-group study based on individual in-depth health care provider interviews in partner healthcare centers.
the benefits of family planning, free contraceptive use, husband's approval and moral obligation were factors facilitating voucher use. The desire to become pregnant, husband's opposition, women's reluctance, women's lack of knowledge of contraceptives and factors associated with the intervention were the leading reasons for not using the vouchers.
the promotion of modern contraceptive use among married women or concubines requires a holistic approach combining free access to modern contraceptives, effective policies involving men in family planning and the reduction of fertility preferences among the couples.
西非地区避孕措施使用率低导致生育率居高不下，这限制了经济发展。现代避孕药具的成本是一个重大制约因素，因此布基纳法索政府实施了免费计划生育政策。鉴于这一新政策，我们向农村妇女提供了医疗保健券，使其能够免费获得现代避孕药具。我们对有效使用免费券的决定因素进行了分析，以便实施适当的政府政策。
在向瓦加杜古省30个村庄的妇女发放券六个月后，我们在合作医疗中心对医疗保健提供者进行了基于个人深入访谈的焦点小组研究。
计划生育的益处、免费使用避孕药具、丈夫的认可和道德义务是促进券使用的因素。想要怀孕、丈夫反对、妇女不情愿、妇女对避孕药具缺乏了解以及与干预相关的因素是不使用券的主要原因。
在已婚妇女或妾中推广现代避孕药具的使用需要采取整体方法，包括免费提供现代避孕药具、实施让男性参与计划生育的有效政策以及降低夫妻的生育意愿。
