Bazikamwe Sylvestre, Niyongabo Prosper, Harerimana Salvator
Department of Obstetrics and Gynaecology, Kamenge University Hospital.
East Afr Health Res J. 2018;2(2):128-134. doi: 10.24248/EAHRJ-D-18-00012. Epub 2018 Nov 23.
The fertility rate in Burundi has remained consistently high since the 1980s, while the prevalence of contraceptive use in the country (22%) has been among the lowest in Africa. Reasons for low contraception uptake in Burundi have not been adequately clarified.This study aimed to identify factors associated with contraceptive use among pregnant women who had at least 3 healthy children and sought antenatal care services at an urban tertiary hospital in Burundi.
Data were collected from antenatal clients with 3 or more children at Kamenge University Hospital. Data analysis included univariate and multivariate methods as well as multiple logistic regression analysis using SPSS, version 16.0.
We enrolled 255 women with a mean age of 32±4.5 years. The majority (n=232, 91.0%) of participants were urban residents with low incomes, and most (n=227, 89.0%) were educated to the primary school level or lower. The mean parity was 4.2±1.4, and most women had either 3 (n=120, 47.1%), 4 (n=66, 25.9%), or 5 (n=43, 16.9%) children; 26 (10%) participants had at least 6 children. Most (n=166, 65.1%) participants were part of couples who desired to have a final number of 4 to 6 children. About half (n=129, 50.6%) of the participants were able to name 1 or 2 benefits of contraception, and 105 (41.2%) participants mentioned 3 or 4 benefits of contraception. The most commonly reported benefit of contraceptive use was that it allows for improved maternal and child health. Low rates of contraceptive use were reported by participants with partners who worked as farmers, those citing fewer benefits of contraception, and those who relied on neighbours as their main source of information about contraception.
Knowledge of the benefits of contraception was among the strongest determinants of contraceptive use in this population. Farmers and traders were less likely to use contraceptives than participants who were engaged in other types of work. Medical personnel were the most relied upon source of information about contraception, and the strongest predictor of contraceptive use was the personal opinion that contraception is acceptable.
自20世纪80年代以来，布隆迪的生育率一直居高不下，而该国的避孕用具使用率（22%）一直是非洲最低的之一。布隆迪避孕用具使用率低的原因尚未得到充分阐明。本研究旨在确定在布隆迪一家城市三级医院寻求产前护理服务、至少育有3个健康孩子的孕妇中与避孕用具使用相关的因素。
在卡门盖大学医院收集有3个或更多孩子的产前护理对象的数据。数据分析包括单变量和多变量方法以及使用SPSS 16.0版进行的多重逻辑回归分析。
我们招募了255名平均年龄为32±4.5岁的女性。大多数参与者（n = 232，91.0%）是低收入城市居民，大多数（n = 227，89.0%）接受过小学或以下教育。平均产次为4.2±1.4，大多数女性育有3个（n = 120，47.1%）、4个（n = 66，25.9%）或5个（n = 43，16.9%）孩子；26名（10%）参与者育有至少6个孩子。大多数参与者（n = 166，65.1%）属于希望最终育有4至6个孩子的夫妇。约一半（n = 129，50.6%）的参与者能说出避孕的1或2个好处，105名（41.2%）参与者提到避孕的3或4个好处。最常报告的避孕好处是有助于改善母婴健康。伴侣为农民的参与者、提及避孕好处较少的参与者以及将邻居作为避孕信息主要来源的参与者报告的避孕用具使用率较低。
对避孕好处的了解是该人群避孕用具使用的最强决定因素之一。农民和商人使用避孕用具的可能性低于从事其他类型工作的参与者。医疗人员是最受信赖的避孕信息来源，避孕用具使用的最强预测因素是个人认为避孕是可接受的观点。
