Wheaton College, Norton, Massachusetts, United States of America.
Fairhaven College, Western Washington University, Bellingham, Washington, United States of America.
PLoS One. 2022 Apr 7;17(4):e0266520. doi: 10.1371/journal.pone.0266520. eCollection 2022.
Between 2005 and 2020, total contraceptive use among married women in Rwanda increased from 17% to 64%. The aim of this study is to better understand how the Rwandan government's mobilization and demand generation efforts have impacted community norms and interpersonal discourse surrounding family planning. Eight focus group discussions with family planning providers and 32 in-depth interviews with experienced modern contraceptive users were conducted in 2018 in the two Rwandan districts with the highest and the lowest contraceptive prevalence rates. Results suggest that outspoken government support, mass media, and community meetings were valuable sources of information about family planning. Information received through these channels generated interpersonal dialogue about contraceptives through both conversation and observation; however, rumors and misinformation remained a significant barrier to use. A once taboo subject is now normative among married couples. Continuing to address common fears and misinformation through communication channels such as mass media and community meetings may help to further increase contraceptive uptake in Rwanda.
2005 年至 2020 年期间，卢旺达已婚女性的综合避孕使用率从 17%上升至 64%。本研究旨在更好地理解卢旺达政府的动员和需求产生工作是如何影响计划生育的社区规范和人际话语。2018 年，在卢旺达两个避孕普及率最高和最低的地区进行了 8 次计划生育提供者焦点小组讨论和 32 次有经验的现代避孕药具使用者深入访谈。结果表明，政府的公开支持、大众媒体和社区会议是计划生育信息的重要来源。通过这些渠道获得的信息通过对话和观察在人际间产生了关于避孕药具的对话；然而，谣言和错误信息仍然是使用的一个重大障碍。曾经是禁忌的话题现在在已婚夫妇中是正常的。通过大众媒体和社区会议等传播渠道继续解决常见的恐惧和误解，可能有助于进一步提高卢旺达的避孕率。
