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  • Title: [Promotion of family planning services: experience of Ruhengeri].
    Author: Binyange M.
    Journal: Imbonezamuryango; 1990 Dec; (19):32-7. PubMed ID: 12283852.
    Abstract:
    The entire population of the prefecture of Ruhengeri has by now been sensitized to the sociodemographic problems of Rwanda. Outstanding results in acceptance of family planning methods have been obtained as a result of promotional efforts: the number of family planning users increased from 7876 in January 1990 to 18,152 the following August. Among the reasons for the success of the family planning program was the decision of the prefect to include integration of the population variable in all communal development programs. In meetings with community officials, the prefect urged that they individually practice family planning and displayed his own family planning consultation card. The prefect met with local groups to discuss reasons for failure of family planning programs and introduced the topic of family planning in specialized groups discussing development topics. Teachers were urged to inform their students of the benefits of family planning both in and outside of schools and to set a good example by adopting family planning. The regional National Office of Population (ONAPO) team composed a song about the objectives of family planning and distributed it in all schools. A day of reflection about family planning was held in May. Some 140,000 parents, teachers, and students exchanged ideas and views about family planning. Meetings at different levels organized in Ruhengeri by ONAPO guaranteed an informal circulation of family planning information. 60 teachers from 3 communes became part of a more formal family planning information network. 6 secondary health posts were created to provide family planning services to couples living too farm from existing facilities and those served by Catholic health centers where family planning was unavailable. In 1 commune, personnel from the sole health center made family planning visits to the population in distant areas. The commune had a contraceptive prevalence of 16% in September 1990. A program to promote contraception among men has led to 21 vasectomies and 18 scheduled future operations. An association to promote voluntary sterilization was created in October 1990 with 36 founding members. In the prefecture as a whole, the proportion of fertile-aged women in union using contraception increased from 7.6% in January to 16.5% in August. The steady increase in acceptance of family planning can be traced directly to promotional activities during 1990 in Ruhengeri.
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