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  • Title: [Acceptance and use of contraceptive methods in Rwanda in 1991].
    Author: Butera B.
    Journal: Imbonezamuryango; 1992 Apr; (23):15-8. PubMed ID: 12290185.
    Abstract:
    In Rwanda in 1991, ONAPO had 89,491 new acceptors of family planning. The increase in new acceptors peaked in 1983 (227.33%) and bottomed out in 1991 (8.54%). During 1981-1991, the most accepted method was injectables followed by oral contraceptives (OCs). In 1991, new acceptors of barrier methods increased 82.91%. IUD acceptance had stagnated since 1985. The number of social/health settings dispensing contraceptives increased each year (18 in 1981 to 316 in 1991). During 1981-1991, 49 secondary family planning posts became functional to facilitate accessibility to family planning services. The number of new acceptors in July was two times more numerous than the monthly mean of new acceptors recruited in 1991. The districts of Byumba, Kigali, and Ruhengeri recruited more than 45% of registered new acceptors in 1991. Cyangugu district and Kigali city were in last place in terms of size of new acceptors. Gisenyi and Kibungo districts had no implant acceptors. Cyangugu, Gitarama, Kibuye, and Kigali districts had no vasectomy acceptors. Gitarama had the biggest proportion of OC acceptors, even bigger than that for injectables. Contraceptive use increased each year. Ruhengeri district had the largest number of contraceptive users (19,319) followed by Byumba and Kigali districts (17,876 and 16,220, respectively). More than 60% of contraceptive users depended on injectables. IUD use was rare, except in Kigali city (8.3%). OC use and injectable use were used equally in Kigali city (31.7% and 33.3%, respectively). Overall, OCs and injectables were used by 87.8% of contraceptive users. December was the worst method in terms of contraceptive use. In December 1991, the national contraceptive prevalence rate was 12.6%, lower than the 1991 goal of 15%. At the beginning of 1991, Kigali City had a rate higher than the objective. Between January and December, Kigali City's rate increased from 19.7% to 21.7%. Byumba district had the best performance (15.4% in January to 14.6% in December).
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