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  • Title: [Population and family planning programs in Byumba].
    Author: Ntandokorano M.
    Journal: Imbonezamuryango; 1992 Apr; (23):7-9. PubMed ID: 12290188.
    Abstract:
    In Byumba, Rwanda, the Regional ONAP Office identified the principal elements of the population program needing more attention in 1991 to be information, education, and communication; the school program; unschooled youth groups; and integration of family planning programs into health settings. It hoped to increase the operational rate of Umukangurambaga 80%, to lead 50% of teachers to play a educator/promoter role for responsible parenting and family planning programs, and to inform 60% of unschooled youth about family planning and responsible parenting. Direct interventions in management and supervision of the Umukangurambaga increased recruitment of new family planning acceptors 120.9% in Buyoga commune for a contraceptive usage rate of 66.1%. Each school chose a married man and a married woman, both of whom use family planning, to be promoters. They held discussions and distributed educational material. The Regional Office reached 74% of its promoter goal. Only 12.6% of unschooled youth stuck to the program. Obstacles in the program were lack of permanent agents posted to the youth network at the commune level, inadequate knowledge of population and family planning among some youth supporters, and almost no integration of the supporters in daily activities. 12 of 18 health centers, 4 hospitals, 7 registered dispensaries, and a health post with 3 family planning service-oriented nurses had integrated family planning services into their activities. Even though some health facilities closed after the war in October, the number of family planning users increased. In Cyumba commune, the contraceptive use rate increased to more than 18.5%. During 1989-1991, contraceptive prevalence increased from 4.2% to about 16%. Injectables are the most common method used, followed by the pill. Administrative support has emerged in the population and family planning program (e.g., National Seminar on Population).
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