ArticleReproductive health2022
Trends and socio-demographic components of modern contraceptive use among sexually active women in Rwanda: a multivariate decomposition analysis.
Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).Contraception and reproductive medicine · 2026Article
- Article
- Determinants of contraceptive use among married women in Rwanda: evidence from women's empowerment-related indicators in the 2019/2020 Demographic and Health Survey.BMJ public health · 2026Article
- Article
- Knowledge, attitudes, practice and factors associated with the prevalence of modern contraceptives use among women from historically marginalized community in Rwanda: a cross-sectional study.BMC public health · 2025Article
- Individual and community level factors influencing modern contraceptive use among women of reproductive age in South Africa: a multilevel analysis.Contraception and reproductive medicine · 2025Article
- Pooled prevalence of modern contraceptive utilization and its associated factors among reproductive age women in East Africa: derived from demographic and health surveys.Journal of health, population, and nutrition · 2025Article
- Determinant factors in the use of modern contraception in urban and rural areas in Western Indonesia.BMC public health · 2025Article
- Spatial variations and determinants of modern contraceptive utilization among sexually active rural women in Ethiopia using mini EDHS 2019 data: spatial and multilevel analysis.BMC public health · 2025Article
- Article
- Implementing postpartum family planning services in rural Rwanda: A mixed-methods study.PloS one · 2025Article
- Inequality gaps in modern contraceptive use and associated factors among women of reproductive age in Nigeria between 2003 and 2018.BMC women's health · 2024Article
- Social context of contraceptive use transition among sexually active women in Zambia (1992-2018): A decomposition analysis.PloS one · 2024Article
- Perceived ideal number of children among adolescent girls in sub-Saharan Africa: does exposure to family planning messages matter?BMC women's health · 2023Article
- Prevalence and factors associated with early childbearing in sub-saharan Africa: evidence from demographic and health surveys of 31 countries.BMC women's health · 2023Article
- A multilevel analysis of trends and predictors associated with teenage pregnancy in Zambia (2001-2018).Reproductive health · 2023Article
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Abstract
backgroundThe attainment of targets set for modern contraceptive use remains a challenge in sub-Saharan Africa. Rwanda, in its new Family Planning and Adolescent Sexual Reproductive Health/Family Planning (FP/ASRH) Strategic Plan 2018-2024 has set the attainment of a contraceptive prevalence rate (CPR) of 60% by 2024. To achieve this, identifying factors that enhance modern contraceptive use among sexually active women is critical.
methodsWe used three Rwanda Demographic Health Surveys (RDHS) datasets collected in 2010, 2015, and 2019/2020 in a multivariable decomposition analysis technique to describe trends and identify factors influencing change in modern contraceptive use among sexually active women aged 15-49 years. Results presented as coefficients and percentages took into consideration the complex survey design weighted using StataSE 17.
resultsModern contraceptive use increased from 40% in 2010 to 52.4% in 2020 among sexually active women. About 23.7% of the overall percentage change in modern contraceptive use was attributable to women's characteristics which included women's education levels, number of living children, and being told about family planning at health facilities. Coefficients contributed 76.26% to the change in modern contraceptive use. This change was attributed to modern contraceptive use among young women between the age of 20-24 years, women's education level, the number of living children, changes in family size, and being visited by community health workers.
conclusionRwanda remains on course to archive its 2024 family planning targets. However, there is a need to enhance programs that target sexually active adolescents and young adults, and women from rural areas to sustain the gains made. Furthermore, continuous support of community health workers will be key in exceeding the set targets of modern contraceptive use among sexually active women in Rwanda.
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