ArticleBMJ open2023
Barriers to family planning use in the Eastern Democratic Republic of the Congo: an application of the theory of planned behaviour using a longitudinal survey.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 8 citations in OpenAlex.
- "It's me who supports. How are you going to refuse to have a child?": the social norms and gender dynamics of men's engagement in family planning practices in the Democratic Republic of the Congo.Reproductive health · 2025Article
- United States Government-Supported Family Planning and Reproductive Health Outreach in the Democratic Republic of the Congo: Lessons Learned and Recommendations.Open access journal of contraception · 2024Article
- Using Theory of Planned Behaviour to Assess the Determinants of Uptake of Modern Family Planning among Women of Reproductive Age in Rural Settings of Morogoro, Tanzania; A Cross-Sectional Study.The East African health research journal · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIn the Democratic Republic of the Congo, there is a low adherence of the population to the use of family planning (FP) due to various social barriers. This study aimed to understand the drives from social barriers to the use of FP in women in the Kivu, a region particularly affected by poverty and many years of conflicts. A theory of planned behaviour (TPB) using a generalised structural equation modelling has been applied to understand the complex sociocultural drivers to the intention and the ultimate decision to use FP.
designLongitudinal study.
settingA community-based approach was used to investigate FP use in the North and South-Kivu regions.
participantsOverall, 1812 women 15 years and older were enrolled in the baseline study and 1055 were retrieved during the follow-up. PRIMARY AND SECONDARY OUTCOMES: FP use and intention to use FP.
resultsThe mean age was 36±12.9 years, with a minimum of 15 years old and a maximum of 94 years old. Among sexually active participants, more than 40% used a modern contraceptive method at the last sexual intercourse. Education was positively and significantly associated with intention to use FP (β=0.367; p=0.008). Being married was positively and marginally significantly associated with intention to use FP (β=0.524: p=0.050). S
conclusionTPB helped understand sociocultural barriers to FP use and it can be useful to define adapted strategies in different contexts.
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