Journal Article

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Imbonezamuryango = Famille, sante, developpement / Republique rwandaise, Office national de la population (ONAPO)

Imbonezamuryango

Dec

-19

19

12

17

LR: 20071115; JID: 9006527; OID: PIP: 065303; OID: POP: 00202012; OTO: PIP; GN: PIP: TJ: FAMILLE, SANTE, DEVELOPPEMENT / IMBONEZAMURYANGO; ppublish

RWANDA

PMID: 12283850

fre

English Abstract; Journal Article; J

Unknown(0)

12283850

PIP: Rwanda's official family planning policy dates back to 1981 and creation of the National Office of Population (ONAPO). Among its other function, ONAPO monitors proper use of family planning methods and studies the integration of family planning services into public health. Pilot family planning programs began in the prefectures of Butare, Kigali, and Ruhengeri and were extended to the other 7 around 1985. The development of family planning services in Rwanda is based on their integration into existing services, especially those devoted to maternal-child health. In 1989, 277 of the 350 health centers of all kinds in Rwanda and 12 secondary posts offered family planning services. The rate of integration was 79.4%. 185 of the 277 health services with family planning services were in the public sector. As of December 1989, the rate of integration in different prefectures varied from a high of 95.5% in Kibungo to a low of 64.9% in Gisenyi. Integration is particularly weak in health facilities administered by the Catholic Church. The 2 strategies to confront this situation are continuing dialogue with Catholic Church officials and creation of secondary family planning posts to improve accessibility to family planning for populations served by Church health services. The number of new and continuing family planning users increased from 1178 and 1368 respectively in 1982 to 66,950 and 104,604 through September 1990. There is wide variation from 1 prefecture to another in recruitment of new acceptors and in the number of acceptors per health facility. Recruitment of new acceptors is greatest in Ruhengeri, followed by Kigali and Byumba. As of September 1990, 28,943 women used pills, 2037 used IUDs, 66,515 used injectables, 3051 used barrier methods, 2888 used auto-observation methods, 343 used implants, and 588 were sterilized. The overall rate of contraceptive prevalence increased from .9% in 1983 to 6.2% in 1989 and 10% in 1990. The strategy for promoting family planning has included training of personnel, improvement of supervision, regular supply of contraceptive equipment and supplies to health supervision, regular supply of contraceptive equipment and supplies to health centers, diversification of available methods, and addition of secondary family planning posts to improve accessibility. Obstacles still affecting Rwanda's family planning program include the pronatalist cultural orientation, which is being confronted by a vigorous IEC program. The reluctance of Catholic-affiliated health services to offer modern family planning methods, the shortage of trained family planning workers, contraceptive supply problems, and geographic inaccessibility of family planning services are other serious problems. To confront these problems, ONAPO plans to begin social marketing program, create more secondary health planning posts, promote integration of family planning services into the vaccination program, strengthen efforts to motivate postpartum women, and undertake a community distribution program for condoms and spermicides.

Africa, Africa South of the Sahara, Africa, Eastern, Africa, Northern, Ambulatory Care Facilities, Communication, Delivery of Health Care, Developing Countries, Evaluation Studies as Topic, Family Planning Policy, Family Planning Services, Government Programs, Health, Health Facilities, Health Planning, Organization and Administration, Patient Acceptance of Health Care, Public Policy, Rwanda, Acceptors, Communication Programs, Eastern Africa, Evaluation, Family Planning, Family Planning Centers, Family Planning Programs, French Speaking Africa, Government Sponsored Programs, Integrated Programs, Policy, Population Policy, Programs, Quantitative Evaluation, Social Policy

Munyakazi,A.

Programme de planification familiale au Rwanda: bilan de dix ans (1981-1991) et perspectives

http://vp9py7xf3h.search.serialssolutions.com/?charset=utf-8&pmid=12283850

1990