Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali
Abstract Introduction Pregnancy among adolescents is a significant public health concern worldwide, particularly in developing countries, including Rwanda. Although contraception could be an effective tool to prevent unintended pregnancy, its utilization among adolescents is often low. Aim This stud...
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2024-11-01
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| Series: | Contraception and Reproductive Medicine |
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| Online Access: | https://doi.org/10.1186/s40834-024-00317-4 |
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| author | Jean Baptiste Hategekimana Adolphe Ndikubwimana Justin Ndayisenga Fidele Niyitegeka Daniel Ukwishatse Serieux Cyubahiro Bivegete Kenny Ntwali Absolomon Gashaija Alice Nyirazigama Noel Korukire Felix K. Rubuga Patrick Karakwende Celestin Banamwana Pierre Dukuziyaturemye Jean Muhire Marie Josee Mwiseneza Theoneste Ntakirutimana Deborah Oluwaseun Shomuyiwa Don Eliseo Lucero-Prisno III |
| author_facet | Jean Baptiste Hategekimana Adolphe Ndikubwimana Justin Ndayisenga Fidele Niyitegeka Daniel Ukwishatse Serieux Cyubahiro Bivegete Kenny Ntwali Absolomon Gashaija Alice Nyirazigama Noel Korukire Felix K. Rubuga Patrick Karakwende Celestin Banamwana Pierre Dukuziyaturemye Jean Muhire Marie Josee Mwiseneza Theoneste Ntakirutimana Deborah Oluwaseun Shomuyiwa Don Eliseo Lucero-Prisno III |
| author_sort | Jean Baptiste Hategekimana |
| collection | DOAJ |
| description | Abstract Introduction Pregnancy among adolescents is a significant public health concern worldwide, particularly in developing countries, including Rwanda. Although contraception could be an effective tool to prevent unintended pregnancy, its utilization among adolescents is often low. Aim This study explored knowledge, attitudes and strategies on contraceptive utilization among adolescents. Methods Mixed method research (MMR) using a cross-sectional design, Sequential explanatory design was used to explore the views from 394 participants in Gitega Sector. This approach was chosen to first quantify the prevalence and patterns of contraceptive use through the questionnaire-based survey, and then to deepen understanding by exploring attitudes, beliefs, and experiences of adolescents and parents through in-depth interviews and focus group discussions. This sequential approach allowed quantitative findings to guide qualitative inquiry, providing richer context to the statistical data. For the quantitative phase, convenience sampling facilitated by the in charge of Health at the sector level and community health workers at the cell level ensured effective access to the study’s target demographic. Qualitative participants were purposively chosen to gain detailed insights from those identified with unique or significant experiences in the initial survey. Data were analyzed using SPSS version 25.0 for quantitative analysis and ATLAS.ti 23 for qualitative analysis. Results The study found that both adolescents and parents (59.1%) have a low level of knowledge about contraceptive utilization, with adolescents (75.5%) showing significantly lower knowledge than parents (46.4%). A majority of the participants, 195 (56.7%), had a positive attitude towards contraceptive utilization among adolescents. Bivariate analysis revealed significant associations between knowledge and socio-demographic factors such as education (P = 0.00) and marital status (P = 0.00), indicating higher knowledge levels among those with higher educational attainment and married individuals. Additionally, attitudes towards contraceptive utilization were significantly influenced by occupation (P = 0.005) and religion (P = 0.00). However, challenges such as the lack of parent-child communication and low knowledge contributed to the low contraceptive usage despite the existing initiatives such as the INGOBYI Activity. Conclusion The findings highlight a need for targeted interventions that address the specific challenges identified, including the lack of knowledge and communication barriers. Improved education and awareness programs for both adolescents and parents, along with supportive community strategies, may enhance contraceptive utilization. A concerted effort involving parents, healthcare providers, and community leaders may foster a supportive environment that encourages responsible and informed contraceptive use among adolescents. |
| format | Article |
| id | doaj-art-daf1480bbf014997be588e8b97ec27af |
| institution | OA Journals |
| issn | 2055-7426 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Contraception and Reproductive Medicine |
| spelling | doaj-art-daf1480bbf014997be588e8b97ec27af2025-08-20T02:38:35ZengBMCContraception and Reproductive Medicine2055-74262024-11-019111210.1186/s40834-024-00317-4Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of KigaliJean Baptiste Hategekimana0Adolphe Ndikubwimana1Justin Ndayisenga2Fidele Niyitegeka3Daniel Ukwishatse4Serieux Cyubahiro5Bivegete Kenny Ntwali6Absolomon Gashaija7Alice Nyirazigama8Noel Korukire9Felix K. Rubuga10Patrick Karakwende11Celestin Banamwana12Pierre Dukuziyaturemye13Jean Muhire14Marie Josee Mwiseneza15Theoneste Ntakirutimana16Deborah Oluwaseun Shomuyiwa17Don Eliseo Lucero-Prisno III18College of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, Department of General Nursing, University of RwandaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, Department of General Nursing, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaCollege of Medicine and Health Sciences, School of Nursing and Midwifery, Department of General Nursing, University of RwandaCollege of Medicine and Health Sciences, School of Public Health, Department of Environmental Health Sciences, University of RwandaFaculty of Pharmacy, University of LagosDepartment of Global Health and Development, London School of Hygiene and Tropical MedicineAbstract Introduction Pregnancy among adolescents is a significant public health concern worldwide, particularly in developing countries, including Rwanda. Although contraception could be an effective tool to prevent unintended pregnancy, its utilization among adolescents is often low. Aim This study explored knowledge, attitudes and strategies on contraceptive utilization among adolescents. Methods Mixed method research (MMR) using a cross-sectional design, Sequential explanatory design was used to explore the views from 394 participants in Gitega Sector. This approach was chosen to first quantify the prevalence and patterns of contraceptive use through the questionnaire-based survey, and then to deepen understanding by exploring attitudes, beliefs, and experiences of adolescents and parents through in-depth interviews and focus group discussions. This sequential approach allowed quantitative findings to guide qualitative inquiry, providing richer context to the statistical data. For the quantitative phase, convenience sampling facilitated by the in charge of Health at the sector level and community health workers at the cell level ensured effective access to the study’s target demographic. Qualitative participants were purposively chosen to gain detailed insights from those identified with unique or significant experiences in the initial survey. Data were analyzed using SPSS version 25.0 for quantitative analysis and ATLAS.ti 23 for qualitative analysis. Results The study found that both adolescents and parents (59.1%) have a low level of knowledge about contraceptive utilization, with adolescents (75.5%) showing significantly lower knowledge than parents (46.4%). A majority of the participants, 195 (56.7%), had a positive attitude towards contraceptive utilization among adolescents. Bivariate analysis revealed significant associations between knowledge and socio-demographic factors such as education (P = 0.00) and marital status (P = 0.00), indicating higher knowledge levels among those with higher educational attainment and married individuals. Additionally, attitudes towards contraceptive utilization were significantly influenced by occupation (P = 0.005) and religion (P = 0.00). However, challenges such as the lack of parent-child communication and low knowledge contributed to the low contraceptive usage despite the existing initiatives such as the INGOBYI Activity. Conclusion The findings highlight a need for targeted interventions that address the specific challenges identified, including the lack of knowledge and communication barriers. Improved education and awareness programs for both adolescents and parents, along with supportive community strategies, may enhance contraceptive utilization. A concerted effort involving parents, healthcare providers, and community leaders may foster a supportive environment that encourages responsible and informed contraceptive use among adolescents.https://doi.org/10.1186/s40834-024-00317-4AttitudeKnowledgeContraceptiveAdolescentTeenage pregnancy |
| spellingShingle | Jean Baptiste Hategekimana Adolphe Ndikubwimana Justin Ndayisenga Fidele Niyitegeka Daniel Ukwishatse Serieux Cyubahiro Bivegete Kenny Ntwali Absolomon Gashaija Alice Nyirazigama Noel Korukire Felix K. Rubuga Patrick Karakwende Celestin Banamwana Pierre Dukuziyaturemye Jean Muhire Marie Josee Mwiseneza Theoneste Ntakirutimana Deborah Oluwaseun Shomuyiwa Don Eliseo Lucero-Prisno III Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali Contraception and Reproductive Medicine Attitude Knowledge Contraceptive Adolescent Teenage pregnancy |
| title | Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali |
| title_full | Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali |
| title_fullStr | Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali |
| title_full_unstemmed | Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali |
| title_short | Knowledge, attitudes and strategies on contraceptive utilization among adolescents: views from beneficiaries and parents in City of Kigali |
| title_sort | knowledge attitudes and strategies on contraceptive utilization among adolescents views from beneficiaries and parents in city of kigali |
| topic | Attitude Knowledge Contraceptive Adolescent Teenage pregnancy |
| url | https://doi.org/10.1186/s40834-024-00317-4 |
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