Prevalence & factors associated with modern contraception use in the western province of Rwanda. (DHS 2010-2020)

Abstract

Background: Modern methods of contraception use studies often focus on married women due to their increased likelihood of being sexually active within the context of a committed partnership. This study expanded the focus beyond married couples to encompass the broader spectrum of sexual and reproductive health needs attributable to evolving and changing social norms have led to various relationship structures, including cohabitation and non-marital partnerships. Additionally, there is a growing number of sexually active unmarried individuals, including adolescents and single adults, who also require access to effective contraception and family planning services. This study investigates the trend prevalence of modern contraceptive methods in the Western Province of Rwanda, using data from the Rwanda Demographic Health Surveys (RDHS) conducted in 2010, 2014/2015, and 2019/2020.

Method: A crossectional analysis of three consecutive RDHS datasets from the Western Province of Rwanda was conducted to examine the trends in the use of modern contraceptive methods over the past decade. The study utilized a representative sample of women of reproductive age (15-49 years) residing in the Western Province. Data was analyzed on various socio-demographic factors, contraceptive practices, and access to family planning services.

Results: The findings reveal a significant upward trend in the utilization of modern contraceptive methods in the Western Province of Rwanda over the study period. The prevalence of modern contraceptive use increased steadily from 2010 (19.9%) to 2014/2015 (24.2%) and further to 2019/2020 (32.3%). Modern methods use was associated with factors such as age, education, marital/union status, number of living children and knowledge of the ovulatory cycle with variations in utilization over time.

Results: The findings reveal a significant upward trend in the utilization of modern contraceptive methods in the Western Province of Rwanda over the study period. The prevalence of modern contraceptive use increased steadily from 2010 (19.9%) to 2014/2015 (24.2%) and further to 2019/2020 (32.3%). Modern methods use was associated with factors such as age, education, marital/union status, number of living children and knowledge of the ovulatory cycle with variations in utilization over time.