Epidemiological Aspects of the Use of Modern Contraceptive Methods in Urban and Rural Settings of Burundi
Keywords:Epidemiological Aspects, Use of Modern Contraceptive Methods, Burundi
Purpose: The main objective of this study was to investigate the epidemiological aspects of the use of modern contraceptive methods in urban and rural settings of Burundi.
Problem: The use of modern contraceptive methods can protect against unwanted pregnancies. Although the benefits of family planning are considerable, the use of modern contraceptive methods remains low in Burundi with an overall contraceptive prevalence of 31.3% in the eight provinces according to the Burundi Ministry of Public Health in 2014. Meanwhile, we noted a disproportion between areas with low use and those with high use which required special attention.
Methods: To tackle this issue, a descriptive cross-sectional methodological approach was used. The study was conducted in the city of Bujumbura, the economic capital of Burundi, at the community medicine centre (CMC) of Buyenyi and the third city of Ngozi at the health centre (CDS) of Kigarama. A retrospective convenience sampling from May to August 2019 identified 201 participants aged 13 to 45 years who consulted during the study period. All incomplete or unusable records were excluded. Data were collected using a pre-designed questionnaire. Data entry and compilation of the collected data was done on an Epi-Info 7 database. Statistic analyses were carried out with SPSS 20 software while including a test of comparison between the different groups of the urban and rural areas of Burundi. Following the statistical tests carried out, the results were considered significant for a P-Value < 0.05.
Conclusions: In our results, the most represented age group was 25 to 29 years old. The majority of participants aged less than 20 years old and more than or equal to 40 years old came from Ngozi while the remnant came mainly from Bujumbura. Most of the participants had a primary and secondary education (41.8% and 42.3% respectively). Almost all participants (95%) were married women. Injectable and oral methods were more commonly used in Bujumbura than in Ngozi. The intrauterine device (IUD) and the implant were more used in the Ngozi CDS. The educational level of participants using depot medroxyprogesterone acetate (DMPA) at the Ngozi CDS was significantly lower compared to those of Bujumbura CMC. In addition, the educational level of combined oral tablet users at the Ngozi CDS and Bujumbura CMC was significantly different. The average age of the participants using oral progestin-only tablets at the Bujumbura CMC was significantly higher than those of the Ngozi CDS. Prolonged breastfeeding was the main reason for using modern contraceptive methods. Other determinants of family planning use were obesity, irregular menstrual cycle, pelvic infections and antiretroviral treatment.
Significance: To increase the level of use of contraceptive methods, it is necessary to popularize injectable and oral methods in rural areas while insisting on information-education-communication (IEC) with a focus on women aged 27 to 33 years old. These results provide guidance on strategies to address barriers against the use of modern contraceptive methods among women in rural and urban areas in order to promote better birth planning.
A. Guillaume, “Les pratiques contraceptives,” Guillaume Khlat Méd Santé Reprod. Au Temps Sida En Afr. Collect. CEPED Paris, pp. 55–72, 2004.
P. Vimard, R. Fassassi, and E. Talnan, “Le début de la transition de la fécondité en Afrique subsaharienne,” Santé Reprod. Fécondité Dans Pays Sud Nouv. Context. Nouv. Comport. Louvain--Neuve Acad.-Bruylant, pp. 173–214, 2007.
“ONU HABITAT,Programme des Nations Unies pour les établissements humains Document Profil Urbain National du Burundi ,2012 -” Accessed : Aug. 16, 2022.Available: http://unhabitat.org/sites/default/files/download-manager-files/Burundi%20-%20National.pdf
“WHO_RHR_14.03_fre.pdf.” Accessed: Aug. 16, 2022. [Online]. Available: http://apps.who.int/iris/bitstream/handle/10665/102761/Who_rhr_14.03_fre.pdf?sequence=1
Organisation mondiale de la Santé. "Planification familiale?: un manuel à l’intention des prestataires de services du monde entier". Accessed: Aug. 16, 2022. [Online]. Available: https://apps.who.int/iris/handle/10665/97943
M. M. M. Leyé et al., “Déterminants de l’utilisation de la contraception moderne dans le district sanitaire de Mbacké (Sénégal),” Santé Publique, vol. 27, no. 1, pp. 107–116, 2015.
“Mali - Enquête Démographique et de Santé 2001.” Accessed: Aug. 17, 2022. [Online]. Available: https://microdata.worldbank.org/index.php/catalog/1441.
“Mali - Enquête Démographique et de Santé 2018.” Accessed Aug. 17, 2022. [Online]. Available:https://microdata.worldbank.org/index.php/catalog/3526.
“SR247.pdf.” Accessed: Aug. 17, 2022. [Online]. Available: https://dhsprogram.com/pubs/pdf/SR247/SR247.pdf
A. Bahimana and J.-R. M. Rwenge, “Déterminants de la non-satisfaction des besoins en planification familiale chez les jeunes femmes mariées au Burundi,” Sante Publique (Bucur.), vol. 33, no. 3, pp. 445–458, 2021.
M. Bagayoko, “Evaluation et Problématique de la planification familiale en Commune I du District de Bamako.,” 2019, Accessed: Aug. 16, 2022. [Online]. Available: https://www.bibliosante.ml/handle/123456789/2085
M. B. Nyange, P. N. Tambwe, F. N. Numbi, J. M. Tawi, and H. L. Mbutshu, “Facteurs limitant l’accessibilité au service de planification familiale par les femmes de l’aire de santé de Kawama à Lubumbashi. République Démocratique du Congo,” 2021.
S. M. Zalha, “Les obstacles à l’utilisation des services de planification familiale à Ouagadougou au Burkina Faso,” PhD Thesis, Thèse de médecine, Bamako, 2004.
S. Sango, “Contribution à l’étude de la planification familiale dans la commune IV du District de Bamako,” Ecole Natl. Médecine, 1996.
“Diallo, S.Y. Kollet. "La Planification familiale en Guinée?: Expérience de l’Association Guinéenne pour le Bien-Être Familial (AGBEF) à Conakry, de 2003 à 2007?". Thèse Doctorat de l’université de Conakry. Option: Médecine. Université Conakry; 2010.
B. Masirika, S. Bisimwa, and C. C. Mukengere, “Connaissance des femmes sur les Méthodes Contraceptives dans la zone de santé rurale de Miti-Murhesa, Province du Sud-Kivu, RDC.,” Cah. Cent. Rech. Pour Promot. Sante Crps, 2018.
How to Cite
Copyright (c) 2022 International Scientific Research and Researchers Association (ISRRA)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who submit papers with this journal agree to the following terms.