Table 3.
Stakeholder knowledge about demography and family planning in Rwanda
| What Relationship Does High Total Fertility Rate (TFR) Have to Economic Development? | N | % |
|---|---|---|
| None | 0 | 0% |
| Slows economic development | 9 | 90% |
| Improves economic development | 1 | 10% |
| Median | Range | |
| What do you think is a reasonable TFR target for Rwanda in the next 5 years? (Open‐ended) | 3.0 | 2.2–2.5 |
| Which of the reasons below do you think affect the TFR in Rwanda? Select all that apply: | N | % |
| Women and men lack knowledge about contraceptives | 8 | 80% |
| Health care staff are not adequately trained in family planning | 8 | 80% |
| Religious beliefs prevent use of contraception | 5 | 50% |
| Contraceptives are not widely available | 3 | 30% |
| Couples want large families | 2 | 20% |
| The MOH has not prioritized family planning | 2 | 20% |
| Donor governments have not prioritized family planning | 2 | 20% |
| Which contraceptive methods do you think are best for Rwanda? Please rank them in order of importance (with 1 being the most important): | Average importance | SD |
| IUD (12 years, reversible) | 1.3 | 0.5 |
| Jadelle (5 years) or implant (3 years) implant (reversible) | 1.5 | 0.5 |
| Injectable contraceptives (every 3 months) | 2.9 | 1.0 |
| Tubal ligation (for the women, permanent) | 3.4 | 1.5 |
| Vasectomy (for men, permanent) | 3.4 | 1.5 |
| Oral contraceptives (“the pill,” 1 per day) | 3.5 | 1.9 |
| What do you think the obstacles are to increasing uptake of IUD and implant methods? (Open‐ended)a | N | % |
| Lack of trained providers to offer LARC | 6 | 67% |
| Myths/misconceptions | 4 | 44% |
| Lack of client awareness of the methods | 4 | 44% |
| Clients choose not to use because of side effects | 1 | 11% |
| Which of the following interventions do you think are important strategies to enhance uptake of LARC? Please select all that apply: | N | % |
| Training nurses to insert LARC | 10 | 100% |
| Educating both men and women about LARC methods | 9 | 90% |
| Equipping clinics with exam tables, instruments and autoclaves | 6 | 60% |
| Social marketing of LARC methods | 5 | 50% |
| Eliminating client payments for LARC methods | 5 | 50% |
| Increasing performance‐based pay for LARC methods | 4 | 40% |
| Including men in family planning counseling | 1 | 10% |
Abbreviations: TFR, total fertility rate; LARC, long‐acting reversible contraception; IUD, intrauterine device; MOH, Ministry of Health.
a
n = 9 respondents.