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Barriers to family planning use in the Eastern Democratic Republic of the Congo: an application of the theory of planned behaviour using a longitudinal survey
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4662795
Author(s) Bapolisi, W. A.; Bisimwa, G.; Merten, S.
Author(s) at UniBasel Bapolisi, Wyvine Ansima
Merten, Sonja
Year 2023
Title Barriers to family planning use in the Eastern Democratic Republic of the Congo: an application of the theory of planned behaviour using a longitudinal survey
Journal BMJ Open
Volume 13
Number 2
Pages / Article-Number e061564
Keywords Humans; Female; Young Adult; Adult; Middle Aged; Adolescent; Aged, 80 and over; *Family Planning Services; Longitudinal Studies; *Theory of Planned Behavior; Democratic Republic of the Congo; Sex Education; Intention; Epidemiology; Public health; Reproductive medicine; Social medicine
Mesh terms Humans; Female; Young Adult; Adult; Middle Aged; Adolescent; Aged, 80 and over; Family Planning Services; Longitudinal Studies; Theory of Planned Behavior; Democratic Republic of the Congo; Sex Education; Intention
Abstract OBJECTIVE: In the Democratic Republic of the Congo, there is a low adherence of the population to the use of family planning (FP) due to various social barriers. This study aimed to understand the drives from social barriers to the use of FP in women in the Kivu, a region particularly affected by poverty and many years of conflicts. A theory of planned behaviour (TPB) using a generalised structural equation modelling has been applied to understand the complex sociocultural drivers to the intention and the ultimate decision to use FP. DESIGN: Longitudinal study. SETTING: A community-based approach was used to investigate FP use in the North and South-Kivu regions. PARTICIPANTS: Overall, 1812 women 15 years and older were enrolled in the baseline study and 1055 were retrieved during the follow-up. PRIMARY AND SECONDARY OUTCOMES: FP use and intention to use FP. RESULTS: The mean age was 36+/-12.9 years, with a minimum of 15 years old and a maximum of 94 years old. Among sexually active participants, more than 40% used a modern contraceptive method at the last sexual intercourse. Education was positively and significantly associated with intention to use FP (beta=0.367; p=0.008). Being married was positively and marginally significantly associated with intention to use FP (beta=0.524: p=0.050). Subjective norms were negatively and significantly associated with intention to use FP (beta=-0.572; p=0.003) while perceived control was positively associated with intention to use FP (beta=0.578; p<0.0001). Education and perceived control were positively and significantly associated with the use of FP (respectively, beta=0.422, p=0.017; and beta=0.374; p=0.017), while Intention to use FP was positively and marginally significantly associated with the use of FP (beta=0.583; p=0.052). CONCLUSION: TPB helped understand sociocultural barriers to FP use and it can be useful to define adapted strategies in different contexts.
ISSN/ISBN 2044-6055 (Electronic)2044-6055 (Linking)
URL https://doi.org/10.1136/bmjopen-2022-061564
edoc-URL https://edoc.unibas.ch/93685/
Full Text on edoc Available
Digital Object Identifier DOI 10.1136/bmjopen-2022-061564
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/36764708
ISI-Number MEDLINE:36764708
Document type (ISI) Journal Article
 
   

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15/06/2024