Abstract
Background and aim: Access to contraceptive methods remains low in the world in general and in Sub-Saharan Africa (SSA). Data of these contraceptive methods in rural areas of the Democratic Republic of Congo (DRC) remain poorly known. The aim is to identify the socio-demographic characteristics of clients associated with purchasing contraceptives methods via different distribution system in Kongo Central province. Methods: Cross-sectional study including data from mini Lelo Family Planning contraceptive method distribution campaigns organized in 11 health zones of Kongo Central province, from January to March 2020 by community-based distributors (DBC), learner DBCs (DBCa), graduated DBCs (DBCg) and clinical providers (CP). Results: The median age of clients was 25 years old. A quarter of them were men and almost half of the clients were in a conjugal relationship and 46.5% were single. The majority (70.4%) had a high school education. The male condom was the most requested method during Lelo Family Planning, followed by implants. Natural methods remain the methods preferred by clients 25 years. Among the hormonal methods, the implant was the most popular modern method, while the short and long-lasting injectable hormonal methods were more in demand by women Conclusion: Natural methods are still the most preferred among male clients despite the poor protection they provide. Modern methods have to be promoted for male’s partners to assure better couple protection especially in rural area where maternal mortality remains high.
Highlights
The use of contraceptive methods can prevent nearly 230 million births each year and family planning is the main strategy for preventing unintended pregnancies [1] [2]
The aim of this study is to identify the socio-demographic characteristics of clients associated with the purchase of one of the contraceptive methods in the province of Kongo Central
The data were collected by 4 groups of investigators all involved in the contraceptive service offer: Community-based distributions (CBD) who are community relays trained in the offer of Community Family Planning services, the CBDa who are pupils in final classes who, in addition to the CBD package, have been trained in the administration of modern injectable methods, DBCd who are pupils or students who have finished their nursing training course and by trained clinical providers with a technical platform greater than that of CBDs
Summary
The use of contraceptive methods can prevent nearly 230 million births each year and family planning is the main strategy for preventing unintended pregnancies [1] [2]. In Africa, where the burden of maternal mortality is highest, barely 24% of women of childbearing age have access to a modern contraceptive method [9]. This prevalence is still very low in SSA, where it is 2.5% in rural areas against 9% in urban areas [9]. Access to contraceptive methods remains low in the world in general and in Sub-Saharan Africa (SSA). Data of these contraceptive methods in rural areas of the Democratic Republic of Congo (DRC) remain poorly known. Modern methods have to be promoted for male’s partners to assure better couple protection especially in rural area where maternal mortality remains high
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