Spatial Analysis of Socio-Economic and Demographic Factors Associated with Contraceptive Use among Women of Childbearing Age in Rwanda

Int J Environ Res Public Health. 2018 Oct 27;15(11):2383. doi: 10.3390/ijerph15112383.

Abstract

Contraceptive use is considered as essential for protecting women's health and rights, influencing fertility and population growth, and helping to promote economic development. The main objective of this study was to analysis the factors and spatial correlates of contraceptive use among women of childbearing age. The 2015 Rwanda Demographic and Health Survey (RDHS) data were used to identify the factors associated with contraceptive use in Rwanda. A Bayesian geo-additive model was used in order to account for fixed effects, nonlinear effects, spatial and random effects inherent in the data. The overall prevalence of use of any contraceptive method among married women of childbearing age in Rwanda was 52.7%. A woman's age, wealth quintile, level of education, working status, number of living children, and exposure to the media was found to increase contraceptive use. The findings from the study also found disparities in contraceptive use at provincial and district level, where prevalence was higher in districts of Northern provinces and lower in districts of western provinces. The findings of this study suggest that exposure to information on contraceptive use in health centres, empowerment of women to access quality contraceptive-use services and religions to play an important role in explaining and informing their adherents on the importance of using a contraceptive method.

Keywords: Bayesian; RDHS; Rwanda; family planning; spatial.

MeSH terms

  • Adolescent
  • Adult
  • Bayes Theorem
  • Contraception / statistics & numerical data*
  • Contraception Behavior / statistics & numerical data*
  • Demography
  • Female
  • Humans
  • Middle Aged
  • Rwanda
  • Socioeconomic Factors*
  • Spatial Analysis
  • Young Adult