"Family planning in Rwanda is not seen as population control, but rather as a way to empower the people": examining Rwanda's success in family planning from the perspective of public and private stakeholders.
"Family planning in Rwanda is not seen as population control, but rather as a way to empower the people": examining Rwanda's success in family planning from the perspective of public and private stakeholders.
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DOI：
10.1186/s40834-018-0072-y
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发表时间：
2018
影响因子：
2.9
通讯作者：
Zigo L
中科院分区：
文献类型：
--
作者：
Schwandt HM;Feinberg S;Akotiah A;Douville TY;Gardner EV;Imbabazi C;McQuin E;Mohamed M;Rugoyera A;Musemakweli D;Nichols CW;Nyangezi NU;Arizmendi JS;Welikala D;Yamuragiye B;Zigo L
卢旺达在改善人民健康方面取得了重大进展，包括增加了获得和使用计划生育的机会。从2005年到2015年，避孕药具的使用率在短短十年内从17%上升到53%。这些数据包括13个深入的采访与计划生育方案专家在卢旺达进行，以更好地了解成功的机制，阐明剩余的挑战，推测该计划的未来，并讨论潜在的适用性翻译方面的程序在其他设置。当被要求描述成功的原因时，所有答复者首先指出了政府意愿、领导和计划生育方案管理的积极方面。该方案面临的最大挑战是农村卢旺达人获得服务的机会、青少年获得和使用避孕药具的机会、宗教机构的反对以及人力资源和资金不足。这些挑战已得到公开承认，并正在得到解决。政府的领导和重点对卢旺达计划生育方案的成功至关重要。该方案的所有积极方面都建立在政府建立和培育的坚实基础之上。由于创新受到欢迎，方案评估被认为是必不可少的，卢旺达计划生育方案的前景是有利的。仍然存在的问题是计划生育方案面临的共同和持续的挑战。其他国家可以从卢旺达的成功经验中学习具体做法，并效仿卢旺达为减轻剩余挑战所作的努力。
Rwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 2005 to 2015. The data consist of 13 in-depth interviews conducted with family planning program experts in Rwanda to better understand the mechanisms for success, elucidate remaining challenges, speculate on the future of the program, and discuss potential applicability for translating aspects of the program in other settings. All respondents first noted the positive aspects of government will, leadership, and management of the family planning program when asked to describe the reasons for success. The challenges that loomed the largest for the program were service accessibility for rural Rwandans, adolescent access to and use of contraceptives, opposition from religious institutions, as well as inadequate human resources and funding. These challenges were openly acknowledged and are in the process of being addressed. The importance of government leadership and focus in the success of Rwanda’s family planning program was prominent. All positive aspects of the program are based upon the strong foundation the government has built and nurtured. Since innovation is welcomed and program evaluation is considered essential, the outlook for Rwanda’s family planning program is favorable. The issues that remain are common and persistent challenges for family planning programs. Other nations could learn tangible practices from Rwanda’s success and follow Rwanda’s efforts to mitigate the remaining challenges.
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影响因子：
2.5
作者：
Westoff, Charles F.
通讯作者：
Westoff, Charles F.
影响因子：
2.5
作者：
WARWICK, DP
通讯作者：
WARWICK, DP
影响因子：
2.1
作者：
Haberlen SA;Narasimhan M;Beres LK;Kennedy CE
通讯作者：
Kennedy CE
影响因子：
2.1
作者：
Hoodfar, H;Assadpour, S
通讯作者：
Assadpour, S
影响因子：
2.1
作者：
Jones, G;Leete, R
通讯作者：
Leete, R