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High acceptability of a contraceptive vaginal ring among women in Kigali, Rwanda

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dc.contributor.author Kestelyn, E. en_US
dc.contributor.author Van Nuil, J. I. en_US
dc.contributor.author Umulisa, M. M. en_US
dc.contributor.author Umutoni, G. en_US
dc.contributor.author Uwingabire, A. en_US
dc.contributor.author Mwambarangwe, L. en_US
dc.contributor.author Uwineza, M. en_US
dc.contributor.author Agaba, S. en_US
dc.contributor.author Crucitti, T. en_US
dc.contributor.author van de Wijgert, J. en_US
dc.contributor.author Delvaux, T. en_US
dc.date.accessioned 2019-06-04T12:10:57Z
dc.date.available 2019-06-04T12:10:57Z
dc.date.issued 2018 en_US
dc.identifier.issn 1932-6203 en_US
dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0199096 en_US
dc.identifier.other http://lib.itg.be/pdf/itg/2018/2018ponee0199096.pdf en_US
dc.identifier.other 15 pp. en_US
dc.identifier.other 51 en_US
dc.identifier.other ITG-C9A; ITG-HLA; MULTI; DCS; U-ARLAB; DPH; U-MRH; JIF; DOI; PDF; PMC; OAJ; E-only; Abstract; ITMPUB; DSPACE65 en_US
dc.identifier.uri http://hdl.handle.net/10390/10307
dc.description.abstract BACKGROUND: Introduction of contraceptive vaginal rings (CVRs) could expand the contraceptive method mix reducing the unmet need for family planning in Rwanda, but data on acceptability of CVRs from low and middle-income countries are lacking. METHODS: This study explores acceptability of contraceptive vaginal ring (NuvaRing) use in Kigali, Rwanda using a mixed methods approach. We collected quantitative and qualitative data before, during and after conducting a clinical trial, using Case Report Forms, Interviewer Administered Questionnaires, In Depth Interviews and Focus Group Discussions. We analyzed the data using an existing theoretical framework including product attributes, relationship attributes and sexual encounter attributes as well as the contextual environment. RESULTS: Our data showed that initial worries reduced over time with actual ring use and ring insertions and removals were described as easy. Most women did not feel the ring during daily activities, appreciated the lack of perceived negative side effects and the increased lubrication. Relationship attributes and sexual encounter attributes such as sexual comfort played a significant role in ring acceptability of the participants and their partners. The contextual environment including Rwandan cultural norms around sexuality positively influenced the acceptance of the NuvaRing. Overall satisfaction was high. CONCLUSIONS: Acceptability of the Nuvaring was high among study participants and represents a promising option that could contribute to lowering the unmet need for family planning in Rwanda. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/29912906 en_US
dc.subject Family planning en_US
dc.subject Contraceptive devices en_US
dc.subject Vaginal ring en_US
dc.subject NuvaRing en_US
dc.subject Acceptability en_US
dc.subject Women en_US
dc.subject Rwanda en_US
dc.subject Africa-Central en_US
dc.title High acceptability of a contraceptive vaginal ring among women in Kigali, Rwanda en_US
dc.type Article-E en_US
dc.citation.issue 6 en_US
dc.citation.jtitle PLoS ONE en_US
dc.citation.volume 13 en_US
dc.citation.pages e0199096 en_US
dc.citation.abbreviation PLoS ONE en_US


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