Differences in family planning outcomes between military and general populations in Kinshasa, Democratic cny DOM of the Congo

A cross-sectional analysis

Pierre Akilimali, Philip Anglewicz, Henri Nzuka Engale, Gilbert Kabanda Kurhenga, Julie Hernandez, Patrick Kayembe, Jane Bertrand

Research output: Contribution to journalArticle

Abstract

Objectives To examine family planning outcomes among women living in military camps in Kinshasa, Democratic cny DOM of the Congo, and compare these outcomes with a representative sample of non-military women in Kinshasa. Participants Women of reproductive ages, 15-49 years. We compare two populations: women living in military camps and the general (non-military) population in Kinshasa. Study design For sampling, we used a two-stage cluster sampling design, where we first randomly selected enumeration areas (EA), and then randomly selected women within each EA (separately for each of the two populations). We administered a survey on contraceptive use and family planning to all participating women. We use bivariate and multivariate analysis to compare these populations for a range of family planning outcomes. Results We find many statistically significant differences between women in military camps and general female population of Kinshasa. Although they do not have more children, women in military camps are less likely to be using contraception (all methods OR 0.24, 95% CI 0.11 to 0.53; modern methods OR 0.25, 95% CI 0.08 to 0.79; traditional methods OR 0.41, 95% CI 0.24 to 0.71) and less knowledgeable about many family planning methods (less likely to have heard of implants (OR 0.23, 95% CI 0.11 to 0.48), injectables (OR 0.19, 95% CI 0.08 to 0.44), condoms (OR 0.23, 95% CI 0.12 to 0.47), withdrawal (OR 0.05, 95% CI 0.02 to 0.17) and rhythm (OR 0.12, 95% CI 0.03 to 0.44) methods), while at the same time they are more likely to want to limit their births (OR 5.17, 95% CI 2.52 to 10.62), and less likely to have obtained their preferred family planning method (OR 0.14, 95% CI 0.03 to 0.64). Conclusions Women in military camps in Kinshasa appear to be an important and underserved population with regard to family planning. Our results suggest that women in military camps have limited access to modern family planning methods.

Original languageEnglish (US)
Article numbere022295
JournalBMJ open
Volume8
Issue number12
DOIs
StatePublished - Dec 1 2018
Externally publishedYes

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2,5-Dimethoxy-4-Methylamphetamine
Congo
Family Planning Services
Cross-Sectional Studies
Population
Condoms
Vulnerable Populations
Contraceptive Agents
Contraception
Multivariate Analysis

Keywords

  • contraceptive use
  • Democratic cny DOM of Congo
  • family planning
  • fertility
  • Kinshasa
  • military

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Differences in family planning outcomes between military and general populations in Kinshasa, Democratic cny DOM of the Congo : A cross-sectional analysis. / Akilimali, Pierre; Anglewicz, Philip; Engale, Henri Nzuka; Kurhenga, Gilbert Kabanda; Hernandez, Julie; Kayembe, Patrick; Bertrand, Jane.

In: BMJ open, Vol. 8, No. 12, e022295, 01.12.2018.

Research output: Contribution to journalArticle

Akilimali, Pierre ; Anglewicz, Philip ; Engale, Henri Nzuka ; Kurhenga, Gilbert Kabanda ; Hernandez, Julie ; Kayembe, Patrick ; Bertrand, Jane. / Differences in family planning outcomes between military and general populations in Kinshasa, Democratic cny DOM of the Congo : A cross-sectional analysis. In: BMJ open. 2018 ; Vol. 8, No. 12.
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abstract = "Objectives To examine family planning outcomes among women living in military camps in Kinshasa, Democratic cny DOM of the Congo, and compare these outcomes with a representative sample of non-military women in Kinshasa. Participants Women of reproductive ages, 15-49 years. We compare two populations: women living in military camps and the general (non-military) population in Kinshasa. Study design For sampling, we used a two-stage cluster sampling design, where we first randomly selected enumeration areas (EA), and then randomly selected women within each EA (separately for each of the two populations). We administered a survey on contraceptive use and family planning to all participating women. We use bivariate and multivariate analysis to compare these populations for a range of family planning outcomes. Results We find many statistically significant differences between women in military camps and general female population of Kinshasa. Although they do not have more children, women in military camps are less likely to be using contraception (all methods OR 0.24, 95{\%} CI 0.11 to 0.53; modern methods OR 0.25, 95{\%} CI 0.08 to 0.79; traditional methods OR 0.41, 95{\%} CI 0.24 to 0.71) and less knowledgeable about many family planning methods (less likely to have heard of implants (OR 0.23, 95{\%} CI 0.11 to 0.48), injectables (OR 0.19, 95{\%} CI 0.08 to 0.44), condoms (OR 0.23, 95{\%} CI 0.12 to 0.47), withdrawal (OR 0.05, 95{\%} CI 0.02 to 0.17) and rhythm (OR 0.12, 95{\%} CI 0.03 to 0.44) methods), while at the same time they are more likely to want to limit their births (OR 5.17, 95{\%} CI 2.52 to 10.62), and less likely to have obtained their preferred family planning method (OR 0.14, 95{\%} CI 0.03 to 0.64). Conclusions Women in military camps in Kinshasa appear to be an important and underserved population with regard to family planning. Our results suggest that women in military camps have limited access to modern family planning methods.",
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AU - Akilimali, Pierre

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AU - Engale, Henri Nzuka

AU - Kurhenga, Gilbert Kabanda

AU - Hernandez, Julie

AU - Kayembe, Patrick

AU - Bertrand, Jane

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N2 - Objectives To examine family planning outcomes among women living in military camps in Kinshasa, Democratic cny DOM of the Congo, and compare these outcomes with a representative sample of non-military women in Kinshasa. Participants Women of reproductive ages, 15-49 years. We compare two populations: women living in military camps and the general (non-military) population in Kinshasa. Study design For sampling, we used a two-stage cluster sampling design, where we first randomly selected enumeration areas (EA), and then randomly selected women within each EA (separately for each of the two populations). We administered a survey on contraceptive use and family planning to all participating women. We use bivariate and multivariate analysis to compare these populations for a range of family planning outcomes. Results We find many statistically significant differences between women in military camps and general female population of Kinshasa. Although they do not have more children, women in military camps are less likely to be using contraception (all methods OR 0.24, 95% CI 0.11 to 0.53; modern methods OR 0.25, 95% CI 0.08 to 0.79; traditional methods OR 0.41, 95% CI 0.24 to 0.71) and less knowledgeable about many family planning methods (less likely to have heard of implants (OR 0.23, 95% CI 0.11 to 0.48), injectables (OR 0.19, 95% CI 0.08 to 0.44), condoms (OR 0.23, 95% CI 0.12 to 0.47), withdrawal (OR 0.05, 95% CI 0.02 to 0.17) and rhythm (OR 0.12, 95% CI 0.03 to 0.44) methods), while at the same time they are more likely to want to limit their births (OR 5.17, 95% CI 2.52 to 10.62), and less likely to have obtained their preferred family planning method (OR 0.14, 95% CI 0.03 to 0.64). Conclusions Women in military camps in Kinshasa appear to be an important and underserved population with regard to family planning. Our results suggest that women in military camps have limited access to modern family planning methods.

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