Perceptions and Barriers to the Use of Modern Contraceptive Methods among Multiparous Women in Kisangani, Democratic Republic of Congo
DOI:
https://doi.org/10.4314/rasp.v7i1.23Keywords:
Perceptions; Barriers; Modern Contraceptive Methods; MultiparousAbstract
The use of contraceptive methods is low in the city of Kisangani. This study aims to explore the perceptions and barriers to the use of modern contraceptive methods (MCM) among multiparous women in this territorial entity. A qualitative study was conducted in January 2025 with multiparous women using semi-structured interviews. Content analysis allowed the study’s objectives to be achieved. The results revealed two main trends among the participants. Some believe that MCM were effective tools that help women of childbearing age combat unwanted pregnancies, space out births, and allow for physical recovery. Others view MCM as sources of certain diseases and secondary infertility. In this sense, they are perceived as useless, undesirable, disfiguring, and frightening. MCM are also seen as a way to avoid responsibility and as a tool for prostitution. The obstacles identified by these participants are grouped into (i) fear of side effects such as long-term complications (cervical cancer and secondary infertility), polymenorrhea/menorrhagia, disruption of the menstrual cycle, weight loss or gain, headaches, stomach pains, and other illnesses, and (ii) socio-cultural beliefs, primarily husband refusal, religious convictions, and uncertain information (hearsay), leading to a strong preference for natural methods. The study thus highlights the need for awareness-raising among multiparous women in Kisangani regarding MCM to facilitate their use in the city.
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