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Research Article
“…The Way We Welcome Them Is How We Will Lead Them to Love Family Planning.”: Family Planning Providers in Rwanda Foster Compassionate Relationships With Clients Despite Workplace Challenges
Hilary Schwandt
Western Washington University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Rwanda has markedly increased the nation’s contraceptive use in a short period of time, tripling contraceptive prevalence in just five years between 2005 and 2010. An integral aspect of family planning programs is the interactions between family planning providers and clients.
Methods: This study aims to understand the client-provider relationship in the Rwandan family planning program and to also examine barriers to those relationships. The data used for this study come from eight focus group discussions with family planning providers and 32 in-depth interviews with family planning users.
Results: Data analysis revealed that, despite workplace related challenges – including inadequate staffing, training, and resources, relationships between providers and clients are strong – and that providers work hard to understand, learn from, and support clients in their initiation and sustained use of contraceptives.
Conclusion: Via continued and strengthened government support of family planning providers in health facilities and communities, Rwanda will likely sustain many current users of contraception and engage even more Rwandans in contraceptive services in the future.
Keywords
contraceptive, relationship, health
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CURRENT STATUS: Under Revision
Version 1
Posted 30 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 11 Jan, 2021
Review #5 received
Received 05 Jan, 2021
Review #4 received
Received 05 Jan, 2021
Review #2 received
Received 05 Jan, 2021
Review #3 received
Received 05 Jan, 2021
Review #1 received
Received 05 Jan, 2021
Reviewer #8 agreed
On 29 Dec, 2020
Reviewer #3 agreed
On 29 Dec, 2020
Reviewer #7 agreed
On 29 Dec, 2020
Reviewer #5 agreed
On 29 Dec, 2020
Reviewer #6 agreed
On 29 Dec, 2020
Reviewer #2 agreed
On 29 Dec, 2020
Reviewer #1 agreed
On 29 Dec, 2020
Reviewer #4 agreed
On 29 Dec, 2020
Reviewers invited
Invitations sent on 28 Dec, 2020
Editor assigned
On 28 Dec, 2020
Editor invited
On 28 Dec, 2020
Submission checks complete
On 28 Dec, 2020
First submitted
On 18 Dec, 2020
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This preprint is under consideration at BMC Health Services Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
“…The Way We Welcome Them Is How We Will Lead Them to Love Family Planning.”: Family Planning Providers in Rwanda Foster Compassionate Relationships With Clients Despite Workplace Challenges
Hilary Schwandt
Western Washington University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 1
Posted 30 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 11 Jan, 2021
Review #5 received
Received 05 Jan, 2021
Review #4 received
Received 05 Jan, 2021
Review #2 received
Received 05 Jan, 2021
Review #3 received
Received 05 Jan, 2021
Review #1 received
Received 05 Jan, 2021
Reviewer #8 agreed
On 29 Dec, 2020
Reviewer #3 agreed
On 29 Dec, 2020
Reviewer #7 agreed
On 29 Dec, 2020
Reviewer #5 agreed
On 29 Dec, 2020
Reviewer #6 agreed
On 29 Dec, 2020
Reviewer #2 agreed
On 29 Dec, 2020
Reviewer #1 agreed
On 29 Dec, 2020
Reviewer #4 agreed
On 29 Dec, 2020
Reviewers invited
Invitations sent on 28 Dec, 2020
Editor assigned
On 28 Dec, 2020
Editor invited
On 28 Dec, 2020
Submission checks complete
On 28 Dec, 2020
First submitted
On 18 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Rwanda has markedly increased the nation’s contraceptive use in a short period of time, tripling contraceptive prevalence in just five years between 2005 and 2010. An integral aspect of family planning programs is the interactions between family planning providers and clients.
Methods: This study aims to understand the client-provider relationship in the Rwandan family planning program and to also examine barriers to those relationships. The data used for this study come from eight focus group discussions with family planning providers and 32 in-depth interviews with family planning users.
Results: Data analysis revealed that, despite workplace related challenges – including inadequate staffing, training, and resources, relationships between providers and clients are strong – and that providers work hard to understand, learn from, and support clients in their initiation and sustained use of contraceptives.
Conclusion: Via continued and strengthened government support of family planning providers in health facilities and communities, Rwanda will likely sustain many current users of contraception and engage even more Rwandans in contraceptive services in the future.