Contraceptive use by married women or concubines living in rural areas in Burkina Faso: a qualitative study of free voucher use

Richard Bakyono, Ludovic Deo Gracias Tapsoba, Aurélia Lépine, Abdramane Berthé, Patrick G. Ilboudo, Cheick Omar Diallo, Nicolas Méda, Ben D’Exelle

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Abstract

Introduction: low levels of contraceptive use in Western Africa are responsible for high fertility rates, which limits economic development. The cost of modern contraceptives is a significant constraint, then the government of Burkina Faso has implemented free family planning. Given this new policy, we provided rural women with a healthcare voucher giving free access to modern contraceptives. We conducted an analysis of the determinants of good free voucher use in order to implement adequate government policy. Methods: six months after the distribution of vouchers to women living in 30 villages in the Houet Province, we conducted a focus-group study based on individual in-depth health care provider interviews in partner healthcare centers. Results: the benefits of family planning, free contraceptive use, husband’s approval and moral obligation were factors facilitating voucher use. The desire to become pregnant, husband’s opposition, women’s reluctance, women’s lack of knowledge of contraceptives and factors associated with the intervention were the leading reasons for not using the vouchers. Conclusion: the promotion of modern contraceptive use among married women or concubines requires a holistic approach combining free access to modern contraceptives, effective policies involving men in family planning and the reduction of fertility preferences among the couples.

Translated title of the contributionContraceptive use by married women or concubines living in rural areas in Burkina Faso: a qualitative study of free voucher use
Original languageFrench
Article number72
JournalPan African Medical Journal
Volume37
Issue number72
DOIs
Publication statusPublished - 18 Sep 2020

Keywords

  • Burkina Faso
  • Family planning
  • Vouchers

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