The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.

<h4>Introduction</h4>The objective of this study is to assess change over time in the modern contraceptive prevalence rate (MCPR) and related variables among married women of reproductive age (15-49 years) in the military population in Kinshasa, Democratic Republic of Congo, compared to...

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Autores principales:	Pierre Z Akilimali, Henri Engale Nzuka, Katherine H LaNasa, Angéle Mavinga Wumba, Patrick Kayembe, Janna Wisniewski, Jane T Bertrand
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e49da265f67f49f195805f5ef31fd631
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spelling	oai:doaj.org-article:e49da265f67f49f195805f5ef31fd6312021-12-02T20:06:24ZThe gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.1932-620310.1371/journal.pone.0254915https://doaj.org/article/e49da265f67f49f195805f5ef31fd6312021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254915https://doaj.org/toc/1932-6203<h4>Introduction</h4>The objective of this study is to assess change over time in the modern contraceptive prevalence rate (MCPR) and related variables among married women of reproductive age (15-49 years) in the military population in Kinshasa, Democratic Republic of Congo, compared to women in the non-military population, based on cross-sectional surveys in 2016 and 2019.<h4>Methods</h4>Data among women living in military camps were collected as a special study of contraceptive knowledge, use, and exposure to FP messaging, for comparison to women in the non-military population from the annual PMA2020 survey. Both used a two-stage cluster sampling design to randomly select participants. This analysis is limited to women married or in union. Bivariate and multivariate analysis was used to compare the military and non-military populations.<h4>Results</h4>The socio-demographic profile of women in the military camps differed between 2016 and 2019, which may reflect the more mobile nature of this population. In both populations, knowledge of modern contraceptive methods increased significantly. Similarly, use of a modern contraceptive method also increased significantly in both, though by 2019 women in the military camps were less likely to use modern contraception (24.9%) than their non-military counterparts (29.7%). Multivariate analysis showed no significant difference in the amount of increase in MCPR for the two populations. Among contraceptive users in both populations, the implant was the leading method. Potential effects of FP programming were evident in the military population: exposure to FP messaging increased (in comparison to a decrease among the non-military population). Moreover, women who had lived in the camps for 4+ years had a higher MCPR than those living in the camps for less than four years.<h4>Conclusions</h4>This study demonstrates the feasibility and importance of collecting data in military camps for better understanding contraceptive dynamics among this specialized population.Pierre Z AkilimaliHenri Engale NzukaKatherine H LaNasaAngéle Mavinga WumbaPatrick KayembeJanna WisniewskiJane T BertrandPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254915 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Pierre Z Akilimali Henri Engale Nzuka Katherine H LaNasa Angéle Mavinga Wumba Patrick Kayembe Janna Wisniewski Jane T Bertrand The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
description	<h4>Introduction</h4>The objective of this study is to assess change over time in the modern contraceptive prevalence rate (MCPR) and related variables among married women of reproductive age (15-49 years) in the military population in Kinshasa, Democratic Republic of Congo, compared to women in the non-military population, based on cross-sectional surveys in 2016 and 2019.<h4>Methods</h4>Data among women living in military camps were collected as a special study of contraceptive knowledge, use, and exposure to FP messaging, for comparison to women in the non-military population from the annual PMA2020 survey. Both used a two-stage cluster sampling design to randomly select participants. This analysis is limited to women married or in union. Bivariate and multivariate analysis was used to compare the military and non-military populations.<h4>Results</h4>The socio-demographic profile of women in the military camps differed between 2016 and 2019, which may reflect the more mobile nature of this population. In both populations, knowledge of modern contraceptive methods increased significantly. Similarly, use of a modern contraceptive method also increased significantly in both, though by 2019 women in the military camps were less likely to use modern contraception (24.9%) than their non-military counterparts (29.7%). Multivariate analysis showed no significant difference in the amount of increase in MCPR for the two populations. Among contraceptive users in both populations, the implant was the leading method. Potential effects of FP programming were evident in the military population: exposure to FP messaging increased (in comparison to a decrease among the non-military population). Moreover, women who had lived in the camps for 4+ years had a higher MCPR than those living in the camps for less than four years.<h4>Conclusions</h4>This study demonstrates the feasibility and importance of collecting data in military camps for better understanding contraceptive dynamics among this specialized population.
format	article
author	Pierre Z Akilimali Henri Engale Nzuka Katherine H LaNasa Angéle Mavinga Wumba Patrick Kayembe Janna Wisniewski Jane T Bertrand
author_facet	Pierre Z Akilimali Henri Engale Nzuka Katherine H LaNasa Angéle Mavinga Wumba Patrick Kayembe Janna Wisniewski Jane T Bertrand
author_sort	Pierre Z Akilimali
title	The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
title_short	The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
title_full	The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
title_fullStr	The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
title_full_unstemmed	The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.
title_sort	gap in contraceptive knowledge and use between the military and non-military populations of kinshasa, drc, 2016-2019.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e49da265f67f49f195805f5ef31fd631
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The gap in contraceptive knowledge and use between the military and non-military populations of Kinshasa, DRC, 2016-2019.

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