Digital self-care for improved access to family planning and reproductive health services among adolescents in Rwanda: preliminary findings from a pilot study of CyberRwanda

References

• Farmer DB, Berman L, Ryan G, et al. Motivations and constraints to family planning: a qualitative study in Rwanda’s Southern Kayonza District. Glob Heal Sci Pract. 2015;3(2):242–254. doi:10.9745/GHSP-D-14-00198
   PubMed Web of Science ®Google Scholar
• National Institute of Statistics of Rwanda. Ministry of Health, The DHS Program ICF. Rwanda Demographic and Health Survey 2019-2020: Key Indicators Report. Vol. 53; 2020.
   Google Scholar
• Dennis ML, Radovich E, Wong KLM, et al. Pathways to increased coverage: an analysis of time trends in contraceptive need and use among adolescents and young women in Kenya, Rwanda, Tanzania, and Uganda. Reprod Health. 2017;14(1):130. doi:10.1186/s12978-017-0393-3
   Web of Science ®Google Scholar
• Uwizeye D, Muhayiteto R, Kantarama E, et al. Prevalence of teenage pregnancy and the associated contextual correlates in Rwanda. Heliyon. 2020;6(10):e05037. doi:10.1016/j.heliyon.2020.e05037
   Web of Science ®Google Scholar
• Muhoza DN, Rutayisire PC, Umubyeyi A. Measuring the success of family planning initiatives in Rwanda: a multivariate decomposition analysis. J Popul Res. 2016;33(4):361–377. doi:10.1007/s12546-016-9177-9
   Google Scholar
• Cohen N, Mendy FT, Wesson J, et al. Behavioral barriers to the use of modern methods of contraception among unmarried youth and adolescents in eastern Senegal: a qualitative study. BMC Public Health. 2020;20(1):1025. doi:10.1186/s12889-020-09131-4
   Web of Science ®Google Scholar
• Kigali R. Accelerating Fertility Decline to Trigger the Demographic Dividend in Rwanda *Corresponding Author: Rwanda-United Nations Population Fund (UNFPA) Kigali Rwanda Rwanda-United Nations Population Fund (UNFPA). Vol. 1; 2019. Available from: www.rwandapublichealthbulletin.org
   Google Scholar
• World Health Organization. Global Health Estimates 2015: Deaths by Cause, Age, Sex, by Country and by Region, 2000–2015; 2016.
   Google Scholar
• Raj A, Boehmer U. Girl child marriage and its association with national rates of HIV, maternal health, and infant mortality across 97 countries. Violence Against Women. 2013;19(4):536–551. doi:10.1177/1077801213487747
   PubMed Web of Science ®Google Scholar
• Ganchimeg T, Ota E, Morisaki N, et al. Pregnancy and childbirth outcomes among adolescent mothers: a World Health Organization multicountry study. BJOG. 2014;121(Suppl:40-48). doi:10.1111/1471-0528.12630
   Google Scholar
• Hall KS, Manu A, Morhe E, et al. Bad girl and unmet family planning need among Sub-Saharan African adolescents: the role of sexual and reproductive health stigma. Qual Res Med Healthc. 2018;2(1):55–64. doi:10.4081/qrmh.2018.7062
   PubMedGoogle Scholar
• Lince-Deroche N, Hargey A, Holt K, et al. Accessing sexual and reproductive health information and services: a mixed methods study of young women’s needs and experiences in Soweto, South Africa. Afr J Reprod Health. 2015;19(1):73–81.
   PubMed Web of Science ®Google Scholar
• Challa S, Manu A, Morhe E, et al. Multiple levels of social influence on adolescent sexual and reproductive health decision-making and behaviors in Ghana. Women Health. 2018;58(4):434–450. doi:10.1080/03630242.2017.1306607
   PubMed Web of Science ®Google Scholar
• Schwandt HM, Feinberg S, Akotiah A, et al. Family planning in Rwanda is not seen as population control, but rather as a way to empower the people: examining Rwanda’s success in family planning from the perspective of public and private stakeholders. Contracept Reprod Med. 2018;3:18. doi:10.1186/s40834-018-0072-y
   Google Scholar
• Ndayishimiye P, Uwase R, Kubwimana I, et al. Availability, accessibility, and quality of adolescent sexual and reproductive health (SRH) services in urban health facilities of Rwanda: a survey among social and healthcare providers. BMC Health Serv Res. 2020;20(1):697. doi:10.1186/s12913-020-05556-0
   PubMed Web of Science ®Google Scholar
• World Health Organization. WHO Consolidated Guideline on Self-Care Interventions for Health. Vol. 23; 2019. https://apps.who.int/iris/bitstream/handle/10665/325480/9789241550550-eng.pdf
   Google Scholar
• Self-Care Trailblazer Group. Digital Self-Care. A Framework for Design, Implementation & Evaluation; 2020.
   Google Scholar
• Shanks S, Morelli A, Ardines E, et al. Two-way text messaging to support self-care and delivery of an online sexual health service: mixed methods evaluation. JMIR mHealth uHealth. 2020;8(8):e17191–e17191. doi:10.2196/17191
   Web of Science ®Google Scholar
• Brady M, Drake JK, Namagembe A, et al. Self-care provision of contraception: evidence and insights from contraceptive injectable self-administration. Best Pract Res Clin Obstet Gynaecol. 2020;66:95–106. doi:10.1016/j.bpobgyn.2020.01.003
   Web of Science ®Google Scholar
• Cover J, Namagembe A, Tumusiime J, et al. A prospective cohort study of the feasibility and acceptability of depot medroxyprogesterone acetate administered subcutaneously through self-injection. Contraception. 2017;95(3):306–311. doi:10.1016/j.contraception.2016.10.007
   Web of Science ®Google Scholar
• Remme M, Narasimhan M, Wilson D, et al. Self care interventions for sexual and reproductive health and rights: costs, benefits, and financing. Br Med J. 2019;365:l1228–l1228. doi:10.1136/bmj.l1228
   Web of Science ®Google Scholar
• Nolan C, Packel L, Hope R, et al. Design and impact evaluation of a digital reproductive health program in Rwanda using a cluster randomized design: study protocol. BMC Public Health. 2020;20(1):1701. doi:10.1186/s12889-020-09746-7
   Google Scholar
• WHO. Global Consensus Statement Meaningful Adolescent & Youth Engagement. Engag Meaningful Youth. Published online 2016:4–7.
   Google Scholar
• Icek A. The theory of planned behavior organizational behavior and human decision processes. Organ Behav Hum Decis Process. 1991;50(2):179–211.
   Google Scholar
• Qualtrics. Published online 2020.
   Google Scholar
• R Core Team. R. A language and environment for statistical computing. Published online 2020.
   Google Scholar
• Pope C, Ziebland S, Mays N. Qualitative research in health care. Analysing qualitative data. Br Med J. 2000;320(7227):114–116. doi:10.1136/bmj.320.7227.114
   PubMed Web of Science ®Google Scholar
• Hootsuite & We Are Social. Digital 2021: Rwanda; 2021.
   Google Scholar
• Brittain AW, Loyola Briceno AC, Pazol K, et al. Youth-friendly family planning services for young people: a systematic review update. Am J Prev Med. 2018;55(5):725–735. doi:10.1016/j.amepre.2018.06.010
   PubMed Web of Science ®Google Scholar
• Hlongwa M, Mashamba-Thompson T, Makhunga S, et al. Evidence on factors influencing contraceptive use and sexual behavior among women in South Africa: a scoping review. Medicine (Baltimore). 2020;99(12): e19490. Available from: https://journals.lww.com/md-journal/Fulltext/2020/03200/Evidence_on_factors_influencing_contraceptive_use.26.aspx
   Web of Science ®Google Scholar
• Cohen N, Mendy FT, Wesson J, et al. Behavioral barriers to the use of modern methods of contraception among unmarried youth and adolescents in eastern Senegal: a qualitative study. BMC Public Health. 2020;20(1):1025. doi:10.1186/s12889-020-09131-4
   Web of Science ®Google Scholar