Scoping review of qualitative studies investigating reproductive health knowledge, attitudes, and practices among men and women across Rwanda.

BackgroundResearch efforts in Rwanda to improve sexual and reproductive health and rights (SRHR) are increasing; however, comprehensive literature reviews on SRHR are limited. This scoping review examines individual and contextual factors shaping knowledge, attitudes, and practices in the domains of: 1) family planning, 2) abortion care, and 3) other SRHR in Rwanda. Recognizing that individual, community, and societal factors influence RH, this review is guided by Bronfenbrenner's Ecological Systems Theory.MethodsEligible studies were conducted in Rwanda, included males and/or females of any age, and were published within the past 20 years. Studies reporting views of only healthcare or other professionals were excluded.ResultsThirty-six studies were included. The majority addressed individual and contextual considerations. At the individual level, studies explored knowledge about SRHR problems while at the interpersonal level, the support and attitudes of men and community members for adolescent SRHR were investigated. In terms of healthcare organization, maternal health practices, increased access to family planning programs, and the need for sexually transmitted infection programs was explored. At the social and cultural level, researchers investigated beliefs and traditional gender roles. Regarding public health policy, studies mentioned promoting and increasing funding for SRHR and reducing gender inequities.ConclusionOur findings can inform SRHR research programs, public health campaigns, and policy advances in Rwanda

SEARCH STRATEGIES | Scoping review of qualitative studies investigating reproductive health knowledge, attitudes, and practices among men and women across Rwanda

Scoping review search strategies.A search of the literature was conducted by a health sciences informationist (GKR) in March 2022. The eight databases searched were MEDLINE (via Ovid interface), EMBASE (via Embase.com), Scopus, CINAHL (via EBSCOhost), Web of Science Core Collection (via Thomson Reuters), Global Health (via CABI), PsycINFO (via EBSCOhost) and Women's Studies International (via EBSCOhost). Keyword and controlled vocabulary search terms were used to represent three main search concepts related to aspects of SRH: 1) family planning; 2) abortion care; and 3) sexual and reproductive health rights. Geographic search terms were used to focus the search retrieval on articles referencing Rwanda at the country level, by province, or by the capital city of Kigali. Lastly, a revised qualitative/mixed methods search filter was used in all eight database searches. Two unique qualitative/mixed methods search filters were revised for use in Ovid Medline to maximize retrieval of qualitative studies.http://deepblue.lib.umich.edu/bitstream/2027.42/175847/1/Rwanda SRHR _ Scoping Review of Qualitative Studies_ ALL SEARCH STRATEGIES _ March 2022.pdf-1Description of Rwanda SRHR _ Scoping Review of Qualitative Studies_ ALL SEARCH STRATEGIES _ March 2022.pdf : Search strategiesSEL

Ecological systems theory study categories.

BackgroundResearch efforts in Rwanda to improve sexual and reproductive health and rights (SRHR) are increasing; however, comprehensive literature reviews on SRHR are limited. This scoping review examines individual and contextual factors shaping knowledge, attitudes, and practices in the domains of: 1) family planning, 2) abortion care, and 3) other SRHR in Rwanda. Recognizing that individual, community, and societal factors influence RH, this review is guided by Bronfenbrenner’s Ecological Systems Theory.MethodsEligible studies were conducted in Rwanda, included males and/or females of any age, and were published within the past 20 years. Studies reporting views of only healthcare or other professionals were excluded.ResultsThirty-six studies were included. The majority addressed individual and contextual considerations. At the individual level, studies explored knowledge about SRHR problems while at the interpersonal level, the support and attitudes of men and community members for adolescent SRHR were investigated. In terms of healthcare organization, maternal health practices, increased access to family planning programs, and the need for sexually transmitted infection programs was explored. At the social and cultural level, researchers investigated beliefs and traditional gender roles. Regarding public health policy, studies mentioned promoting and increasing funding for SRHR and reducing gender inequities.ConclusionOur findings can inform SRHR research programs, public health campaigns, and policy advances in Rwanda.</div

PRISMA flow diagram of articles screened for scoping review of qualitative studies of reproductive health across Rwanda, 2001–2021.

PRISMA flow diagram of articles screened for scoping review of qualitative studies of reproductive health across Rwanda, 2001–2021.</p

Search citation counts.

BackgroundResearch efforts in Rwanda to improve sexual and reproductive health and rights (SRHR) are increasing; however, comprehensive literature reviews on SRHR are limited. This scoping review examines individual and contextual factors shaping knowledge, attitudes, and practices in the domains of: 1) family planning, 2) abortion care, and 3) other SRHR in Rwanda. Recognizing that individual, community, and societal factors influence RH, this review is guided by Bronfenbrenner’s Ecological Systems Theory.MethodsEligible studies were conducted in Rwanda, included males and/or females of any age, and were published within the past 20 years. Studies reporting views of only healthcare or other professionals were excluded.ResultsThirty-six studies were included. The majority addressed individual and contextual considerations. At the individual level, studies explored knowledge about SRHR problems while at the interpersonal level, the support and attitudes of men and community members for adolescent SRHR were investigated. In terms of healthcare organization, maternal health practices, increased access to family planning programs, and the need for sexually transmitted infection programs was explored. At the social and cultural level, researchers investigated beliefs and traditional gender roles. Regarding public health policy, studies mentioned promoting and increasing funding for SRHR and reducing gender inequities.ConclusionOur findings can inform SRHR research programs, public health campaigns, and policy advances in Rwanda.</div

Our adaptation of the ecological systems theory to characterize reproductive health in Rwanda.

Our adaptation of the ecological systems theory to characterize reproductive health in Rwanda.</p

Data extraction form.

BackgroundResearch efforts in Rwanda to improve sexual and reproductive health and rights (SRHR) are increasing; however, comprehensive literature reviews on SRHR are limited. This scoping review examines individual and contextual factors shaping knowledge, attitudes, and practices in the domains of: 1) family planning, 2) abortion care, and 3) other SRHR in Rwanda. Recognizing that individual, community, and societal factors influence RH, this review is guided by Bronfenbrenner’s Ecological Systems Theory.MethodsEligible studies were conducted in Rwanda, included males and/or females of any age, and were published within the past 20 years. Studies reporting views of only healthcare or other professionals were excluded.ResultsThirty-six studies were included. The majority addressed individual and contextual considerations. At the individual level, studies explored knowledge about SRHR problems while at the interpersonal level, the support and attitudes of men and community members for adolescent SRHR were investigated. In terms of healthcare organization, maternal health practices, increased access to family planning programs, and the need for sexually transmitted infection programs was explored. At the social and cultural level, researchers investigated beliefs and traditional gender roles. Regarding public health policy, studies mentioned promoting and increasing funding for SRHR and reducing gender inequities.ConclusionOur findings can inform SRHR research programs, public health campaigns, and policy advances in Rwanda.</div