Publications by authors named "Wyvine Bapolisi"

The Democratic Republic of the Congo (DRC) has a low prevalence of family planning use. Recent studies have highlighted the significant role that socio-cultural factors play in the decision to use family planning or not. This qualitative study explored barriers to women's use of family planning methods in an ongoing conflict region, South-Kivu, DRC.

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Background: In the Democratic Republic of the Congo, women in (peri-)urban areas are commonly engaged in small trade, which allows them to meet the basic needs of their families. Microsaving approaches are a low-risk option to obtain financing for economic activities. A project combining men's sensitization on gender equity and women's empowerment through village savings and loan associations were implemented in North and South Kivu to raise the household economic level.

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Objective: In the Democratic Republic of the Congo, there is a low adherence of the population to the use of family planning (FP) due to various social barriers. This study aimed to understand the drives from social barriers to the use of FP in women in the Kivu, a region particularly affected by poverty and many years of conflicts. A theory of planned behaviour (TPB) using a generalised structural equation modelling has been applied to understand the complex sociocultural drivers to the intention and the ultimate decision to use FP.

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Article Synopsis
  • Access to quality healthcare is a crucial human right, but in rural areas of the Democratic Republic of the Congo, various factors influence healthcare choices among users.
  • A survey conducted with 1,751 adults revealed that 60% utilized health centers for health issues, while 5.3% relied on prayer rooms and 7.9% on self-medication due to lower costs and quicker services.
  • Key determinants for using health centers included being female and having a higher level of education, indicating that future health interventions should focus on improving access for those with lower education levels.
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Background: In the eastern part of the Democratic Republic of Congo (DRC) Village Savings and Loan Associations (VSLAs) programs targeting women are implemented. In the context of the 'Mawe Tatu' program more equitable intra-household decision-making is stipulated by accompanying women's participation in VSLAs with efforts to engage men for more gender equality, expecting a positive effect of this combined intervention on the household economy, on child nutritional status, on the use of reproductive health services including family planning, and on reducing sexual and gender-based violence (SGBV).

Methods: A longitudinal parallel mixed method study is conducted among women participating in VSLAs in randomly selected project areas and among a control group matched for socioeconomic characteristics.

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Contraceptive side effects (SE) are often portrayed as either unproblematic trade-offs for pregnancy prevention or misconceptions and fears that negatively affect individuals' contraceptive decisions. Little attention is given, however, to wider, socially-rooted meanings and rationales for these feared and experienced SE. Through inductive analysis of in-depth interviews conducted with women and men from rural Burundi and South Kivu province, Democratic Republic of the Congo between 2013 and 2016, we locate contraceptive SE narratives in individuals' broader and changing life circumstances.

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Modern contraception has created new possibilities for reimagining reproductive norms and has generated new socio-cultural uncertainties in South Kivu province, Democratic Republic of Congo. Using inductive analysis of women's reproductive narratives, this paper explores how women in a high fertility context encounter and integrate recently introduced family planning and modern contraceptive education and services into their lives. As foundational socio-cultural norms confront the new reproductive possibilities offered by contraception, power dynamics shift and norms are called into question, re-interpreted and re-negotiated.

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Background: In this protocol we describe a mixed methods study in the province of South Kivu, Democratic Republic of Congo evaluating the effectiveness of different demand side strategies to increase maternal health service utilization and the practice of birth spacing. Conditional service subsidization, conditional cash transfers and non-monetary incentives aim to encourage women to use maternal health services and practice birth spacing in two different health districts. Our methodology will comparatively evaluate the effectiveness of different approaches against each other and no intervention.

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