contraceptive interview
While in Rwanda I got the chance to interview one of my friends who is my age, 23, about the social norms, religious beliefs, and political actions surrounding contraceptives. The woman I interviewed is in university as a biology major. She has a different insight on this subject that other Rwandan citizens may not. Also she comes from a small rural village so I think she give a great holistic understanding to the subject. There is a bit of language barrier through out the interview but I am sure everything is understandable.
Grace: What does Rwandan society think of a women that takes birth control before marriage?
Interviewee: Rwandan society thinks that those person or young girls who take contraceptives, who use contraceptive methods or take those pills before marriage, they think that they are prostitutes. So it is somehow complicated for some girls to go to the health center or any health facility for those medicines or to ask for those family planning methods due to they are ashamed that the society or even their parents are going to say that, you are not good girl, you are not a good example in the society because you are a prostitute. They are somehow shamed even though there are some who use them but they some how feel shame and hide that they use those contraceptive methods.
Grace: Are there girls that have sex before marriage and do use contraceptives and it is not a problem?
Interviewee: For those girls that have sex, to use those contraceptive methods, normally in Rwandan society they like to use condoms, for the girls who do not have marriage, due to that the other methods like pills, like using injections they are ashamed to take them. But due to those condoms, they are going to take to shop, they think they are going to bring to their parents, they are not ashamed to use them, normally the young girls like to use the condom. They are not aware about all the other methods.
Grace: Are people comfortable using contraceptives when they are married?
Interviewee: When they are married? For some people. The elders are not comfortable due to the different issues or the different factors or challenges. Some of their challenges are their religious beliefs and the others are challenged by their cultures, and others fear from the effects of using contraceptive methods.
Grace: Do you think these opinions are more from religious or societal beliefs?
Interviewee: For someone coming from religious beliefs or societal beliefs or even culture, but, there is other contributing factors like financial issues or level of education, for those who are low educated, they do not like to use contraceptive methods. So I can say that those opinions are not come from religious or societal beliefs only, there are other factors.
Grace: Are contraceptives expensive?
Interviewee: So for the first time in Rwanda it was expensive, for the starting, I think that they did not give you those according to the medical insurance. But now, it is some how not expensive due to the use of community medical insurance for getting contraceptive methods. But also there are some financial means or some financial issues which restrict some people from using contraceptive methods. For some families they could get money instead of using them for shopping. But the elders due to the income, level of in household, they are not able to access contraceptives.
Grace: Even if it is inexpensive, it is still an added cost. What do you think of how society perceives contraceptives?
Interviewee: They see contraceptives in different ways, according to the group of the people. For example in rural society they see contraceptives as something which is forbidden and which is not allowed by those Christians. Also for the urban areas, they more appreciate the contraceptives. So for Rwandan society, if you try to see, some accept them, others do not accept them. So Rwandan society, for those who accept, they prefer that this who have been married re the only ones who may use contraceptive methods. I told you for the young girls or for the young boys that use the contraceptive methods, they are calling them the prostitutes. So they are some how ashamed. They only prefer that for those who did not get married, you must use abstinence only, as your contraceptive. It’s how Rwandan society is. So according to the religious beliefs in Rwandan society, we have some churches like the Catholics, they told their Christians, their fellows, do not do this, it is forbidden. You remember the first scripture, with Abraham, God told him that you give birth your children are going to be like the son’s of him. So they like to use that, but the other they use. According to the survey I tried to read, nowadays in Rwanda, 52% of the women use contraceptive methods.
Grace: But most of them are married.
Interviewee: Yes most of them are married.
Grace: I wonder percent aren’t married
Interviewee: For the last time I asked our lecturer what about the young girls or boys who use the contraceptives, are there any studies which should how they use contraceptives? So he answered me that there is no other’s which I can show you how young girls and young boys use contraceptive methods due to that they hide that they use them. They are more ashamed.
Grace: Do you think that contraceptives should be more accessible and accepted by society?
Interviewee: I think that, and I hope that could be accepted in the society. Through the different interventions of many peoples. For example those who are in the area of the health, they can encourage society. And by overcoming those challenges which restrict some families from using contraceptive methods. The contraceptives can be accepted and used in the society. To be well accepted only effort must be in educating the society. Some people are not more educated in the using of contraceptives methods, they fear only the side effects although the side effects are not many or much regarding or compiling to the cost of effect fusing contraceptive methods. So we have the contraceptive methods that can be acceptable and accessible in the society, according to the interventions of many different programs educating, publishing, or encouraging the community members to use. For the accessibility issue in Rwanda, nowadays in Rwanda, due to they give you contraceptives methods according to the insurance it is somehow accessibility increasing. For the first time it was difficult and the people did not access it due to financial issues. But according to the community insurance accessibility is good, although it is not one to clap for it or to celebrate more but it is increasing.
Grace: You have talked about this a bit, but why do you think people think negatively of contraceptives.
Interviewee: People think negatively on contraceptives there are some differences I can tell you. For some, if you used to converse with any woman, ask her what about contraceptive methods, how do you take it. Some will tell you that there are side effects, this who take them, they like to be growing due to hormones, they are bigger and always sickened and always disturbed. So they fear those side effects. Other which restrict them from using or cause them to think on it negatively is that religious issue. For some religion it is forbidden, I told you about, it is forbidden. You follow the words of god, you follow what gospel says to you, don’t use contraceptives. And there are some families that think that, for them to have many children, is the richest. Their children are going to work, and they are going to gain more. So they think that, ‘we are going to give birth for many children, some will be nurses, some will be teachers, others will be lecturers, and so our economic growth will be high’. But that is negative. That is the reason why they think contraceptive methods is not good for them.