{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T20:22:53Z","timestamp":1769631773697,"version":"3.49.0"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"3","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rwanda J Med Health Sci"],"abstract":"<jats:p>Background Non-communicable diseases (NCDs) pose a significant threat to maternal health. Women with NCDs should use contraceptive methods or seek preconception counselling to manage pregnancy risks. However, there is an unmet need for contraceptive use and preconception counselling among women with NCDs in Sub-Saharan Africa, including Rwanda.ObjectiveThe study aimed to explore the perceptions of women with NCDs regarding contraceptive use and preconception counselling in Rwanda.MethodsA phenomenological qualitative design was employed, with data collected through in-depth interviews of 28 women with NCDs from two district hospitals. Participants were selected using purposive sampling, and thematic analysis was conducted.ResultsTwo themes emerged from the analysis: (1) perceptions of contraceptive use and (2) access to preconception counselling services. Participants indicated that contraceptive use was influenced primarily by financial constraints, social and familial pressures, and religious beliefs, rather than their perceptions of pregnancy-related risks, and they also reported limited access to preconception counselling services. ConclusionsContraceptive use among women with NCDs is influenced by financial, social, and religious factors rather than their health conditions. Limited access to preconception counselling services is a constraint that is likely to affect maternal and neonatal health, and therefore it should be strengthened.Rwanda J Med Health Sci 2025;8(3):590-604<\/jats:p>","DOI":"10.4314\/rjmhs.v8i3.12","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T08:30:07Z","timestamp":1769589007000},"page":"590-604","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions of Contraceptive Use and Preconception Counselling among Women with Diabetes, Hypertension, and Rheumatic Heart Disease: A Qualitative Study"],"prefix":"10.4314","volume":"8","author":[{"family":"Juvenal Nambaje","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Marie Solange Mukanumviye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Diane Muhimpundu Rutayisire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"David Ntirushwa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Helene Mukagasore Mucyo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Eric Rutaganda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Emmanuel Munyaneza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Jean Damascene Kabakambira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Bavuma Charlotte Munganyinka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Perpetue Niyitegeka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Joselyne Rugema","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Viateur Hategekimana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Philippe Humure Nzamurambaho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Vedaste Bagweneza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2025,12,9]]},"container-title":["Rwanda Journal of Medicine and Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/rjmhs\/article\/download\/313456\/294874","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/rjmhs\/article\/download\/313456\/294874","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T08:30:09Z","timestamp":1769589009000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/rjmhs\/article\/view\/313456"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,9]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,11,27]]}},"URL":"https:\/\/doi.org\/10.4314\/rjmhs.v8i3.12","relation":{},"ISSN":["2616-9827","2616-9819"],"issn-type":[{"value":"2616-9827","type":"electronic"},{"value":"2616-9819","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,9]]}}}