Rwanda‟s high population growth constitutes a major
challenge to the economic development. In 2010 Rwanda‟s
population growth rate was of 2.6%. Over time, the use of Long
Acting Contraceptive Methods (LACM) has not been opted for
as short acting methods. In the study conducted in Kicukiro
District to assess barriers to the use of LACM, the main objective
was to identify the barriers to the use of LACM. Specifically, to
measure prevailing rate of LACM use, to measure the association
between socio-demographic characteristics and the use of
LACM, to identify current knowledge and attitudes regarding
LACM and to assess the accessibility to LACM. To meet all
those objectives, a cross sectional study was conducted. The
study participants were 96 women and proportionate sampling
method was used. About 95.8% of participants had general
knowledge about LACM. The study showed that LACM use
increases significantly with the level of education (OR: 6.500;
p=0.012), the number of children alive (four and above: OR:
14.25 p<0.001), the family size (four and above: OR: 8.591
p<0.046), the joint discussion with partner on the number of
children to bear (OR: 5.053; P=0.048) and partner agreement to
the use of LACM (OR: 3.659; P=0.038). According to the study,
the use of LACM decreases significantly with desire of having
another child (OR: 0.389; P=0.040) and negative attitude toward
LACM (OR: 0.166, P=0.014). Campaigns against negative
attitudes toward LACM should be strengthened.