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He is a professor in the Unversity of Rwanda.
Abstract Objective: This study was conducted to determine the factors that will influence the decision to take up a tubal ligation Materials & Methods: Cross sectional comparative study conducted at two large University Teaching Hospitals and five district hospitals participants were recruited 1st November 2017 to 30 January 2018. Women were recruited from those seeking a family planning consultation, and those also desiring BTL at the study sites. Women were given information on the different types of family planning and then made the choice between BTL or other method, data collection was done using a structured questionnaire, data analysis was done using descriptive statistics and binary logistic regression analysis, P-v 0.05 was used for statistical significance Results: 382 women were enrolled in the study. Results reveal that a quarter (27%) of the sample underwent BTL, thought majority (73%) opted for a different method. Although majority (73.6%) attended the district hospitals, a higher proportion underwent BTL at referral hospitals Older age (>35 years), higher parity and previous cesarean section had a positive association to BTL uptake. Communication between couples BTL (79%) and consensus with the decision on other method (63.8%) also had a positive association (p-v 0.000, p - v<.001). In contrast, there was a low BTL uptake if couples did not discuss and agree (15.2%). Women who felt well informed and knowledgeable about BTL and other methods, were not different significantly (97.1% vs 67.2% p 0.000 p - v<.001). Conclusion: There is strong association for BTL decision with older age, higher parity, previous cesarean, and good communication between the couple.