Men’s Knowledge, Attitudes and Participation in Family Planning: A Survey in the Urban Communities

Abstract Background Family planning services have been available at no cost in the public health settings of South Africa since 1994, and now include the long-acting reversible contraceptives (LARCs) namely, the contraceptive implant and intra-uterine device (IUD). However, the uptake of LARCs has been declining in the recent years and little is known about the cause of the decline. In many relationships, men may influence their female intimate partner’s contraceptive choices. Thus, men’s involvement in reproductive health decisions and family programming may improve their support for contraceptive use, including the LARC use by their female intimate partners. This study investigated factors affecting men’s support for the use of contraceptive implant by their female intimate partners. Methods A quantitative, cross-sectional survey was conducted among adult men attending a public, primary health clinic in Cape Town, South Africa. Using a structured questionnaire, we measured men’s knowledge, awareness and support of, and attitudes towards use of the contraceptive implant by their female intimate partners. Data were analyzed using SPSS version 25. Results The sample included 65 men with a mean age of 31.2 years. Most (76.6%) believed that both men and women should be responsible for family planning. Support for general contraception use by their female intimate partners was prevalent at 80.0%, but only 33.9% reported that they would like their partners to use the implant in the future, while 35.6% were unsure and 30.5% did not support their partner’s use of the implant. Factors significantly associated with men’s support of their partner’s future use of the contraceptive implant included men’s reports that their partner wished to have another child in future, knowledge that the implant is safe for use by women who have not had children, knowledge that the implant can effectively prevent pregnancy for 3 years, and a positive attitude towards the implant’s long-lasting effectiveness. Conclusion Improving men’s knowledge of, and attitudes toward the contraceptive implant might increase their support for their partner’s use of the implant, which in turn might promote uptake of the implant among women. The findings of our study suggest the importance of actively engaging men in reproductive health and family planning programs.

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Motivation and Involvement of Men in Family Planning in Pakistan

The Pakistan Development Review ◽

10.30541/v42i3pp.197-217 ◽

2003 ◽

Vol 42 (3) ◽

pp. 197-217 ◽

Cited By ~ 3

Author(s):

M Framurz Khan Kiani

Keyword(s):

Family Planning ◽

Urban Areas ◽

Contraceptive Use ◽

Dominant Role ◽

Desire For Children ◽

Planning Methods ◽

Family Decision Making ◽

Knowledge And Attitude ◽

Men’S Knowledge ◽

Men’S Involvement

The study of men in involvement and use of family planning methods is important because of their dominant role in family decision-making in the socio-structural context of Pakistan. The objective of present study is to examine the changes in knowledge and attitude of men about family planning, and also to estimate the extent to which it affects their contraceptive use behaviour. The findings show that men’s knowledge and contraceptive use has increased three times during the period from 1968-69 to 1990. The important factors that determine men’s contraceptive use behaviour are the approval of family planning, the communication with wife on family planning matters, and the desire for children. The multivariate analysis shows that men living in urban areas, with greater knowledge and a positive attitude towards family planning, are more likely to use contraception. In addition, wife’s autonomy is also important in explaining men’s involvement in the use of family planning. The study reveals that most Pakistani men approve of family planning and suggests that men should receive an equal focus together with women in the population welfare programme activities.

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Socio-Demographic Determinants of Family Planning Service Utilization among Women of Reproductive Age in Urban Communities of Imo State, Nigeria

OALib ◽

10.4236/oalib.1104627 ◽

2018 ◽

Vol 05 (05) ◽

pp. 1-21

Author(s):

Chukwuma B. Duru ◽

Obiageli F. Emelumadu ◽

Anthony C. Iwu ◽

Ikechi Ohanle ◽

Chuka C. Agunwa ◽

...

Keyword(s):

Family Planning ◽

Urban Communities ◽

Service Utilization ◽

Family Planning Service ◽

Reproductive Age ◽

Planning Service ◽

Women Of Reproductive Age ◽

Imo State

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Men's knowledge of and attitude with respect to family planning in a sub-urban Nigerian community

Nigerian Journal of Medicine ◽

10.4314/njm.v15i3.37225 ◽

2007 ◽

Vol 15 (3) ◽

Author(s):

OO Odu ◽

KT Ijadunola ◽

JO Komolafe ◽

WT Adebimpe

Keyword(s):

Family Planning ◽

Men’S Knowledge

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Unmet Need for Family Planning among Married Women: Experience from Rural and Urban Communities

Faridpur Medical College Journal ◽

10.3329/fmcj.v8i1.16894 ◽

2013 ◽

Vol 8 (1) ◽

pp. 26-30

Author(s):

Asma Kabir ◽

Md Nazrul Islam ◽

Ayesha Afroz Chowdhury ◽

Shyamali Das ◽

Md Zafor Sadeque

Keyword(s):

Family Planning ◽

Urban Communities ◽

Rural Women ◽

Unmet Need ◽

Urban Women ◽

Married Women ◽

Child Birth ◽

Age At Marriage ◽

Rural And Urban ◽

First Child

Unmet need for family planning is the key indicator to achieve Millennium Development Goal by the year 2015. Bangladesh Government has a great success in family planning sector but population has almost doubled in recent years. This study was carried out among married women to compare the determinants of unmet need for family planning among rural and urban communities during the period from July 2010 to June 2011. Unmet need for family planning in rural community was found 18(12%) and in urban community it was 38(25.3%). Among rural women unmet need for limiter was 13(8.6%) and spacer was 5(3.4%) while limiter 29(19.4%) and spacer 9(5.9%) found among urban women. Mean age at marriage was found 17.97(SD±2.66) years and mean age at first child birth was 19.91(SD±2.71) years among rural women. Among urban women mean age at marriage was found 20.43(SD±4.08) years and mean age at first child birth was 22.55 (SD±4.3) years. Current contraceptive users among rural women was 7 9(52.7%) while it was 61(40.7%) among urban women. In this study, association between unmet need for family planning and freedom of choice of contraceptives was highly significant (p=0.001). To increase contraceptive prevalence rate and reduction of unplanned pregnancy, more emphasis should be given on unmet need for family planning. DOI: http://dx.doi.org/10.3329/fmcj.v8i1.16894 Faridpur Med. Coll. J. 2013;8(1): 26-30

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Male Involvement in Family Planning: A Qualitative Survey of the Barriers and Facilitators amongst Married Men in Sokoto metropolis

Journal of Community Medicine and Primary Health Care ◽

10.4314/jcmphc.v33i2.8 ◽

2021 ◽

Vol 33 (2) ◽

pp. 115-127

Author(s):

B..G. Abubakar ◽

A.Z. Ezenwoko ◽

J.T. Ango ◽

N.C. Okafoagu ◽

A. Ismail ◽

...

Keyword(s):

Family Planning ◽

Male Involvement ◽

Educational Status ◽

Barriers And Facilitators ◽

Religious Leaders ◽

Group Discussions ◽

Qualitative Survey ◽

Married Men ◽

Large Families ◽

Men’S Knowledge

Background: Although large families are desired in Nigeria, women tend to want fewer children than men but are often unable to limit or space childbirth due to gender dynamics within relationships. Studies have identified men as a significant barrier to the use of contraceptives by their wives. The study explored married men’s knowledge and perception on family planning (FP), involvement in FP, barriers and facilitators of male involvement (MI) in FP in Sokoto Metropolis.Methods: A qualitative study was done among married men in Sokoto Metropolis in November 2017. Four focus group discussions were conducted among thirty-two men grouped based on educational status and age. Data was transcribed verbatim and a content analysis on emerging themes was done.Results: All the participants were aware of FP and most of them said that it is beneficial to everyone in the community. Most of the participants perceived that FP is an issue for both men and women. All the participants said that men should be involved in FP. The barriers to MI in FP mentioned were lack of knowledge on FP and poverty while increasing awareness on FP, religious leaders and traditional rulers championing FP, and making FP free were the facilitators suggested.Conclusion: The participants said that FP is beneficial to everyone in the community and men should be involved in FP. Traditional and religious leaders should be made the champions of FP in their various communities to improve acceptance and utilisation.

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Adoption and Utilization of Family Planning Services among Couples in Rural-Urban Communities in Oyo State, Nigeria

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.02.art012 ◽

2021 ◽

Vol 9 (2) ◽

pp. 129-142

Author(s):

Stella Akinso

Keyword(s):

Family Planning ◽

Urban Communities ◽

Reproductive Age ◽

Modern Contraceptive ◽

Family Planning Services ◽

Contraceptive Usage ◽

Modern Family ◽

Planning Methods ◽

Modern Family Planning ◽

Family Planning Methods

Modern Contraceptive Use Among Couples Has Been Documented To Be A Highly Effective Means Of Improving Maternal Health By Preventing Unintended Pregnancies And Maternal Morbidity. Nigeria Has A High Fertility Rate And Poor Contraceptive Usage, Marred By Social And Economic Dimensions With Other Cultural Norms, Including Gender Disparity. This Paper Presents The Findings Of A Cross-Sectional Quantitative Study Exploring The Adoption And Utilization Of Family Planning Services Among Couples In Rural-Urban Communities In Oyo State, Nigeria. Systematic Sampling Technique Was Used To Select 570 Women And Men Of Reproductive Age In Rural-Urban Communities Of The Oyo State, Using A 54 Semi-Structured Questionnaire Which Included Questions On Socio-Demographic Characteristics, Perception, Socio-Cultural Factors, Adoption, And Utilization Of Modern Contraceptive Services. Of The 570 Respondents, The Mean Age Of The Respondents Was 30.3 ±7.8 Years. Most (63.3%) Of Respondents Were Females, While 36.7% Were Males. The Most Common Family Planning Methods Respondents And Their Spouses Had Heard Injectable (21.2%), The Male Condom (18.6%), And Implants (15.1%), IUD (13.4%), And Pills (13.2%). Spousal Support Is 0.438 Times More Likely To Influence Utilization Of Modern Family Planning Method And Was Statistically Significant (Β=-0.826, Odd Ratio [OR]=0.438, P<0.05). Similarly, Stigmatization Is 1.298 Times More Likely To Influence The Level Of Utilization Of Modern Family Planning Methods (Β=0.261, Odd Ratio [OR]=1.298, P<0.05). It Is Important For Government And Family Planning Programmers To Focus On Programs That Address Stigmatization And Effective Spousal Communication For Improved Modern Contraceptive Uptake.

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