scholarly journals Male Contraceptive Behavior in Rajshahi District of Bangladesh

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Mosiur R ◽  
Rafiqul I ◽  
Matin A
Keyword(s):  
Contraceptive Use ◽  
Male Involvement ◽  
Contraceptive Methods ◽  
Men And Women ◽  
Contraceptive Behavior ◽  
Fertility Preference ◽  
Male Contraceptive ◽  
Contraceptive Practice ◽  
User Rate ◽  
Significant Factors

This article examines the actual scenario of male involvement either as a user of contraceptive methods or supportive reproductive partners of women on contraceptive use in Rajshahi district of Bangladesh. The analysis shows that, knowledge and use of contraception are low in our study area. Comparative figures of contraceptive practice between men and women found a large disparity. Findings reveal that the user rate of all male contraceptive methods (e.g., condom at 17 percent) is still low compared to that of female methods (pill at 33.8 percent), which shows that men like to impose contra ceptive responsibility on women. Identification of socio-economic and demographic differentials affecting contraceptive behavior of men is performed through the technique of logistic regression. This paper elucidates that education, residence, fertility preference, mass media facility and knowledge about AIDS are the significant factors to influence contraceptive practices among men. Regarding the factors shunning the contraceptive practice we found that men’s opposition to use contraceptive methods is as most significant. The next reason for not using is related to contraceptive method.

scholarly journals USE OF MALE METHODS OF CONTRACEPTION WORLDWIDE

2016 ◽  
Vol 49 (5) ◽  
pp. 648-663 ◽  
Author(s):  
John Ross ◽  
Karen Hardee
Keyword(s):  
Condom Use ◽  
Time Trends ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Geographic Variations ◽  
Male Contraceptive ◽  
Use Patterns ◽  
Method Mix ◽  
Male Sterilization

SummaryThis article analyses male contraceptive use, both globally and for developing countries. Shares of all contraceptive use due to males are examined, in the context of female use and all use. Patterns according to wealth quintiles are analysed, as well as time trends and geographic variations. Data are drawn primarily from compilations by the UN Population Division and from the Demographic and Health Series and subjected to relatively simple statistical methods including correlation/regression applications. Contraceptive methods that men use directly, or that require their co-operation to use, including condoms, withdrawal, rhythm and male sterilization, account for one-quarter of all contraceptive use worldwide. This represents 13% of married/in-union women. Both the share and the prevalence of male methods vary widely by geography and by the four methods, as well as by quintile wealth groups. With greater wealth there is an unbroken rise for total use; among the male methods, the shares of condom use and rhythm rise by wealth quintiles, while the share of withdrawal drops. The share for male sterilization is highest in the lowest and highest wealth quintiles and dips for the middle quintiles. The overall time trend since the 1980s has been steady at one-quarter of all use involving men; moreover, the share is about the same at all levels of total use. The female-only methods continue to dominate: female sterilization, IUD, pill, injectable and implant, again with great diversity geographically. In surveys men report less total use but more condom use, while females report more injectable use. For the future the male share of one-quarter of use seems secure, with little prospect of an increase unless concerted programmatic efforts are made to expand access to male methods and promote their use as part of a broadened contraceptive method mix.

scholarly journals Predictors of age at first child’s birth and contraceptive use among men in Uganda

2019 ◽  
Vol 3 ◽  
pp. 1492
Author(s):  
Henry Nsobya ◽  
Allen Kabagenyi ◽  
Jean Christophe Rusatira
Keyword(s):  
Reproductive Health ◽  
Behavioral Change ◽  
Contraceptive Use ◽  
Male Involvement ◽  
Outcome Variable ◽  
Contraceptive Methods ◽  
Significance Level ◽  
Services Delivery ◽  
Strategic Allocation ◽  
Health Rights

Background: Globally, research on age at first child’s birth among men has been neglected especially in Africa. Consequently, little is known about its impact on male involvement in reproductive health. This paper examined the socio-demographic, economic and proximate predictors of age at first child’s birth among men aged 15-54 years in Uganda. Methods: We used the 2016 Uganda Demographic and Health Survey (UDHS) on a sample of 3,206 men aged 15-54 years who had a biological child.  The outcome variable was age at first childbirth categorized as: below 17, 18-24 and 25 years and above (25+). Analysis was done using descriptive statistics,  un-adjusted and adjusted multinomial regressions with significance level at 95%. Results: Median age at first child’s birth was 22 years (IQR = 20-25). The majority of men (62.4%) had fatherhood onset between 18 and 24 years. Only 5.2% had fatherhood onset at 17 years or earlier, increasing to 32.4% at 25+. Respondents whose first sexual encounter was before 18 years was 44.3% and 92.7% by 24+. Few respondents (44.1%) reported use of any contraceptive methods. Anglican religion (RRR=1.62; CI 1.06 – 2.46) or not having attended school (RRR=2.20; CI 1.02-4.71) were predictors of childbirth onset before 17 years.  Age of sex debut at 18 years or higher (RRR= 2.09, CI 1.72 – 2.54) and secondary and above education (RRR = 1.76, CI 1.42-2.18) were predictors of fatherhood onset at 25+.  Contraceptive use among men had no association with age at first child’s birth. Conclusion: These findings are important for strategic allocation of resources to curb early onset of fatherhood among adolescent and young men under the age of 25 years. They highlight the need for gender-sensitive interventions targeting men for behavioral change, participation in Sexual and Reproductive Health Rights (SRHR) programming and improved access to services delivery.

Study on Perspectives and Practice of Contraception in Women

2016 ◽  
Vol 8 (1) ◽  
pp. 16-20
Author(s):  
Vishma H Shetty
Keyword(s):  
Socioeconomic Status ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Informed Choice ◽  
Male Involvement ◽  
Contraceptive Device ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Medical Discipline ◽  
Knowledge Usage

ABSTRACT Purpose of the study This study is undertaken to determine the knowledge, preferences, practice, experiences and perspectives of women toward contraception and also to note down the various factors influencing the acceptance and usage of contraception among women. Methodology Five hundred women of age group 15 to 49 years who were currently married were studied. Sexually active unmarried women were excluded from the study. The study data were obtained using a questionnaire. The questionnaire was divided under four broad headings: personal details, knowledge, usage and expectations. The data collected was analyzed. Changing trends, knowledge, usage and expectations of the women toward various contraceptive methods were noted. Results The most common method used was female sterilization (41.4%), followed by intrauterine contraceptive device (IUCD) (14.8%) and condom (9%). Among the sociodemographic patterns, women belonging to lower socioeconomic status, with rural background, younger women, Christians and illiterate women the prevalence of contraceptive use was lower compared to their counterparts. Spacing methods was most commonly used by women residing in urban and women with higher education background. Couple protection rate in this study was 77%. The unmet need was 9.8%. Knowledge of female sterilization was most common in 93% followed by oral contraceptives (OCP) 73.2%. The knowledge was higher among upper socioeconomic status and urban women. 78.8% had discussion with spouse. More than 70% had preference for male child. Conclusion This study stresses upon the fact that contraception services should be affordable delivered by informed choice and sensitive to individual's needs. The unmet need of contraception can be reduced by improving female literacy, contraceptive counseling, male involvement and availability of contraceptive services. These measures will indeed reduce unwanted pregnancies, improve self-esteem of women as they will have control over their fertility and in future reduce population explosion to some extent by limiting the family. Capsule Fertility control is an important medical discipline, it is essential for the welfare of the individual, family and the nation. The usage of contraceptive method depends on knowledge, preference, acceptance and experience. Objectives of the study • To determine the awareness, perception and acceptance of contraceptive methods • To study the contraception usage by the women. How to cite this article Shetty VH, Nagarathnamma R. Study on Perspectives and Practice of Contraception in Women. J South Asian Feder Obst Gynae 2016;8(1):16-20.

scholarly journals Update on male hormonal contraception

2019 ◽  
Vol 10 ◽  
pp. 204201881983484 ◽  
Author(s):  
Giulia Gava ◽  
Maria Cristina Meriggiola
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Method ◽  
Hormonal Contraception ◽  
Active Role ◽  
Hormonal Contraceptives ◽  
Contraceptive Methods ◽  
Men And Women ◽  
Male Contraceptive ◽  
The World

Despite increases in female contraceptive options, 40–45% of pregnancies across the world are still unplanned. While several effective female contraceptive methods have been developed, contraceptive choices for men are still limited to the male condom with its high failure rates and to vasectomies, which are invasive and not reliably reversible. Several studies have demonstrated a great interest among men and women for effective, reversible, and safe male contraceptive methods. Over the years, numerous studies have been performed to develop male hormonal and nonhormonal safe and effective contraceptives. A variety of new molecules are under development as oral or transdermal hormonal contraceptives for men demonstrating few side effects. In our overpopulated world, the development and commercialization of a male contraceptive method that will allow both men and women to take an active role in family planning is mandatory and further research on this topic is required.

scholarly journals Use of Contraceptive Methods among Young Married Women in Nepal

2018 ◽  
Vol 32 (2) ◽  
pp. 75-96 ◽  
Author(s):  
Kamala Devi Lamichhane
Keyword(s):  
Young Women ◽  
Contraceptive Use ◽  
Economic Status ◽  
Married Women ◽  
Contraceptive Methods ◽  
Wealth Status ◽  
Fertility Preference ◽  
Number Of Children ◽  
Unintended Pregnancies ◽  
Living Children

Nepal has a fairly high adolescent fertility rate and low use of contraception. Lack of contraceptive use is a major contributor to the high rates of unintended pregnancies amongst youth. There is also lack of specific studies dealing with contraceptive behavior among young married women. This study examines the use and determinants of contraceptive methods over the time period of 15 years (2001-2016) among young women in Nepal. Trend and bi-vatiate analysis of this study is based on the Nepal Demographic and Health Survey (NDHS), 2001, 2006, 2011 and 2016 data. The multivariate analysis is based on NDHS 2016 data of 2059 currently married non-pregnant young women aged 15-24 years. Logistic regression is used to assess the net effect of independent variables on dependent variable. The study shows that the contraceptive prevalence rate of young women is only 34 percent. Number of living children, spousal separation, husband education, women, occupation, wealth status, caste/ethnic affiliation, fertility preference, decision making status, ideal number of children they prefer and media exposure, are statistically associated to the use of contraception among young women in Nepal. There is a need to strengthen income generating activities so as to improve young women's socio-economic status which will translate into female economic and social empowerment hence ability to discuss sexuality related issues. Family planning programmes should be designed so as to address the contraceptive need of young women especially the low parity and Muslim adolescents.

scholarly journals Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Setegn Muche Fenta ◽  
Shewayiref Geremew Gebremichael
Keyword(s):  
Rural Women ◽  
Contraceptive Use ◽  
Community Level ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Contraceptive Usage ◽  
Modern Contraceptive Use ◽  
Multi Level

Abstract Background Ethiopia is one of the Sub-Saharan Africa countries with the lowest modern contraceptive prevalence rate and the highest fertility rate. This study aimed to assess individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia. Data and methods A sample of 9450 sexual active rural women aged 15-49 was extracted from the 15, 683 nationally representative samples of 2016 Ethiopian Demographic and Health Survey (EDHS). Multi-level logistic regression model was considered to identify determinant factors of modern contraceptive use among sexually active rural women in Ethiopia. Result The prevalence of modern contraceptive use among respondents was 20% in rural Ethiopia. Injection (66.35%) was the most common type of modern contraceptive use. In the last full model of the multilevel analysis, individual and community-level factors accounted for 86.69% of the variation in the use of modern contraceptive methods. Secondary and above-educated women (AOR = 1.39, 95%CI: 1.06, 2.81), having 1-4 living children (AOR = 2.70, 95%CI: 2.07, 3.53), rich wealth status (AOR = 2.26, 95%CI: 1.96, 2.60), married women (AOR = 17.31, 95%CI: 10.72, 27.94), having primary educated husband (AOR = 1.45, 95%CI: 1.27, 1.67) and being working husband (AOR = 2.26, 95%CI: 1.96, 2.60) were significantly positively associated with individual-level factors of the use of modern contraceptive methods. Besides, modern contraceptive use was negatively associated with Muslim women (AOR = 0.29, 95%CI: 0.25, 0.33). Compared to the Tigray region, women living in the Afar, Somali, Harari, and Dire Dawa regions had lower use of modern contraceptive methods. Women who had access to mass media (AOR = 1.35, 95%CI: 1.16, 1.57) were more likely to use contraceptives than their counterparts. Conclusion The prevalence of modern contraceptive use among rural women has very low. Both individual and community-level factors were significant predictors of modern contraceptive use. Consequently, the government and other stakeholders need to address educational opportunities; creating awareness about modern contraception and valuable counseling would increase modern contraceptive methods utilization.

P–047 Knowledge, professional attitudes and training of health professionals on male contraceptive methods

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
J Perrin ◽  
J Tcherdukian ◽  
A Netter ◽  
E Lechevalier ◽  
F Bretelle ◽  
...  
Keyword(s):  
General Practitioners ◽  
Health Professionals ◽  
Large Scale ◽  
Hormonal Contraception ◽  
Male Contraception ◽  
Contraceptive Methods ◽  
Medical Specialties ◽  
Professional Attitudes ◽  
Male Contraceptive ◽  
And Training

Abstract Study question Among health professionals involved in contraceptive prescribing, what are the knowledge, professional attitudes and training on male contraceptive methods? Summary answer The health professionals involved in prescribing contraception are not sufficiently trained in male contraception and almost all of them want more. What is known already The most recent large-scale studies show that 70% of couple contraception is provided by women and that the majority of men and women would be willing to adopt male contraception as couple contraception. The medicalization of contraception places the medical profession at the forefront of the acceptability of and information regarding a contraceptive method. However, only one study have evaluated health professionals’ knowledge of the various methods of male contraception (MC), including male hormonal contraception (MHC) and male thermal contraception (MTC). Study design, size, duration Between April 2020 and June 2020, we carried out a descriptive prospective multicentre study in a medical population of 2243 prescribers of couple contraception in France. Participants/materials, setting, methods The participants were obstetrician-gynaecologists, medical gynaecologists, general practitioners or midwives. They completed a three-part numerical questionnaire, including i) sociodemographic characteristics and personal experiences with contraception, ii) knowledge and professional attitudes about male contraception and iii) training on male contraception. Main results and the role of chance The overall participation rate was 19% (340/2243). Condoms and withdrawal were known by 98% and 89% of the population, respectively. Vasectomy was known by 75% of the population and significantly better known by obstetrician-gynaecologists than by medical gynaecologists and general practitioners (p = 0.026). Male hormonal contraception (MHC) and male thermal contraception (MTC) were known by 10% and 23% of the population, respectively, and were significantly better known by medical gynaecologists and general practitioners than by other specialties (p < 0.001). More than half (55%) of the population never or infrequently offered MC during a couple’s contraceptive request consultation. Female practitioners offered MC significantly more often than male practitioners (48% vs. 26%; p = 0.033). Only 14% of the population had ever participated in training on MC, 96% wished to be better trained on MC, and 86% expressed a willingness to participate in such a training. Limitations, reasons for caution The population was mainly representative of medical health practitioners of southeastern France. There was an over-representation of women in all medical specialties, except for midwives. Wider implications of the findings: Our study shows that health professionals involved in contraception have limited knowledge about MC and are eager to have more information about it. To advance the acceptability and dissemination of such contraceptive methods, it seems imperative to provide health professionals with an adapted training program on male contraception. Trial registration number 2020–01–23–03

Contraception in Adolescents

2021 ◽  
Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro
Keyword(s):  
Contraceptive Use ◽  
Unwanted Pregnancy ◽  
Healthcare Providers ◽  
The United States ◽  
Sexually Active ◽  
Contraceptive Methods ◽  
Contraceptive Counseling ◽  
Unscheduled Bleeding ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.

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