Abstract
BackgroundThe need to include males who require joint spousal decisions is critical in achieving key reproductive health indicators. Low involvement of males in family planning use is one of the contributing factors for low contraceptive use in Ethiopia. Despite this, there are inconsistent findings on the prevalence and determinants of male involvement in family planning use in Ethiopia. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of male involvement in family planning use and its determinants in Ethiopia.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be used to develop the protocol. The online databases PubMed, CINAHL, Google Scholar, and unpublished gray literature will be searched to retrieve available articles from April 10 to August 11, 2021. The two authors will conduct selection of studies, data extraction, and quality assessment. The quality of the studies will be assessed using the Joanna Briggs Institute checklist. The chi-squared test and I-squared statistic will be used to examine heterogeneity among studies. Sources of heterogeneity will be investigated using subgroup analysis and meta-regression based on regions and residence (urban and rural). Publication bias will be examined by observation using funnel plots and statistically by Begg’s and Egger’s tests. A random-effects model will be used to estimate the pooled prevalence and its determinants of male involvement in family planning use.DiscussionThe role of males in family planning and participation in contraceptive use improves women’s uptake and continuity of family planning use. Although there are studies on male involvement in family planning use, there are no synthesis research findings on the pooled prevalence of male involvement in family planning use and its determinants in Ethiopia. Therefore, the findings from this systematic review and meta-analysis will help the national health sector transformational plane emphasize the pooled prevalence and its determinants that drive low male involvement in family planning use in Ethiopia.
Highlights
The need to include males who require joint spousal decisions is critical in achieving key reproductive health indicators
Studies performed in different regions of Ethiopia showed the role of men in family planning use, and male participation in contraceptive use improves women’s uptake of family planning services [2, 4, 19,20,21]
❖ What is the pooled prevalence of male involvement in family planning use in Ethiopia? ❖ What are the determinants of male involvement in family planning use in Ethiopia?
Summary
Study protocol and reporting A systematic review and meta-analysis protocol will be prepared using the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines [28]. Studies that reported the prevalence of male involvement in family planning use and its determinants among couples in Ethiopia will be included. The secondary outcome of the study will be determinates of male involvement in family planning use among married men in Ethiopia. Sensitivity analysis will be conducted to include eligible quality studies in the final systematic review and meta-analysis by investigating the effect size estimates of studies. The pooled prevalence estimate of male involvement in family planning use in Ethiopia will be performed using a random-effects model [33]. A forest plot will be used to present the pooled prevalence and its determinants of male involvement in family planning use at a statistical significance level of a p value of less than 0.05. Egger’s and Begg’s tests [37] will be conducted to check the potential publication bias, and a p value of < 0.05 will be used to declare the statistical significance of publication bias
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