Abstract
The drive to include men in family planning programming in one part can increase contraceptive prevalence and also reduce the unmet need for family planning especially in Africa especially sub-Saharan Africa, where 2015 millennium development goals in reproductive health were not achieved, however concerted efforts to achieve the sustainable development goals is ongoing. The contraceptive prevalence in Nigeria reported to be 17% in 2018 is less than the average of 55% in sub-Saharan Africa and global average of 76%. This low adoption of contraceptive has been linked to increased maternal mortality in the region. We conducted a descriptive cross-sectional study which examined the role of 464 married men, in family planning in Gambari, a rural settlement in Oyo state, South-West Nigeria. The objective of the study was to determine the knowledge, attitude and use of modern contraceptive methods by respondents and their spouses and to identify factors which influence the adoption of family planning methods by men. The mean age of respondents was 42 years, with their age ranging from 20 to 85 years. The Contraceptive method most respondents were aware of, was the injectable (62.5%) followed by the condom (44.8%). A total 80.8% (375) of men had overall poor knowledge of contraceptive methods, while 19.2% (89) had good knowledge. There was a statistically significant relationship between couples’ discussion of family planning and spousal contraceptive use (χ2=123, p<0.0001). Multivariate analysis showed that men with at least secondary education had a better knowledge, attitude and were more likely to have used modern contraception than those with only primary or no education. The study concluded that with better knowledge about contraceptives, men can enhance adoption of family planning, increase contraception uptake and match their attitudes with corresponding action.
Highlights
The interest in men’s involvement in reproductive health has continued to increase since the International Conference on Population and Development (ICPD) in 1994. [1] Despite this, low levels of men’s involvement in family planning services continues to be a major barrier to achieving a high rate of use of modern contraceptive in sub-Saharan Africa. [2] The improvement of men’s access to effective contraceptive methods can contribute significantly to community and country’s reproductive health outcomes
[4] Many family planning global average of 76%. [4, 6] The reality may be worse with clinics in sub-Saharan Africa including Nigeria are mostly the fact that the modern contraceptive rate in women in focused on women and this is more pronounced with the Nigeria is only 12%. [6]
Unmet need for family planning has become one of the contraceptive use by either spouse, Nigerian Demographic global indicators to measure the uptake of family planning. [9] health survey uses only the feminine gender. [4, 6] This
Summary
The interest in men’s involvement in reproductive health has continued to increase since the International Conference on Population and Development (ICPD) in 1994. [1] Despite this, low levels of men’s involvement in family planning services continues to be a major barrier to achieving a high rate of use of modern contraceptive in sub-Saharan Africa. [2] The improvement of men’s access to effective contraceptive methods can contribute significantly to community and country’s reproductive health outcomes. [1] Despite this, low levels of men’s involvement in family planning services continues to be a major barrier to achieving a high rate of use of modern contraceptive in sub-Saharan Africa. [5] The contraceptive reproductive health into national health strategies in other to prevalence in Nigeria which was reported to be 17% in 2018 is achieve universal access to sexual and reproductive health much less than the sub-Saharan Africa average of 55% and services including family planning. Unmet need for family planning has become one of the contraceptive use by either spouse, Nigerian Demographic global indicators to measure the uptake of family planning. The reasons range from religion to The answer to low family planning uptake in sub-Saharan cultural norm and greater economic power by men in many Africa, as evidenced by low contraceptive prevalence and African societies. [1, 10, 11] Evidence indicates that male high unmet need for family planning may lie in involving the involvement can lead to contraceptive uptake and thereby male gender rather than focusing on the female gender only
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