Acceptance Of Vasectomy Research Articles

I Assumed the Responsibility of Contraception from My Wife: A Vasectomy Acceptors Experience

I Assumed the Responsibility of Contraception from My Wife: A Vasectomy Acceptors Experience

Knowledge, Perception, and Acceptability of Vasectomy among Adult Males at University of Nigeria, Enugu Campus

Background: Vasectomy is a minimally invasive surgical procedure involving the severing of the vas deferens, effectively cutting off the supply of sperm to the semen so that the ejaculated semen is devoid of sperm cells. Howbeit, despite its high efficacy and minimal invasiveness, it remains underutilised in sub-Saharan Africa. Aim: This study assessed knowledge, perception, and acceptability of vasectomy among adult males at the University of Nigeria, Enugu Campus. Methods and Materials: A cross-sectional survey design was employed among 106 men attending St Mulumba Chaplaincy and Chapel of Redemption UNEC. A researcher-developed questionnaire was used to collect data, which was analysed using descriptive and inferential statistics with the aid of (SPSS) version 25 and Microsoft Excel. Results: The mean age and standard deviation of the respondents was 43.08±9.12. A greater percentage (n=70, 66%) had poor knowledge about vasectomy. The majority (n=74, 69.85%) had a negative perception of vasectomy. Only 1.9% (n=2) of the men have undergone vasectomy. Of those who have not had a vasectomy, only 6.7% (n=7) reported that they would consider it. The overall acceptability of vasectomy was 8.5% (n=9) and was not significantly associated with knowledge (p = .268). Conclusion: Overall, there was poor knowledge, negative perception, and low acceptability of vasectomy among the respondents. Although acceptability was not dependent on knowledge, there is still a need for healthcare workers to carry out educational programs, especially geared towards religious and cultural beliefs, engage community leaders, and train peer educators to improve the knowledge and acceptability of vasectomy among men. Keywords: Vasectomy, Acceptability, Adult men, Knowledge, Perception.

Characteristics and outcomes of no-scalpel vasectomy acceptors in a tertiary national maternity hospital: A retrospective single-cohort study

INTRODUCTION: No-scalpel vasectomy is an emerging family planning method that enables the male partner to get more involved. The procedure was first introduced in our institution in 2008 with an average of 7 clients per year (i.e., 86 patients from 2008 to 2019). There were no data when the pandemic started, but starting in March 2022, acceptance for the procedure started to increase. This coincides with the timeline of the study. At present, there are limited studies regarding no-scalpel vasectomy, especially local studies. A better understanding of the characteristics and outcomes of those who underwent no-scalpel vasectomy would aid our institution in formulating and implementing policies and family planning programs. OBJECTIVES: The study determined the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Characteristics included the sociodemographic, medical, reproductive, and duration from inquiry until semen analysis. The outcomes included the absence or presence of complications after the procedure and result of semen analysis. METHODS: The study utilized a retrospective, descriptive, single, cohort design. Total enumeration was done to get the 36 charts of clients who underwent no-scalpel vasectomy at the Comprehensive Family Planning Center of Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Patient charts were retrieved, and data abstraction was done. Tables and figures were used to display the frequency distribution of data collected. RESULTS: The study had a cohort of 36 individuals who underwent no-scalpel vasectomy, which accounted for 116% of the intended sample size. The characteristics of our clients were mostly urban residents, 30–39 years old, with partner, educated, middle class, employed, Roman Catholic, and having 1–2 children with the age of youngest below 3 years old. Different forms of family planning were used prior to the procedure. Teleconsultation effectively increases our clients for vasectomy. Clients were able to follow up after the procedure, but there was only a decrease in the number of clients who had their semen analysis done and were lost to follow-up. DISCUSSION: There is an increasing awareness in no-scalpel vasectomy procedure as seen in the increase in acceptors. It is an effective, safe, cost-effective, and permanent male contraceptive procedure, with very minimal manageable complications. However, there is a need for better protocol regarding follow-up with semen analysis result. CONCLUSION: By determining the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023, the findings of the study hope to aid the health-care providers gain a better insight about the characteristics and outcomes of our male clients who decided to undergo no-scalpel vasectomy as their family planning method of choice. There is a need study in further improving of the formulation and implementation of policies and family planning programs to further reach the male population.

Exploring barriers to vasectomy adoption among married men in Dadra and Nagar Haveli

Introduction and aim. Vasectomy was introduced in India in 1992 and is the most effective, simple, and safe permanent method of contraception yet its use is very limited among the population. The study’s objectives were to assess the knowledge, attitude, and perception towards vasectomy and the barriers to adoption among married men in Dadra and Nagar Haveli. Material and methods. A cross-sectional hospital-based study was conducted on married male attendants of patients and data were collected on sociodemographic details, knowledge regarding vasectomy, their attitude and perceptions towards vasec tomy, and their intention of using vasectomy in the future. Results. Out of 300 participants, 258 (86%) participants have heard of vasectomy as a contraceptive method, and only one participant has undergone vasectomy. The majority (285; 95%) of the participants agreed that family planning is also a responsi bility of males while nearly two-third (185; 61.7%) of them were not willing to undergo vasectomy in the future. Procedure-re lated factors, post-procedure-related factors, social factors, availability of alternate contraceptive methods, and preference for tubectomy were the barriers to the adoption of vasectomy. Conclusion. There is a need to provide correct information and counseling about vasectomy and non-scalpel vasectomy to eligible couples to increase the acceptance of vasectomy as a safe, effective, and cheaper method of contraception.

Determinants Affecting the Adoption of Vasectomy as a Family Planning Method among Married Men in Kiziranfumbi Sub-County, Kikuube District

Despite its reliability, vasectomy remains an underutilized family planning choice among men, being prevalent in only a handful of countries. Globally, its use stands at 2%, with sub-Saharan Africa reporting less than 100,000 cases by 2019 and a mere 0.4% utilization in Uganda. To investigate this, a cross-sectional community-based study was conducted to scrutinize the factors influencing the acceptance of vasectomy among married men in Kiziranfumbi sub-county, Kikuube district. Three parishes—Bulimya, Munteme, and Kidoma—were chosen, and 384 married men residing in the area for over six months were selected through systematic random sampling. The majority fell within the 21-30 age range (30.2%), with the Banyoro tribe comprising 66.4%, Catholics at 53.9%, primary education level at 70.6%, and 82.6% engaged in peasant farming. Monogamous marriages (69%) were prevalent, lasting between 5-25 years (69%), and with less than five children (50.8%). While 85.9% were aware of vasectomy, sources of information varied—32.6% from health workers and 25.3% from family and friends. Misconceptions persisted, with 52.1% uncertain about its impact on sexual function and 19.3% mistaking it for castration. Cultural influences loomed large, with 45.8% citing cultural beliefs as influencing their decision, 35.7% considering it culturally unacceptable, and 38.8% labeling it taboo. Furthermore, 42.2% believed vasectomy diminished men’s societal role. The study revealed a generally low level of knowledge (mean 2.1189, SD 0.38994), a high prevalence of negative attitudes (mean 3.1289, SD 0.30335), and strong cultural beliefs (mean 2.8620, SD 0.58887) against vasectomy. However, despite these barriers, 46.6% expressed an intention to opt for vasectomy, influenced significantly by knowledge (P 0.011) and cultural beliefs (P 0.000), contributing to 51.5% of the observed intention to uptake vasectomy. Addressing these hurdles will require widespread vasectomy awareness campaigns through health education, with a focus on male involvement in family planning to enhance the acceptance and uptake of vasectomy as a viable choice. Keywords: associated factors, vasectomy, family planning

DUKUNGAN PASANGAN DAN PANDANGAN NILAI ANAK LAKI-LAKI DALAM KEIKUTSERTAAN VASEKTOMI FAMILY SUPPORT AND THE VALUE OF BOYS IN VASECTOMY PARTICIPATION

The number of male participation in Indonesia has decreased from 0.3% in 2012 to 0.1% (IDHS, 2017).The addition of the number of male participation in becoming vasectomy acceptors in Banjarmasin City during 2020 was still small, namely 8 acceptors. The low participation of men has a negative impact on the success of the family planning program. In advancing the male family planning program, especially vasectomy, the role of partner support is very necessary because it can affect the husband's motivation and desire to become a vasectomy acceptor. Boys in Indonesia are still considered to be of a higher than girls. families have not stopped give birth because they don’t have son yet. The purpose of this study was to determine the relationship between partner support and vasectomy family planning participation. The method in this study is a type of descriptive analytic research with sampling using accidental sampling technique with the Mann Whitney statistical test. The conclusion of this study is that there is a relationship between family support, value of boys and male participation in using vasectomy.

Factors affecting the use of long term and permanent contraceptive methods: a Facebook-focused cross-sectional study

IntroductionIn the Muslim world, the use and acceptance of long-term and permanent contraceptives were limited. Our aim was to investigate those limiting factors so we can help making these methods widely available and acceptable to the society.Methods and data analysisThere were 1365 women from Facebook groups in the period 08/10/2020–8/11/2020. Participants were married women, living in Jordan. This was a cross-sectional study. Statistical Package for Social Sciences (SPSS), version 16, software was used for statistical analysis (Chicago, Illinois, USA).ResultsAmong participants, 22.3% had never used any contraceptives. Non-hormonal IUCD was the most commonly used method. There was a statistically significant association between the use of hormonal IUCD and women's age, marriage duration, education and number of children (p < 0.0001). Tubal ligation was adopted by only 44 (3.22%) participants. 19.68% of participants declined tubal ligation merely due to religious issues. Women who completed only high school level of education underwent tubal ligation significantly more than those with university (Bachelor) and post-university (Master or PhD) degrees (p < 0.0001 and 0.026, respectively). Only 1.83% of women's partners underwent vasectomy, the majority of these vasectomies (72.0%) were done because of the need for lifelong contraception. Around 17% of women's partners had poor knowledge about vasectomy. Further, women's employment status (housewives or full-time employees) was found to be the only variable that affected acceptance of vasectomy (p = 0.0047).ConclusionsWomen endured a heavy burden of contraception. Cultural and religious taboos influenced tubal ligation. Vasectomy was still very rarely adopted by men due to the lack of knowledge about the procedure. Our results raised the need for further dissemination of contraception knowledge and counselling through the primary care and maternity centers, mosques and media in official, comprehensive and integrated programs. Future research is needed in the field of permanent contraceptive methods.

Non-scalpel Vasectomy Camps: Our Experience and Recent Trends in 2021

Background: Camp approach has been advocated as an effective means of motivating the target population to adopt vasectomy as a method of permanent sterilization. There is a high degree of acceptance of Non-scalpel Vasectomy (NSV) among physicians and laypersons. With this knowledge, we organized camps and found good results which we share in this article.&#x0D; Methods: Four NSV camps were organized in four different villages across India on a vehicle-mounted mobile operation theater. The meticulous and detailed planning, dissemination of information, careful execution, and post-procedure follow-up is enumerated.&#x0D; Results: A total of 76 individuals underwent the operation in these camps. The mean age of the participants was 35 ± 5.2 years (range, 27–44 years). The complication rate was negligible and there was no failure of vasectomy. There was a high level of satisfaction among those who underwent this procedure as seen by the increased number wanting to undergo the procedure from places where camps were located.&#x0D; Conclusion: NSV as a procedure is perceived as being simple and pain-free. Re-enforcing this fact and removing doubts, and conducting operations at the camp in an environment the client is familiar with achieved rewarding results.

Knowledge, perception, and acceptance of vasectomy among male teachers in secondary schools in chikun local government area of Kaduna State, Nigeria

Background: Family planning programs have historically been focused on women. This has reinforced the misconception that family planning is largely a woman's responsibility, with the man playing a peripheral role. Vasectomies are a safe, effective, permanent, and cost-effective modern method of contraception which has poor global uptake in spite of its many benefits. Aim: This study aims to assess the knowledge, perception, and acceptance of vasectomy among male teachers in secondary schools in Chikun Local Government Area of Kaduna State, Nigeria. Materials and Methods: A cross-sectional descriptive study was carried out using a pretested interviewer-administered questionnaire. A total of 178 male teachers were selected using a multistage random sampling technique. Data were collected and analyzed using SPSS version 23, and the results were presented using tables. Chi-square test of proportion was used to test for association. Fisher's exact test was used where conditions for Chi-square test were not met. The level of statistical significance was set at P < 0.05. Results: The mean age of the respondents was 37 ± 7.4 years. Only a small proportion of teachers (6.7%) had good knowledge on vasectomy. Only 5.6% of the teachers had a positive perception about vasectomy, and majority (92.1%) were unwilling to accept to carry out the procedure. The age of the teachers and number of children they had were found to have a statistically significant association with their acceptance of vasectomy (P = 0.004 and P < 0.0001, respectively). Conclusion: Majority of the respondents had poor knowledge and negative perception toward vasectomy with a lot of misconceptions. Acceptance of vasectomy was also poor. Intermittent awareness campaigns on family planning methods should be carried out in the community by the local government health authority, and vasectomy should be discussed in detail to improve awareness and dispel misconceptions.

A qualitative exploration of men's perceptions of the terms “male sterilization” versus “vasectomy” in the southern United States

ObjectivesClinical literature and contraception information guides use the terms “male sterilization” and “vasectomy” interchangeably. We investigate the meanings men attach to “sterilization” and how those meanings compare to perceptions of “vasectomy.” Study designCisgender, heterosexual men, ages 25 to 67, living across seven U.S. southern states participated in individual telephone interviews from May to December 2019. Interviews explored men's experiences with contraception, including their perception of the term “sterilization.” We audio-recorded and transcribed the interviews and conducted thematic analyses using an inductive approach. ResultsWhile most participants described “vasectomy” as a relatively benign procedure, they described “sterilization” as “sinister,” “bleak,” and “barbaric.” Participants’ discussions of sterilization invoked associations with eugenicist practices and specific historical examples of forced sterilization. While some participants recognized that vasectomy is a means of achieving sterilization, most viewed the term “sterilization” as incongruous with the modern medical procedure of “vasectomy,” precisely because sterilization has been used as a form of reproductive oppression. ConclusionOur findings suggest that men have strong affective responses to the term “sterilization.” Participants’ knowledge of historical eugenicist practices has implications for the acceptability of vasectomy as a permanent contraceptive option in our contemporary context. ImplicationsThe phrase “male sterilization” can be associated with eugenics and coercive reproductive practices. Using the term for reproductive counselling, education, or research purposes may have implications for the acceptability of vasectomy as a permanent contraceptive option.

Faktor-Faktor yang Berhubungan dengan Partisipasi Pria dalam Program Keluarga Berencana di Kabupaten Muaro Jambi

This paper aims to gain an understanding of the characteristics of male couples of childbearing age, their participation in the family planning program and to assess the factors that influence men's participation in the family planning program in Muaro Jambi District. The problem in this study is focused on the low rate, where in 2018 only 1.3% consisted of 1.2% condom acceptors and 0.1% vasectomy acceptors (MOP). This achievement is very far behind when compared to the Jambi Province coverage of 2.5%. This condition illustrates the low participation of men in the family planning program in Muaro Jambi Regency. In order to approach this problem a reference is used from several factors that influence the low proda participation in the family planning program, including predisposing factors, supporting factors and driving factors. The data were collected through a direct interview survey to respondents using a questionnaire and analyzed using a quantitative method with a cross sectional design approach. This study concludes that knowledge is the most dominant factor associated with male participation in family planning programs in Muaro Jambi District. Men with good knowledge about family planning were 2.037 times more likely to participate in family planning programs than men with knowledge Â

Intention to use vasectomy and associated factors among married men in Addis Ababa, Ethiopia

BackgroundVasectomy is one of the highly effective and non-reversible types of long-term family planning methods for men. Ethiopia has a limited number of studies on the use of vasectomy, and they are focused on men rather than married men. The current study was aimed to identify the intention to use vasectomy as a method of contraception among married men in the study setting.MethodsA community-based cross-sectional study was conducted from February 1 – April 30, 2018. A sample of 422 married men was recruited using a systematic random sampling method. We conducted face to face interviews with a structured questionnaire (i.e. closed-ended questions). Data were entered into Epi data version 3.1 and SPSS version 23 used for data analysis. The statistical association between the outcome variable (Intention to use vasectomy) and the explanatory variables were first tested with binary logistic regression. Multivariable logistic regression was used to control for confounding effect of each predictor.ResultsThe study findings showed that the intention to use vasectomy as a method of family planning was reported as high (24%). About 34.8% of the respondents had good knowledge and nearly a quarter (23.2%) of them had a positive attitude toward the acceptance of vasectomy use. In multivariate analysis, age range between 30 and 39 years [AOR = 2.4, 95% CI = (1.16–4.82)], having good knowledge about vasectomy use [AOR = 6.22, 95% CI = (3.17–12.21)], and having a positive attitude toward vasectomy use [AOR = 7.81, 95% CI = (4.25–14.38)] were factors significantly associated to use vasectomy as compared to their counterparts.ConclusionThe level of acceptance of vasectomy (24%) was high compared to the level of its use in developing countries (i.e. if acceptability translates to use). The study revealed that age, good knowledge, and a positive attitude towards the use of vasectomy were important predictors of the intention to accept vasectomy. To further promote the use of vasectomy effective communication strategies in family planning programs are needed.

Partisipasi Suami dalam Penggunaan Vasektomi di Kota Kupang

&#x0D; Vasectomy is a contraceptive method for men or families who no longer want children. This method has a success rate of 99.8% and is very safe to use. Nevertheless, the number of men’s participation in the family planning program (KB), especially vasectomy, in Kupang was significantly low. Only 78 of 893 men who participated in KB were vasectomy acceptors. This fact was different from the number of participants for tubectomy in the city, which reached 2.687 acceptors in 2019. Practically, surgery for tubectomy is more complicated than vasectomy surgery. This study aimed to explore the reasons some husbands decided to participate in vasectomy. This research was a qualitative study with five informants. The results showed that the informants had both good understanding and positive attitude towards vasectomy. Also, the informants obtained socio-cultural support, easy access to the place of health services, and their spouses’ support in vasectomy participation. Socialization on vasectomy should address benefits, side effects, and other factors causing vasectomy to be considered taboo by the public. This will help change people’s incorrect mindset about vasectomy and increase the number of vasectomy participation.&#x0D; Keywords: Vasectomy, Husband, Participation, Support, Access

Implementation of Program to Increase Men's Participation in the Use of Vasectomy Contraception

This study aims to find out how to implement a program to increase the use of vasectomy contraception, to identify the implementation of vasectomy contraceptive services and to know the role and function of stakeholders in the implementation of vasectomy contraceptive use policies. This research was conducted through a qualitative research with a descriptive approach conducted in Tanjung Morawa Sub-District, Deli Serdang Regency. The research informants were determined by purposive sampling technique by involving the Department of Family Planning program manager in Deli Serdang District, family planning counselors, family planning cadres and acceptors (users) of vasectomy contraception. Research data collection were done through interviews, observation and documentation studies. The results indicates that the management of family planning programs was based on the mandate of Law No. 52/2009 where the government through the National Population and Family Planning Agency (BKKBN) carries out the function of controlling population and organizing family planning (KB) programs. In managing the vasectomy family planning program in Tanjung Morawa Sub-district, Deli Serdang Regency, there were several parties that have an important role in disseminating information and facilitating vasectomy services such as the Population Control Office, Family Planning and Women's Empowerment, Deli Serdang Regency Child Protection, Family Planning Extension, Family Planning Motivators and Family Planning Cadres. Strategy of vasectomy service for free, mobile services as well as the provision of incentives for vasectomy acceptors were able to attract men’s interest to be involved in family planning programs as users of vasectomy contraception.

Assessing the Acceptability of Vasectomy as a Family Planning Option: A Qualitative Study with Men in the Kingdom of Eswatini.

The uptake of vasectomy in many countries in sub-Saharan Africa is low. In Eswatini, a kingdom with strong patriarchal norms, the use of vasectomy is at 0.3%. This is despite great efforts to introduce vasectomy and involve men in reproductive health. This study explored the views of men about the acceptability of vasectomy and their willingness to adopt vasectomy as a family planning option. Focus group discussions were conducted with adult men recruited from health facilities located in rural, semi urban, and urban areas in two of the regions of Eswatini. A thematic approach was used to analyze the data. The acceptability of and intention to use vasectomy as a family planning option was very low. Cultural beliefs, societal norms, lack of knowledge about the procedure for vasectomy, and misconceptions influenced the acceptability of vasectomy greatly. The participants could not grasp the concept of a family planning method that is as permanent as vasectomy. However, the decisions to accept or reject vasectomy were influenced by their misconceptions and fears about vasectomy and were not based on facts. To address the need to involve men in reproductive health and improve the acceptability and adoption of vasectomy, planning should be conducted with them and informed by their understanding of their needs.

Factores que inciden en la aceptabilidad de la vasectomía

La vasectomía es un procedimiento que genera mínimas complicaciones y ostenta una tasa de éxito del 99 %; además tiene menor costo que la esterilización femenina, por lo cual se debe tener en cuenta el rol que desempeña el hombre en el número de hijos que se proyecta tener. En esta revisión de tema se identificaron los factores que inciden en la aceptabilidad de la vasectomía. Se realizó la búsqueda de la literatura en las bases de datos de PubMed, ProQuest, BioMed Central, ScienceDirect y Clinical Key para el periodo 2008-2017. Se seleccionaron 39 artículos por haber cumplido los criterios de inclusión: (a) publicado entre el 2008 y el 2017, en inglés, español o portugués y b) reportar resultados afines al tema de interés con evidencia de calidad científica durante la aplicación de las listas de chequeo. La sistematización y análisis de la información permitió la construcción de tres categorías temáticas: Entorno cultural, Condiciones sociales y Educación e información. Sobre la temática se evidenció que los factores como las creencias, el entorno sociocultural y la educación e información que tienen los hombres y sus parejas sobre la vasectomía influyen en la decisión de realizarse o no este procedimiento. Un hallazgo novedoso fue que el sexo de la descendencia también incide en esta decisión. Se recomienda una educación masiva para aumentar el acceso y conocimiento de la vasectomía.

Knowledge and Acceptance towards Vasectomy in a Sample of Medicine Students, Meta 2018

Introduction The low adherence to vasectomy is associated with the cultural environment, with false beliefs, and with lack of knowledge. In Colombia, the practice of vasectomy increased 3% between 1990 and 2015. Medical education seeks to have an impact on the general population; therefore, medicine students should have knowledge and attitudes toward birth control that include a significant participation of the male gender. Objective To describe the level of knowledge, beliefs, and acceptance of vasectomy in a sample of Colombian medicine students. Methods Cross-sectional descriptive study, nonprobabilistic sample by convenience with a total of 112 medicine students from different universities of the country attending at a university event. A total of 20 dichotomous questions were used. Results A total of 72.3% of the students answered correctly most of the answers; the knowledge level was grouped in high (53.35%), medium (41.07%), and low (5.35%). Up to 95.5% of the students recognized vasectomy as a male birth control method. Regarding beliefs, &gt; 99% considered that family planning is not just a responsibility of women, although only 75% of the men would accept undergo a vasectomy. Conclusions Colombian medicine students have a good level of knowledge about vasectomy, they recommend performing the surgery, and recognize the active participation of males in contraception; nevertheless, a higher willingness to perform a vasectomy would be expected from this population. Training on the subject would break barriers about beliefs and promote proper counseling in birth control consultations.

A comparative study of scalpel versus no scalpel vasectomy

Background: The objective of this study was to compare the standard vasectomy method and no scalpel vasectomy and complications, effectiveness, safety and acceptability of standard vasectomy (SV) versus no-scalpel standard vasectomy (NSV).Methods: Informed man who does not want to become father of any children and who desires an inexpensive outpatient method of voluntary permanent surgical sterilization, explain to patient and his wife regarding both procedure, semen analysis done after 3 months in every patient. Results: In NSV 72% patients required 10 to 20 minutes and in SV 100% required 20 to 35 minutes operative time. NSV, out of which 28% and in SV performed 60% having perioperative pain. NSV only 8% and 40% in SV having pain during follow up. In NSV average analgesic requirement was 2-3 days while among SV average analgesic requirement was 6-8 days. NSV, average antibiotic requirement was 5 days while among SV average antibiotic requirement was 7-10 days. In NSV 8% and in SV 32% were having infection during follow up. In NSV8% having wound problem during follow-up. In SV 32% having wound problem during follow-up. NSV 0% and in SV4% having vasectomy failure.Conclusions: Compared to the standard vasectomy technique, the no-scalpel vasectomy approach to the vas resulted in less bleeding, less pain during or after the procedure, and infection, as well as a shorter operative time, no longer day’s analgesic and antibiotic requirement and a more rapid resumption of sexual activity.

Mexican Men's View of Vasectomy.

The present study explored the views of Mexican men concerning vasectomy. One hundred and five men who had not had a vasectomy were asked to complete the following phrase "If you no longer wanted to have more children and a vasectomy was suggested, you would react with . . . or you would think . . . " with at least five different answers. Participants then had to rank each of their answers according to how well they describe the participant's feelings in the hypothetical situation. The results were analyzed using the Natural Semantic Networks Technique. The most common words used by participants with a limited educational background were reject, followed by fear and anger, and they did not use any words that implied acceptance of vasectomy. In contrast, the most common words used by participants with higher education were curiosity, followed by acceptance and interest; however, they also used the words fear and insecurity. The most frequent attitudes reported by men with limited education were negative, whereas participants with a higher education reported more ambivalent attitudes. These findings are discussed in light of sociocultural features and could be helpful in designing reproductive health programs with more effective counseling to diminish negative views about vasectomy.

Path Analysis on Factors Affecting the Willingness to Accept Vasectomy among Men in Sanden Community Health Center, Bantul, Yogyakarta, Indonesia

Background : Family Planning Program 0r Program Keluarga Berencana (KB) is a program initiated by the government to improve the quality of life in Indonesia. One of contraception methods for men is MOP (Operation Method Man) or a vasectomy. Most of society norms regard that family planning is the area of women and men do not need to be involved is also one reason for the lack of participation of men in family planning. This study aimed to investigate of path analysis affecting the willingness of husband as vasectomy acceptors. Subjects and Method : This was observational analytic study with case control design. This was conducted in Puskesmas Sanden Bantul, Indonesia. A total sample of 90 respondents was selected by Fixed Disease Sampling. Data analysis used Path Analysis. Result s : There is no direct correlation between attitude and willingness of husband as an acceptor of vasectomy (b= 3.21; 95% CI= 1.74 to 4.69; p <0.001), an indirect correlation between subjective norms and husband’s willingness as vasectomy acceptors (b= 2.08; 95% CI= 0.44 to 3.72; p= 0.013), perceived behavioral (b= 1.73; 95% CI= 0.25 to 3.20; p= 0.021), a direct correlation between the perception of behavioral control and a husband’s willingness as an acceptor of vasectomy (b= 1.49; 95 % CI= 0.36 to 3.62; p= 0.010) intention and willingness husband's vasectomy using (the value of coefficient b= 2.13; 95 % CI=1.00 to 3.27; p <0.001). Conclusion : There is an indirect and direct correlation of husband’s willingness as an acceptor of vasectomy by Theory of Planned Behaviour. Keywords : attitude, subjective norms, perceived behavioral, intention, willingness Correspondence : Dechoni Rahmawati. School of Health Jenderal Ahmad Yani, Yogyakarta. Journal of Health Promotion and Behavior (2016), 1(1): 26-31 https://doi.org/10.26911/thejhpb.2016.01.01.04