Background Vasectomy is a safe and effective permanent contraceptive method. In Ethiopia, this method underutilized since the focus has been on contraceptive methods available for women rather than men. Few studies have examined this method in Ethiopia so far, so it is important to note that there is a lack of data about the method in the study area regarding married men’s knowledge and attitudes toward vasectomy. Methods A community-based cross-sectional study conducted from May 2 to June 2, 2021, at Arba Minch town. A simple random sampling technique used to select 624 study participants. Data collected via the face-to-face interview technique using a semi-structured and pretested questionnaire. Data entered in EpiData 3.1, cleaned, and analyzed using SPSS for Windows version 25.0. Descriptive statistics and bivariable and multivariable logistic regression analyses were performed. An adjusted odds ratio (AOR) with 95% CI and a p-value < 0.05 estimated to identify statistically significant variables associated with knowledge and attitude towards vasectomy. Results From the total of 624 study subjects, 600 had completed the questionnaire, giving a response rate of 96.2%. From those who heard about vasectomy (36.8%), only 60.6% of men had good knowledge, and 48.4% had a positive attitude towards vasectomy. Men’s knowledge of vasectomy was significantly associated with college or university attendance (AOR = 4.05, 95% CI: 1.720–9.521), age 31–40 years (AOR = 2.308, 95% CI: 1.081–4.929), and age ≥41 years (AOR = 2.671, 95% CI: 1.159–6.156). Age ≥41 years (AOR=4.735 95% CI 2.015–11.129), age of last child (AOR=3.868 CI 1.554–9.632) and discussing family planning with wife (AOR=2.821 95% CI 1.559–5.105) were significantly associated with attitude of men towards vasectomy. Conclusion In this study area, six out of ten and half of the married men had good knowledge and a positive attitude towards vasectomy, respectively.
Background: Cultural malpractices are defined as traditional practices which negatively affect the physical, sexual, and socio-economic participation of women and children. It is responsible for the annual deaths of 303,000 mothers and 2.7 million newborns globally. In developing countries, it accounts for about 5–15% of maternal deaths. In Ethiopia, about 18% of infant deaths occur due to cultural practice, and 52% of pregnant mothers give birth at home following cultural customs in Dire Dawa city. Objective: To assess cultural malpractices and associated factors during pregnancy, childbirth, and the postnatal period in women who gave birth once in Dire Dawa, 2021. Methodology: Community-based mixed study was conducted. A total of 624 study participants were selected through a systematic random sampling technique, and a purposive sampling method was used for qualitative data. Data was entered into Epi Data version 4.1 and exported to SPSS version 24 for analysis. Bivariate and multivariate analysis was done and the degree of association was measured by using the odds ratio with 95% CI and significance was declared at a p-value of < 0.05. The qualitative data was analyzed thematically using ATLAS-ti version 7. Results: Theoverall prevalence of cultural malpractice during the perinatal period was 74.6% (462). Women over the age of 35 were nearly three times more likely [AOR 2.61, 95% CI, 1.455-4.722] to commit cultural malpractice than women aged 15–24 and 25–34. No ANC follow-up were nearly four times more likely to commit cultural malpractice [AOR 3.577, 95% CI, 1.72-7.408], absence health education were nearly two times more likely to commit cultural malpractice [AOR 1.83, 95%CI, 1.25–2.67], and women whose culture allows harmful traditional practices were nearly two times more likely to commit cultural malpractices than their counterparts [AOR 1.69, 95%CI, 1.29–2.54]. Conclusion and Recommendations: In this study, nearly three-fourths of participants were involved in cultural malpractices during the perinatal period.
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