Assessment of Male Involvement in Long-Acting and Permanent Contraceptive Use of Their Partner in West Badewacho, Southern Ethiopia

Abose, Abera; Adhena, Girmay; Dessie, Yadeta

doi:10.2147/oajc.s297267

Cited by 8 publications

(21 citation statements)

References 19 publications

(27 reference statements)

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“…This is similar to findings from an earlier study conducted in Cross River State, Nigeria where the likelihood of using FP services increased when the decision was made jointly by both husband and wife [32]. This is also comparable to a study in Ethiopia which noted discussion with the spouse about FP issues to be a significant factor of male involvement [33]. A qualitative study in Malawi documented that joint decision-making in FP responsibilities is assisted by male involvement [34].…”

Section: Discussionsupporting

confidence: 87%

Determinants of male involvement in family planning services in Abia State, Southeast Nigeria

Amuzie

Nwamoh

Ukegbu

et al. 2022

Contracept Reprod Med

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Background Male involvement in family planning (FP) remains low in male-dominant communities. Family planning contributes to the regulation of fertility and population growth in Nigeria. Increasing male involvement in family planning services is crucial in reducing maternal morbidity and mortality in patriarchal societies such as Nigeria. This study identified the determinants of male involvement in family planning services in Abia State, Nigeria. Methods This was a cross-sectional study conducted in twelve communities of Abia State, Nigeria. A total of 588 married men who met the eligibility criteria were recruited using a multistage sampling technique. An interviewer-administered semi-structured questionnaire was used to collect data on the variables. Univariate, bivariate and multivariate analysis was done. The level of significance was set at 5%. Results The overall level of active male involvement in family planning services was 55.1% (95% CI:51.0–59.2%). The mean age of the respondents was 42.4 ± 8.0 years. Access to television (aOR = 1.58, 95% CI: 1.05–2.39), spouse employment status (aOR = 2.02, 95% CI: 1.33–2.06), joint decision-making (aOR = 1.66, 95% CI: 1.05–2.62), and accompanying spouse to the FP clinic (aOR = 3.15, 95% CI: 2.16–4.62) were determinants of active male involvement. Conclusion At least, one out of every two men was actively involved in family planning services. This was determined by access to television, employment status of spouse, joint decision-making, and accompanying spouse to the FP clinic. There is a need to focus on the identified factors in order to further improve the active involvement of men in FP services.

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Section: Discussionsupporting

confidence: 87%

Determinants of male involvement in family planning services in Abia State, Southeast Nigeria

Amuzie

Nwamoh

Ukegbu

et al. 2022

Contracept Reprod Med

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“…These findings again suggest that male involvement in joint decision-making with women is predictive of contraceptive use and correspond with other studies from India and elsewhere showing associations of spousal contraceptive communication and decisionmaking in nationally representative samples (Kuete et al;Mahendra, Wilopo, and Putra 2019;Dixit et al 2021). However, some studies with smaller samples from Ethiopia and Nigeria did not yield similar findings (Abose, Adhena, and Dessie 2021;Iliyasu et al 2020), suggesting that understanding these issues requires analysis within specific contexts. Nonetheless, research from the HIV literature across national contexts reinforces interpretation that for condom use, at least, male engagement and support is critical.…”

Section: Introductionsupporting

confidence: 87%

“…2021). However, some studies with smaller samples from Ethiopia and Nigeria did not yield similar findings (Abose, Adhena, and Dessie 2021; Iliyasu et al. 2020), suggesting that understanding these issues requires analysis within specific contexts.…”

Section: Introductionmentioning

confidence: 99%

Associations between Contraceptive Decision‐Making and Marital Contraceptive Communication and use in Rural Maharashtra, India

Nazarbegian

Averbach

Johns

et al. 2022

Studies in Family Planning

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Women's contraceptive decision-making control is crucial for reproductive autonomy, but research largely relies on the Demographic and Health Survey (DHS) measure which asks who is involved with decision-making. In India, this typically assesses joint decision-making or male engagement. Newer measures emphasize female agency. We examined three measures of contraceptive decision-making, the DHS and two agency-focused measures, to assess their associations with marital contraceptive communication and use in rural Maharashtra, India. We analyzed follow-up survey data from women participating in the CHARM study (n = ), collected in June-December . The survey included the DHS (measure ), Reproductive Decision-Making Agency (measure ), and Contraceptive Final Decision-Maker measures (measure ). Only Measure  was significantly associated with contraceptive communication

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“…9 In Ethiopia, a number of primary studies were conducted in order to estimate male participation in FP. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] According to the reports, at the national level, there is a significant variation in the level of FP involvement among males, ranging from 8.4% 13 to 68.1%. 12 The cause of these disparities in male involvement in FP among Ethiopian men has yet to be determined.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of the involvement of married men in family planning services in Ethiopia: A systematic review and meta-analysis

Kassa

Tenaw

Ayele

et al. 2022

Womens Health (Lond Engl)

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Background: Male involvement in family planning includes not only using contraceptives but also encouraging and supporting their partners’ contraception needs and choices, encouraging peers to use family planning, and influencing policy to make male-related programs more conducive. In Ethiopia, the prevalence and associated factors of male involvement in family planning were highly inconsistent across studies. As a result, the goal of this study was to use a systematic review and meta-analysis to estimate the pooled prevalence of male involvement in family planning and its associated factors in Ethiopia. Methods: Electronic literature search using PubMed, Google Scholar, EMBASE, HINAR, Scopus, and Web of Sciences were performed without time restriction to identify the primary studies. Data were extracted using a pretested standardized data extraction format and analyzed using STATA 14 statistical software. A random-effect model was used to estimate the pooled prevalence of male involvement. Results: A total of 17 studies were included to give the pooled prevalence of male involvement in family planning in Ethiopia, which was 39.66% (95% confidence interval = 29.86, 49.45). Educational status (adjusted odds ratio = 1.99, 95% confidence interval = 1.26, 3.14), discussion of family planning with wife (adjusted odds ratio = 4.15, 95% confidence interval = 2.21, 7.80), knowledge (adjusted odds ratio = 1.83, 95% confidence interval = 1.26, 2.64), positive attitude about family planning (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90), and approval of contraceptive use (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90) were found to be significantly associated with involvement of men in family planning service. Conclusion: The overall prevalence of male involvement in family planning in Ethiopia was significantly low. Male involvement in family planning should be made available, accessible, and advocated for by government and non-governmental organizations, service providers, program planners, and stakeholders. In addition, to increase the role of men in the use of family planning services, a conducive environment for education, behavioral change, and open discussion about reproductive health issues is required.

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Assessment of Male Involvement in Long-Acting and Permanent Contraceptive Use of Their Partner in West Badewacho, Southern Ethiopia

Cited by 8 publications

References 19 publications

Determinants of male involvement in family planning services in Abia State, Southeast Nigeria

Determinants of male involvement in family planning services in Abia State, Southeast Nigeria

Associations between Contraceptive Decision‐Making and Marital Contraceptive Communication and use in Rural Maharashtra, India

Prevalence and determinants of the involvement of married men in family planning services in Ethiopia: A systematic review and meta-analysis

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