Male Involvement in Family Planning Decisions in Malawi and Tanzania: What Are the Determinants?

Osuafor, Godswill N.; Akokuwebe, Monica Ewomazino; Idemudia, Erhabor Sunday

doi:10.3390/ijerph20065053

Cited by 7 publications

(6 citation statements)

References 56 publications

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“…Those husbands who accessed training/education opportunities about reproductive health were 6 times more likely to be involved in their wives SRHRs compared with their counterparts. This finding is supported with study conducted in Myanmar, Nepal and Malawi ( 39 , 40 ). The plausible reason for the association could be the more the husbands have knowledge on SRHRs would have the better involvement.…”

Section: Discussionsupporting

confidence: 87%

Husbands’ knowledge and involvement in sexual and reproductive health rights of women in Bahir Dar City, Northwest Ethiopia: a community-based study

Jemberie,

Zewdu,

Rade

2024

Front. Public Health

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BackgroundSexual and reproductive health rights (SRHRs) are integral elements of the rights of everyone to the highest attainable standard of physical and mental health, but they are the most underdeveloped and least understood sphere of rights, especially in Africa, including the country of Ethiopia. The implementation of women’s SRHRs is essential for achieving gender equality and promoting women’s rights. Husbands’ knowledge and involvement play a significant role in improving women’s practice of their SRHRs. However, there is limited information/data about the level of husbands’ knowledge and involvement in Northwest Ethiopia, including Bahir Dar City. Therefore, this study aimed to assess husbands’ knowledge, involvement, and factors influencing their involvement in women’s SRHRs.MethodsCommunity-based cross-sectional study design was conducted from March 20 to April 5, 2023, in Bahir Dar City, Northwest Ethiopia, among 391 husbands. Multi-stage sampling and simple random sampling technique were applied to select kebeles and study participants, respectively. Participants were interviewed face-to-face using structured and pretested questionnaire. Binary logistic regression was applied to identify associated factors, and a p-value of <0.05 was a cutoff point to declare statistical significance.ResultsIn this study, 50.6% (198/391) of the husbands had good knowledge about their wives’ SRHRs and 44.2% (173/391) (95% CI, 39.3–49.1%) of the husbands were involved when their wives practiced their SRHRs. Access training/education about sexual health [AOR = 5.99; 95% CI (2.7–13.2)], husbands’ advance educational level [AOR = 8.81; 95% CI (2.04–38)], good knowledge about SRHRs [AOR = 7.94; 95% CI (4.3–14.4)], low monthly income (<4,600 birr) [AOR = 9.25; 95% CI (4.2–20.5)], and had open discussion with family members and friends about SRHRs [AOR = 1.92; 95% CI (1.01–3.6)] were found to have significant association with husbands’ involvement.ConclusionHusbands’ level of knowledge on SRHRs of women and their involvement remain low. Therefore, responsible concerned bodies need to work on the strategies that help to improve men involvement and knowledge, and tackle the above-mentioned factors influencing their involvement.

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Section: Discussionsupporting

confidence: 87%

Husbands’ knowledge and involvement in sexual and reproductive health rights of women in Bahir Dar City, Northwest Ethiopia: a community-based study

Jemberie,

Zewdu,

Rade

2024

Front. Public Health

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“…Male partners play a fundamental role not just in family planning but in prevention of sexually transmitted infections [ 25 ]. Efforts to involve male partners and provide conducive welcoming hospital environment can promote participation of male partners in family planning [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Enablers and barriers of male involvement in the use of modern family planning methods in Eastern Uganda: a qualitative study

Tekakwo,

Nabirye,

Nantale

et al. 2023

Contracept Reprod Med

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Background Male involvement plays a critical role in the utilization of various sexual and reproductive health services. We explored enablers and barriers of male involvement in the use of modern family planning methods in Eastern Uganda. Methods This was a qualitative study in Mbale, Eastern Uganda done between November and December 2022. We conducted three group discussions comprising of four participants each, with male partners and eight key informant interviews with midwives. We followed a group discussion guide during the group discussions and an interview guide during the key informant interviews to explore enablers and barriers of male involvement in the use of modern family planning methods. All the interviews and group discussions were audio-recorded with permission from the participants, transcribed verbatim, and analyzed following thematic content analysis approach. Results Two sub-themes emerged from the analysis; perceived enablers and barriers. The perceived enablers included positive attitude, subjective norms, need to support the woman, mutual consent, limited resources and expected benefits of reducing gender-based violence and sexually transmitted infections. Lack of male partner consent, busy work engagement, social stigma, religious prohibition, desire for many children and gender roles incompatibility hindered male partner involvement in family planning. Fear of side effects and misconceptions, unconducive hospital environment in form of mistreatment, family planning considered a female’s issue, and lack of consideration of male partner needs in family planning clinic were additional barriers to male involvement. Conclusion Male involvement in family planning was related to positive attitude and subjective norms towards family planning, mutual consent, and recognition for limited resources to support a large family size. Lack of male partner approval, fear of side effects and misconceptions, unconducive hospital environment and social, cultural and religious prohibitions discouraged male partner involvement in family planning. Community based approaches to family planning sensitization, such as community education campaigns, may be an important step toward reducing barriers to male involvement in the use of modern family planning methods.

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Section: Discussionmentioning

confidence: 78%

“…The findings of this study align with recent research conducted in Malawi and Tanzania, which reported a prevalence of male involvement in family planning decisions of 53.0% and 26.6%, respectively. 18 This is further supported by a study conducted in Indonesia, which found that the approval of the family planning method by spouses positively influenced the uptake of male contraception. 19 This study also revealed decreased willingness for uptake in situations where only male partners were responsible for contraception.…”

Section: Discussionmentioning

confidence: 82%

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

Tumwesigye,

Kigongo,

Nakiganga

et al. 2023

OAJC

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Background: Uganda has one of the highest fertility rates in Sub-Saharan Africa (SSA). Improving contraceptive uptake in all genders, including males, may be critical to meeting family planning goals in such a setting. Yet, data on male contraception uptake and associated factors in SSA, including Uganda, are limited. We determined the uptake and associated factors of male contraception use in Lira City, Northern Uganda. Methods: We conducted a community-based cross-sectional study from November 12, 2022, to December 12, 2022, among men aged ≥18 years. We used multi-stage sampling to select participants from 12 cells of Lira City divisions of East and West. Data were collected using interviewer-administered structured questionnaires. We defined uptake in males who had used any contraceptive method, including periodic abstinence, withdrawal, condoms, and vasectomy in the previous four weeks. We performed modified Poisson regression to identify associated factors of male contraception uptake. Results: We recruited 401 participants with mean age of 30.4 (±9.3) years. Male contraceptive uptake was 46.4%, 95% CI: 41.5-51.3%. Ever heard about male contraception (adjusted prevalence ratio [aPR] =1.73, 95% CI: 1.172-2.539, p=0.006), willingness to use novel methods (aPR=2.90, 95% CI: 1.337-6.293, p=0.007), both partners being responsible for contraception (aPR: 1.53, 95% CI: 1.113-2.119, p=0.009) were the factors associated with male contraception uptake. Conclusion:We found that nearly half of the men surveyed had used male contraceptive methods in Lira City. Factors associated with the uptake of male contraception included having heard about male contraception, joint couple decision regarding contraception, and the use of novel methods of male contraception. We recommend comprehensive education and awareness campaigns to promote male contraception, with a particular emphasis on encouraging shared decision-making within couples and introducing innovative contraceptive options.

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Male Involvement in Family Planning Decisions in Malawi and Tanzania: What Are the Determinants?

Cited by 7 publications

References 56 publications

Husbands’ knowledge and involvement in sexual and reproductive health rights of women in Bahir Dar City, Northwest Ethiopia: a community-based study

Husbands’ knowledge and involvement in sexual and reproductive health rights of women in Bahir Dar City, Northwest Ethiopia: a community-based study

Enablers and barriers of male involvement in the use of modern family planning methods in Eastern Uganda: a qualitative study

Uptake and Associated Factors of Male Contraceptive Method Use: A Community-Based Cross-Sectional Study in Northern Uganda

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