Assessment of Men’s Involvement in Long Acting and Permanent Contraceptive Use among Currently Married Men Aged 20-64 Years, In Mizan-Aman District, South Western Ethiopia

Mulatu, Kebadnew (2014) Assessment of Men’s Involvement in Long Acting and Permanent Contraceptive Use among Currently Married Men Aged 20-64 Years, In Mizan-Aman District, South Western Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Introduction: Though women bear the physical, psychological and emotional strain of pregnancy and childbirth, it could not mean that fertility and contraception are based exclusively on the female population. Thus, the social roles of men who are dominant not only in decision making within the family, but also at community leadership levels have been overlooked. Most family planning programs give less attention to the understanding of men’s role in the effective and steadfast utilization of contraceptives. Objective: the main aim was to assess the role of men in long acting and permanent contraceptive use among currently married men aged 20-64 in Mizan-Aman District, South Western Ethiopia. Methods: Community-based cross-sectional study was conducted. A mixed method of quantitative and qualitative research was used. A total of 554 study participants were recruited for the study. The investigator prepared, pre-tested and structured questionnaire was used to collect data. Odds ratio along with 95% Confidence interval in Multivariate Binary Logistic regression was used to assess the strength and significance of the association. Thematic analysis has also been adapted for analyzing the qualitative data. Results: A total of 521 men were included in the analysis. Only 11.5% the respondent's wives used LAPMs though no study participant used any of these methods. Discussions between couples about LAPMs in the last 12 months (AOR=4: 95% CI.1.9-8.2) and on the number of children they want to have (AOR=3.1: 95% CI.1-9.2), going to health facilities with wives to discuss about FP with health providers (AOR=2.7: 95% CI. 1.3-5.6), and supporting the use LAPMS (AOR=4.5: 95% CI. 1.6-12.5) were significantly and strongly associated with utilization of LAPMs compared to their respective counterparts. Conclusions and recommendation: Discussion between couples on the use of LAPMs and on the number of children they should have; and men’s approval of LAPMs' utilization were factors that influencing utilization of LAPMs in the town. Health extension workers should enhance discussion between couples. Town level health programmers should advocate discussion between couples and men’s awareness on LAPMs. Further research, including both men and women is recommended in the Town and beyond.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 11 Jul 2018 10:25
Last Modified: 11 Jul 2018 10:25
URI: http://thesisbank.jhia.ac.ke/id/eprint/7282

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