Men’s Awareness, Support and Uptake of Modern Family Planning: A Case Study of Oyo State Nigeria

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DOI: 10.21522/TIJPH.2013.12.03.Art049

Authors : Oluwatoyin A. Afachung, Mojisola M. Oluwasanu, Samson Akande

Abstract:

Amidst the availability of Modern Family Planning (MFP), the prevalence of FP is still low in Africa. Involving men is a critical factor for FP, owing to its benefits, decision making, use and non-use. This study considers the view of men on FP and focused on their perception, support and factors responsible for the use/non-use in Ibadan, Oyo State, Nigeria. A cross-sectional study design among married men in in Oyo State, Nigeria. A total of 452 were interviewed. Questionnaire developed using Open Data Kit. Stata statistical was used for data analysis at p=0.05. The majority were Muslims (61.7%), with highest level of education being secondary education (58.4%); 40.3% between the ages of 41- 50. Awareness was high (98.7%), with radio (77. %) being major sources. Almost all (98.2%, 97.4%, 92.0%) were aware of male condom, injectables and implants; 86.1% expressed supports and accepted its use (82.1%). Reasons for stopping/not supporting included personal choice (50%), side effects (18.9%) and infidelity (5.3%); 19.7% had negative perception, 43.6% negative perceived roles, 31.0% showed low support. Level of education (x2=8.144, p-0.017) and perception; religion and perceived roles (x2=12.089, p-0.002); level of education (x2=7.623, p-0.022) and supports; use and level of supports (x2=62.281, p-0.000) were associated. There was low level awareness, approval for, support and use of MFP. There is a need to develop family and community level strategic SBCC messages to increase awareness, approval, support and acceptance.

References:

[1].   Hoga, L.A., Rodolpho, J.R., Sato, P.M., Nunes, M.C. and Borges, A.L., 2014. Adult men's beliefs, values, attitudes and experiences regarding contraceptives: a systematic review of qualitative studies. Journal of clinical nursing23(7-8), pp.927-939.

[2].   Kabagenyi, A., Jennings, L., Reid, A., Nalwadda, G., Ntozi, J. and Atuyambe, L., 2014, Barriers to male involvement in contraceptive uptake and reproductive health services: a qualitative study of men and women’s perceptions in two rural districts in Uganda. Reproductive health, 11, pp.1-9.

[3].   Mulatu, T., Sintayehu, Y., Dessie, Y. and Dheresa, M., 2022, Male involvement in family planning use and associated factors among currently married men in rural Eastern Ethiopia. SAGE Open Medicine, 10, p.20503121221094178.

[4].   W.H.O. 2021, Sexual Reproductive Health: Maternal health in Nigeria: Generating information for action. Geneva: World Health Organization. Accessed 6 7, 2021. https://who.int/reproductivehealth.

[5].   Starbird, E., Norton, M., and Marcus, R., 2016, Investing in family planning: key to achieving the sustainable development goals. Global health: science and practice, 4(2), pp.191-210.

[6].   Ajayi, I. A., and Akpan, W., 2018, Use of traditional and modern contraceptives among childbearing women: Findings from a mixed methods study in two south-western Nigerian states." BMC Public Health, 604-626.

[7].   NBS. 2015, Tanzania demographic and health survey and malaria indicator survey. Tanzania: National Bureau of Statistics.

[8].   Blackstone, S. R., Nwaozuru, U., and Iwelunmor, J., 2017, Factors influencing contraceptive use in sub-saharan Africa: A systematic review." International Quarterly of Community Health Education, 241-260.

[9].   Msoka, A.C., Pallangyo, E.S., Brownie, S., and Holroyd, E., 2019, My husband will love me more if I give birth to more children: Rural women’s perceptions and beliefs on family planning services utilization in a low resource setting. International Journal of Africa Nursing Sciences, 10, pp.152-158.

[10].  Adongo, P.B., Tapsoba, P., Phillips, J.F., Tabong, P.T.N., Stone, A., Kuffour, E., Esantsi, S.F. and Akweongo, P., 2014, “If you do vasectomy and come back here weak, I will divorce you”: a qualitative study of community perceptions about vasectomy in Southern Ghana. BMC International Health and Human Rights, 14, pp.1-8.

[11].  Wondim, G., Degu, G., Teka, Y., and Diress, G., 2020, Male involvement in family planning utilization and associated factors in Womberma District, Northern Ethiopia: community-based cross-sectional study. Open Access Journal of Contraception, pp.197-207.

[12].  Asare, O., Otupiri, E., Apenkwa, J. and Odotei-Adjei, R., 2017, Perspectives of urban Ghanaian women on vasectomy. Reproductive Health, 14, pp.1-6.

[13].  Hutchinson, P.L., Anaba, U., Abegunde, D., Okoh, M., Hewett, P.C. and Johansson, E.W., 2021, Understanding family planning outcomes in northwestern Nigeria: analysis and modeling of social and behavior change factors. BMC Public Health, 21(1), p.1168.

[14].  Izugbara, C.O., and Ezeh, A.C., 2010, Women and high fertility in Islamic northern Nigeria. Studies in family planning41(3), pp.193-204.

[15].  Obasohan, P.E., 2015, Religion, ethnicity and contraceptive use among reproductive age women in Nigeria. International Journal of MCH and AIDS, 3(1), p.63.

[16].  Ijadunola, M.Y., Abiona, T.C., Ijadunola, K.T., Afolabi, O.T., Esimai, O.A. and OlaOlorun, F.M., 2010, Male involvement in family planning decision making in Ile-Ife, Osun State, Nigeria. African journal of reproductive health, 14(4).

[17].  Oyo State., 2024, About Oyo State. Accessed: 11th January, 2024. (https://old.oyostate.gov.ng/about-oyo-state/).

[18].  Okwor, E.U., and Olaseha, I.O., 2010, Married men's perception about spousal use of modern contraceptives: a qualitative study in Ibadan northwest local government area, southwest Nigeria. International quarterly of community health education, 30(3), pp.223-238.

[19].  Sekoni, O.O., and Oladoyin, V.O., 2016, Determinants of family planning uptake among men in Ibadan, Nigeria. Journal of Community Medicine and Primary Health Care, 28(1), pp.38-44.

[20].  Sabale, U., Suryarao, P., and Kodla, C., 2022, Study of Awareness of Family Planning Methods among Married Men. Journal of South Asian Federation of Obstetrics and Gynaecology, 14(5), pp.531-533.

[21].  Omolase, C.O., Faturoti, S.O., and Omolase, B.O., 2009, Awareness of family planning amongst antenatal patients in a Nigerian community: an exploratory study. Annals of Ibadan postgraduate medicine, 7(1), pp.36-39.

[22].  Withers, M., Dworkin, S.L., Zakaras, J.M., Onono, M., Oyier, B., Cohen, C.R., Bukusi, E.A., Grossman, D. and Newmann, S.J., 2015. ‘Women now wear trousers’: men's perceptions of family planning in the context of changing gender relations in western Kenya. Culture, health & sexuality17(9), pp.1132-1146.

[23].  Withers, M., Dworkin, S.L., Onono, M., Oyier, B., Cohen, C.R., Bukusi, E.A. and Newmann, S.J., 2015. Men's perspectives on their role in family planning in Nyanza Province, Kenya. Studies in Family Planning46(2), pp.201-215.

[24].  Thummalachetty, N., Mathur, S., Mullinax, M., DeCosta, K., Nakyanjo, N., Lutalo, T., Brahmbhatt, H. and Santelli, J.S., 2017, Contraceptive knowledge, perceptions, and concerns among men in Uganda. BMC public health, 17, pp.1-9.

[25].  Harrington, E.K., McCoy, E.E., Drake, A.L., Matemo, D., John-Stewart, G., Kinuthia, J. and Unger, J.A., 2019, Engaging men in an mHealth approach to support postpartum family planning among couples in Kenya: a qualitative study. Reproductive health, 16, pp.1-11.

[26].  Obare, F., Odwe, G. and Cleland, J., 2021, Men’s needs and women’s fears: gender-related power dynamics in contraceptive use and coping with consequences in a rural setting in Kenya. Culture, health & sexuality, 23(12), pp.1748-1762.

[27].  Koffi, T.B., Weidert, K., Bitasse, E.O., Mensah, M.A.E., Emina, J., Mensah, S., Bongiovanni, A. and Prata, N., 2018, Engaging men in family planning: Perspectives from married men in Lomé, Togo. Global Health: Science and Practice, 6(2), pp.317-329.

[28].  Ezeanolue, E.E., Iwelunmor, J., Asaolu, I., Obiefune, M.C., Ezeanolue, C.O., Osuji, A., Ogidi, A.G., Hunt, A.T., Patel, D., Yang, W. and Ehiri, J.E., 2015, Impact of male partner’s awareness and support for contraceptives on female intent to use contraceptives in southeast Nigeria. BMC public health, 15, pp.1-6.

[29].  Ankomah, A., Anyanti, J. and Oladosu, M., 2011, Myths, misinformation, and communication about family planning and contraceptive use in Nigeria. Open Access Journal of Contraception, pp.95-105.

[30].  Gueye, A., Speizer, I.S., Corroon, M. and Okigbo, C.C., 2015, Belief in family planning myths at the individual and community levels and modern contraceptive use in urban Africa. International perspectives on sexual and reproductive health, 41(4), p.191.

[31].  Gebremariam, A., and Addissie, A., 2014, Intention to use long acting and permanent contraceptive methods and factors affecting it among married women in Adigrat town, Tigray, Northern Ethiopia. Reproductive health, 11, pp.1-9.

[32].  Chola, L., McGee, S., Tugendhaft, A., Buchmann, E. and Hofman, K., 2015, Scaling up family planning to reduce maternal and child mortality: the potential costs and benefits of modern contraceptive use in South Africa. PloS one, 10(6), p.e0130077.

[33].  Kebede, A., Abaya, S.G., Merdassa, E. and Bekuma, T.T., 2019, Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia. Contraception and reproductive medicine, 4, pp.1-15.

[34].  Kamal, M.M., Islam, M.S., Alam, M.S. and Hasssn, A.E., 2013, Determinants of male involvement in family planning and reproductive health in Bangladesh. American Journal of Human Ecology2(2), pp.83-93.

[35].  Amu, E.O., Akinwumi, A.F. and Odu, O.O., 2021, Family Planning Awareness, Perception, Utilization and Barriers among Women in Irepodun Local Government Area, Osun State, South-Western Nigeria. Nigerian Journal of Family Practice12(1), pp.31-39.

[36].  Asmamaw, D.B., Eshetu, H.B. and Negash, W.D., 2022, Individual and community-level factors associated with intention to use contraceptives among reproductive age women in sub-Saharan Africa. International Journal of Public Health, 67, p.1604905.

[37].  Akamike, I.C., Okedo-Alex, I.N., Eze, I.I., Ezeanosike, O.B. and Uneke, C.J., 2020, Why does uptake of family planning services remain sub-optimal among Nigerian women? A systematic review of challenges and implications for policy. Contraception and reproductive medicine, 5, pp.1-11.

[38].  Semachew Kasa, A., Tarekegn, M. and Embiale, N., 2018. Knowledge, attitude and practice towards family planning among reproductive age women in a resource limited setting of Northwest Ethiopia. BMC research notes11, pp.1-6.

[39].  Steinfeld, R.L., Newmann, S.J., Onono, M., Cohen, C.R., Bukusi, E.A. and Grossman, D., 2013, Overcoming Barriers to Family Planning through Integration: Perspectives of HIV‐Positive Men in Nyanza Province, Kenya. AIDS Research and Treatment, 2013(1), p.861983.

[40].  Nmadu, A.G., Joshua, I.A., Omole, V.N., Usman, N.O., Igboanusi, C.J.C. and Gobir, A.A., 2019, Male involvement in family planning in Northern Nigeria: A review of literature. Journal of Medicine in the Tropics, 21(1), pp.6-9.

[41].  Adanikin, A.I., McGrath, N. and Padmadas, S.S., 2017, Impact of men’s perception on family planning demand and uptake in Nigeria. Sexual & Reproductive Healthcare, 14, pp.55-63.

[42].  Adedini, S.A., Babalola, S., Ibeawuchi, C., Omotoso, O., Akiode, A. and Odeku, M., 2018, Role of religious leaders in promoting contraceptive use in Nigeria: evidence from the Nigerian urban reproductive health initiative. Global Health: Science and Practice, 6(3), pp.500-514.