Knowledge and use of family planning among men in rural Uganda

Abstract Background Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning...

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Main Authors: Anne Dougherty, Alex Kayongo, Samantha Deans, John Mundaka, Faith Nassali, James Sewanyana, Eric Migadde, Ronald Kiyemba, Estherloy Katali, Sarah Jane Holcombe, Sarah H. Heil, Robert Kalyesubula
Format: Article
Language:English
Published: BMC 2018-11-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-6173-3
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author Anne Dougherty
Alex Kayongo
Samantha Deans
John Mundaka
Faith Nassali
James Sewanyana
Eric Migadde
Ronald Kiyemba
Estherloy Katali
Sarah Jane Holcombe
Sarah H. Heil
Robert Kalyesubula
author_facet Anne Dougherty
Alex Kayongo
Samantha Deans
John Mundaka
Faith Nassali
James Sewanyana
Eric Migadde
Ronald Kiyemba
Estherloy Katali
Sarah Jane Holcombe
Sarah H. Heil
Robert Kalyesubula
author_sort Anne Dougherty
collection DOAJ
description Abstract Background Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Researchers have conducted a number of qualitative studies in recent years to examine different aspects of family planning among Ugandan men. The present study aimed to quantify men’s knowledge of family planning in rural Uganda to understand how better to involve men in couples’ contraceptive decision-making, particularly in low-resource settings. Methods Data were derived from in-person, researcher-administered surveys of men in a rural agrarian district in Uganda (N = 178). Participant demographics and knowledge of family planning methods, side effects, and use were queried. Descriptive statistics were used for analysis. Results Men were 34 years of age on average (range 18–71) and about half (56%) had a primary school education or less. Ninety-eight percent reported any knowledge of family planning, with 73% of men reporting obtaining information via radio and only 43% from health workers. The most common method known by men was the male condom (72%), but more than half also knew of injections (54%) and pills (52%). Relatively few men reported knowing about the most effective reversible contraceptive methods, intrauterine devices and implants (both 16%). Men identified many common contraceptive side-effects, such as vaginal bleeding (31%), and misconceptions about side effects, such as increased risk of infertility and birth defects, were relatively uncommon (both < 10%). About half of all men reported ever using a family planning method (53%), and 40% reported current use. Conclusions This study’s quantitative results build on those of recent qualitative studies and provide information about the types of family planning information men are lacking and avenues for getting this information to them.
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spelling doaj.art-d9e22f4635db4a29ada5194619bcc2972022-12-21T22:43:48ZengBMCBMC Public Health1471-24582018-11-011811510.1186/s12889-018-6173-3Knowledge and use of family planning among men in rural UgandaAnne Dougherty0Alex Kayongo1Samantha Deans2John Mundaka3Faith Nassali4James Sewanyana5Eric Migadde6Ronald Kiyemba7Estherloy Katali8Sarah Jane Holcombe9Sarah H. Heil10Robert Kalyesubula11Department of Obstetrics, Gynecology & Reproductive Sciences, University of VermontDepartment of Medicine, Makerere College of Health SciencesDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of VermontAfrican Community Center for Social Sustainability (ACCESS)African Community Center for Social Sustainability (ACCESS)African Community Center for Social Sustainability (ACCESS)African Community Center for Social Sustainability (ACCESS)African Community Center for Social Sustainability (ACCESS)African Community Center for Social Sustainability (ACCESS)Bixby Center for Population, Health, and Sustainability, University of CaliforniaDepartments of Psychiatry and Psychological Science, University of VermontAfrican Community Center for Social Sustainability (ACCESS)Abstract Background Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Researchers have conducted a number of qualitative studies in recent years to examine different aspects of family planning among Ugandan men. The present study aimed to quantify men’s knowledge of family planning in rural Uganda to understand how better to involve men in couples’ contraceptive decision-making, particularly in low-resource settings. Methods Data were derived from in-person, researcher-administered surveys of men in a rural agrarian district in Uganda (N = 178). Participant demographics and knowledge of family planning methods, side effects, and use were queried. Descriptive statistics were used for analysis. Results Men were 34 years of age on average (range 18–71) and about half (56%) had a primary school education or less. Ninety-eight percent reported any knowledge of family planning, with 73% of men reporting obtaining information via radio and only 43% from health workers. The most common method known by men was the male condom (72%), but more than half also knew of injections (54%) and pills (52%). Relatively few men reported knowing about the most effective reversible contraceptive methods, intrauterine devices and implants (both 16%). Men identified many common contraceptive side-effects, such as vaginal bleeding (31%), and misconceptions about side effects, such as increased risk of infertility and birth defects, were relatively uncommon (both < 10%). About half of all men reported ever using a family planning method (53%), and 40% reported current use. Conclusions This study’s quantitative results build on those of recent qualitative studies and provide information about the types of family planning information men are lacking and avenues for getting this information to them.http://link.springer.com/article/10.1186/s12889-018-6173-3Family planningContraceptionMenContraceptive knowledgeUgandaLow resource
spellingShingle Anne Dougherty
Alex Kayongo
Samantha Deans
John Mundaka
Faith Nassali
James Sewanyana
Eric Migadde
Ronald Kiyemba
Estherloy Katali
Sarah Jane Holcombe
Sarah H. Heil
Robert Kalyesubula
Knowledge and use of family planning among men in rural Uganda
BMC Public Health
Family planning
Contraception
Men
Contraceptive knowledge
Uganda
Low resource
title Knowledge and use of family planning among men in rural Uganda
title_full Knowledge and use of family planning among men in rural Uganda
title_fullStr Knowledge and use of family planning among men in rural Uganda
title_full_unstemmed Knowledge and use of family planning among men in rural Uganda
title_short Knowledge and use of family planning among men in rural Uganda
title_sort knowledge and use of family planning among men in rural uganda
topic Family planning
Contraception
Men
Contraceptive knowledge
Uganda
Low resource
url http://link.springer.com/article/10.1186/s12889-018-6173-3
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