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. 2014 Mar 5;11(1):21.
doi: 10.1186/1742-4755-11-21.

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

Allen Kabagenyi  1 , Larissa Jennings, Alice Reid, Gorette Nalwadda, James Ntozi, Lynn Atuyambe
Affiliations

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

Allen Kabagenyi et al. Reprod Health. .

Abstract

Background: Spousal communication can improve family planning use and continuation. Yet, in countries with high fertility rates and unmet need, men have often been regarded as unsupportive of their partner's use of family planning methods. This study examines men and women's perceptions regarding obstacles to men's support and uptake of modern contraceptives.

Methods: A qualitative study using 18 focus group discussions (FGDs) with purposively selected men aged 15-54 and women aged 15-49 as well as eight key informant interviews (KIIs) with government and community leaders was conducted in 2012 in Bugiri and Mpigi Districts, Uganda. Open-ended question guides were used to explore men and women's perceptions regarding barriers to men's involvement in reproductive health. All FGDs and KIIs were recorded, translated, and transcribed verbatim. Transcripts were coded and analyzed thematically using ATLAS.ti.

Results: Five themes were identified as rationale for men's limited involvement: (i) perceived side effects of female contraceptive methods which disrupt sexual activity, (ii) limited choices of available male contraceptives, including fear and concerns relating to vasectomy, (iii) perceptions that reproductive health was a woman's domain due to gender norms and traditional family planning communication geared towards women, (iv) preference for large family sizes which are uninhibited by prolonged birth spacing; and (v) concerns that women's use of contraceptives will lead to extramarital sexual relations. In general, knowledge of effective contraceptive methods was high. However, lack of time and overall limited awareness regarding the specific role of men in reproductive health was also thought to deter men's meaningful involvement in issues related to fertility regulation.

Conclusion: Decision-making on contraceptive use is the shared responsibility of men and women. Effective development and implementation of male-involvement family planning initiatives should address barriers to men's supportive participation in reproductive health, including addressing men's negative beliefs regarding contraceptive services.

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References

    1. Hartmann M, Gilles K, Shattuck D, Kerner B, Guest G. Changes in couple’s communication as a result of a male-involvement family planning intervention. J Health Commun. 2012;17(7):802–819. doi: 10.1080/10810730.2011.650825. - DOI - PubMed
    1. Sternberg P, Hubley J. Evaluating men’s involvement as a strategy in sexual and reproductive health program. Health Promo Int. 2004;19:389–396. doi: 10.1093/heapro/dah312. - DOI - PubMed
    1. Bawah A. Spousal communication and family planning behavior in Navrongo: a longitudinal assessment. Stud Fam Plann. 2002;33(2):185–194. doi: 10.1111/j.1728-4465.2002.00185.x. - DOI - PubMed
    1. Sharan M, Valente T. Spousal communication and family planning adoption: effects of a radio drama serial in Nepal. Int Fam Plan Perspec. 2002;28(1):16–25. doi: 10.2307/3088271. - DOI
    1. Kim Y, Kols A. Programming for male involvement in reproductive health. Geneva, Switzerland: World Health Organization; 2001. Counseling and communicating with men to promote family planning in Kenya and Zimbabwe: findings, lessons learned, and programme suggestions. (Report of the Meeting of WHO Regional Advisors in Reproductive Health).

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