My wife will be attractive to other men: views of Ugandan men on LARCs

Abstract

Abstract Many women Complications during pregnancy, labour, and the postpartum period are the leading causes of death worldwide. Contraceptives, particularly long-acting reversible contraceptives (LARCs), are the most important and effective interventions for reducing maternal mortality. LARCs assist the mother in delaying pregnancy and permit extended intervals between births. However, the utilization of LARCs remains low globally and in Uganda due to inadequate male partner support. The aim of this study was to ascertain the perceptions of rural indigenous Ugandan men regarding the use of LARCs by rural women. Using purposeful sampling, 65 married men aged 20 to 49 were selected for focus group interviews, and 30 were selected for individual interviews. The research was conducted in the Ugandan districts of Rubanda and Kiboga. For individual and focus group interviews, the researcher used semi-structured questions. Data analysis was performed by transcribing the interviews, arranging the field notes, organising, and preserving the data, listening to recordings, perusing field notes and interviews, and then coding and categorizing the data to identify the phenomenon's emergent themes. The study found that rural indigenous Ugandan men had perceptions regarding their rural women's use of LARCs, and these perceptions acted as barriers to use. These included adverse effects, fears, and desires. The study suggests strengthening social and behavioural change in communication, service delivery for LARCs, monitoring and evaluation systems for LARCs. In addition, policymakers should foster a conducive environment to the provision of LARC services, and the Ministry of Education and Sports should prepare pre-service and in-service healthcare professionals to provide LARC services through health training Institutions and Universities.