Author:
Tekakwo Atkinson,Nabirye Rose Chalo,Nantale Ritah,Oguttu Faith,Nambozo Brendah,Wani Solomon,Musaba Milton W.,Mukunya David,Epuitai Joshua
Abstract
Abstract
Background
Male involvement plays a critical role in the utilization of various sexual and reproductive health services. We explored enablers and barriers of male involvement in the use of modern family planning methods in Eastern Uganda.
Methods
This was a qualitative study in Mbale, Eastern Uganda done between November and December 2022. We conducted three group discussions comprising of four participants each, with male partners and eight key informant interviews with midwives. We followed a group discussion guide during the group discussions and an interview guide during the key informant interviews to explore enablers and barriers of male involvement in the use of modern family planning methods. All the interviews and group discussions were audio-recorded with permission from the participants, transcribed verbatim, and analyzed following thematic content analysis approach.
Results
Two sub-themes emerged from the analysis; perceived enablers and barriers. The perceived enablers included positive attitude, subjective norms, need to support the woman, mutual consent, limited resources and expected benefits of reducing gender-based violence and sexually transmitted infections. Lack of male partner consent, busy work engagement, social stigma, religious prohibition, desire for many children and gender roles incompatibility hindered male partner involvement in family planning. Fear of side effects and misconceptions, unconducive hospital environment in form of mistreatment, family planning considered a female’s issue, and lack of consideration of male partner needs in family planning clinic were additional barriers to male involvement.
Conclusion
Male involvement in family planning was related to positive attitude and subjective norms towards family planning, mutual consent, and recognition for limited resources to support a large family size. Lack of male partner approval, fear of side effects and misconceptions, unconducive hospital environment and social, cultural and religious prohibitions discouraged male partner involvement in family planning. Community based approaches to family planning sensitization, such as community education campaigns, may be an important step toward reducing barriers to male involvement in the use of modern family planning methods.
Publisher
Springer Science and Business Media LLC
Reference28 articles.
1. International. Planned, Parenthood, Federation. Male involvement in family planning utilization. 2011.
2. Kaur R, Acharya AS. Male involvement in Family Planning: a qualitative study of perceptions and Practices. Int J Preven Curat Comm Med. 2016;2:34.
3. Ewerling F, Victora CG, Raj A, Coll CV, Hellwig F, Barros AJ. Demand for family planning satisfied with modern methods among sexually active women in low-and middle-income countries: who is lagging behind? Reproductive Health. 2018;15(1):1–10.
4. Adanikin A, McGrath N, Padmadas S. Impact of men’s perception on family planning demand and uptake in Nigeria. Sex Reprod Healthc [Internet]. 2017;14(2017):55–63.
5. Sinai I, Omoluabi E, Jimoh A, Jurczynska K. Unmet need for family planning and barriers to contraceptive use in Kaduna, Nigeria: culture, myths and perceptions. Cult Health Sex. 2020;22(11):1253–68.