| Peer-Reviewed

The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria

Received: 16 April 2021    Accepted: 5 May 2021    Published: 14 May 2021
Views:       Downloads:
Abstract

The drive to include men in family planning programming in one part can increase contraceptive prevalence and also reduce the unmet need for family planning especially in Africa especially sub-Saharan Africa, where 2015 millennium development goals in reproductive health were not achieved, however concerted efforts to achieve the sustainable development goals is ongoing. The contraceptive prevalence in Nigeria reported to be 17% in 2018 is less than the average of 55% in sub-Saharan Africa and global average of 76%. This low adoption of contraceptive has been linked to increased maternal mortality in the region. We conducted a descriptive cross-sectional study which examined the role of 464 married men, in family planning in Gambari, a rural settlement in Oyo state, South-West Nigeria. The objective of the study was to determine the knowledge, attitude and use of modern contraceptive methods by respondents and their spouses and to identify factors which influence the adoption of family planning methods by men. The mean age of respondents was 42 years, with their age ranging from 20 to 85 years. The Contraceptive method most respondents were aware of, was the injectable (62.5%) followed by the condom (44.8%). A total 80.8% (375) of men had overall poor knowledge of contraceptive methods, while 19.2% (89) had good knowledge. There was a statistically significant relationship between couples’ discussion of family planning and spousal contraceptive use (χ2=123, p<0.0001). Multivariate analysis showed that men with at least secondary education had a better knowledge, attitude and were more likely to have used modern contraception than those with only primary or no education. The study concluded that with better knowledge about contraceptives, men can enhance adoption of family planning, increase contraception uptake and match their attitudes with corresponding action.

Published in Central African Journal of Public Health (Volume 7, Issue 3)
DOI 10.11648/j.cajph.20210703.12
Page(s) 94-101
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Child Limiting, Child Spacing, Contraceptives, Married Men, Family Planning

References
[1] Adelekan A, Omoregie P, Edoni E. Male Involvement in Family Planning: Challenges and Way Forward. Int J Popul Res. 2014; 2014: 1–9.
[2] Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa- what the evidence suggests. Vol. 19, Pan African Medical Journal. African Field Epidemiology Network; 2014.
[3] Alkema L, Kantorova V, Menozzi C, Biddlecom A. National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: A systematic and comprehensive analysis. Lancet. 2013; 381 (9878): 1642–52.
[4] United Nations (DESA). Global progress in satisfying the need for family planning. 2019.
[5] World Health Organization. Maternal mortality [Internet]. 2019 [cited 2020 Mar 10]. p. 1–5. Available from: www.who.int/news-room/fact-sheets/detail/maternal-mortality.
[6] National Population Commission. Nigeria demographic and health survey 2018 Key Indicators Report.…, MD: National Population Commission and ORC …. 2019.
[7] Austin A. Unmet contraceptive need among married Nigerian women: An examination of trends and drivers. Contraception. 2015 Jan 1; 91 (1): 31–8.
[8] National Populations Commission (NPC) Nigeria & ORC Macro. Nigeria Demographic and Health Survey 2013. National Population Commission Federal Republic of Nigeria. 2014.
[9] Speizer IS, Calhoun LM, Hoke T, Sengupta R. Measurement of unmet need for family planning: Longitudinal analysis of the impact of fertility desires on subsequent childbearing behaviors among urban women from Uttar Pradesh, India. Contraception. 2013; 88 (4).
[10] 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. 2019 Oct 29; 1–16.
[11] Croce-Galis M, Salazar E, Lundgren R. Male Engagement in Family Planning: Reducing Unmet Need for Family Planning by Addressing Gender Norms. 2014.
[12] Aliyu AA. Family Planning Services in Africa: The Successes and Challenges. In: Family Planning. 2018. p. 69.
[13] Starbird E, Norton M, Marcus R. Investing in family planning: Key to achieving the sustainable development goals. Vol. 4, Global Health Science and Practice. Johns Hopkins University Press; 2016. p. 191–210.
[14] Okwor EU, Olaseha IO. Married Men’s Perception about Spousal Use of Modern Contraceptives: A Qualitative Study in Ibadan Northwest Local Government Area, Southwest Nigeria. Int Q Community Health Educ. 2010 Oct 22; 30 (3): 223–38.
[15] Wulifan JK, Mazalale J, Kambala C, Angko W, Asante J, Kpinpuo S, et al. Prevalence and determinants of unmet need for family planning among married women in Ghana-a multinomial logistic regression analysis of the GDHS, 2014. Contracept Reprod Med. 2019 Dec 30; 4 (1): 2.
[16] Ijadunola M, Abiona T, Ijadunola K, Afolabi O, Esimai O, OlaOlorun F. Male Involvement in Family Planning Decision Making in Ile-Ife, Osun State, Nigeria. Afr J Reprod Health. 2010; 14 (4).
[17] Speizer IS, Corroon M, Calhoun L, Lance P, Montana L, Nanda P, et al. Demand generation activities and modern contraceptive use in urban areas of four countries: A longitudinal evaluation. Glob Heal Sci Pract. 2014 Dec 1; 2 (4): 410–26.
[18] Kana MA, Tagurum YO, Hassan ZI, Afolanranmi TO, Ogbeyi GO, Difa JA, et al. Prevalence and determinants of contraceptive use in rural Northeastern Nigeria: Results of a mixed qualitative and quantitative assessment Musa. Ann Niger Med. 2016; 10 (1): 3–10.
[19] Tuloro T, Deressa W, Ali A, Health GD-EJ of, 2006 undefined. The role of men in contraceptive use and fertility preference in Hossana Town, southern Ethiopia. ajol.info.
[20] National Bureau of Statistics. Nigeria Census 2006 [Internet]. 2006 [cited 2018 Oct 14]. Available from: http://nigeria.opendataforafrica.org/apps/atlas/Osun/15-19.
[21] Rodríguez del Águila MM, González-Ramírez AR. Sample size calculation. Allergol Immunopathol (Madr). 2014; 42 (5): 485–92.
[22] Kassa M, Abajobir AA, Gedefaw M. Level of male involvement and associated factors in family planning services utilization among married men in Debremarkos town, Northwest Ethiopia. BMC Int Health Hum Rights. 2014; 14 (1): 33.
[23] Mosha I, Ruben R, Kakoko D. Family planning decisions, perceptions and gender dynamics among couples in Mwanza, Tanzania: A qualitative study. BMC Public Health. 2013; 13 (1): 523.
[24] Corroon M, Speizer IS, Fotso JC, Akiode A, Saad A, Calhoun L, et al. The role of gender empowerment on reproductive health outcomes in urban nigeria. Matern Child Health J. 2014; 18: 307–15.
[25] Sekoni OO, Oladoyin VO. Determinants of family planning uptake among men in Ibadan, Nigeria. J Community Med Prim Heal Care. 2016; 28 (1): 38-44–44.
Cite This Article
  • APA Style

    Olusola Fajobi, Damola Adeola Fajobi, Olukemi Titilope Olugbade, Samuel Anu Olowookere. (2021). The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria. Central African Journal of Public Health, 7(3), 94-101. https://doi.org/10.11648/j.cajph.20210703.12

    Copy | Download

    ACS Style

    Olusola Fajobi; Damola Adeola Fajobi; Olukemi Titilope Olugbade; Samuel Anu Olowookere. The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria. Cent. Afr. J. Public Health 2021, 7(3), 94-101. doi: 10.11648/j.cajph.20210703.12

    Copy | Download

    AMA Style

    Olusola Fajobi, Damola Adeola Fajobi, Olukemi Titilope Olugbade, Samuel Anu Olowookere. The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria. Cent Afr J Public Health. 2021;7(3):94-101. doi: 10.11648/j.cajph.20210703.12

    Copy | Download

  • @article{10.11648/j.cajph.20210703.12,
      author = {Olusola Fajobi and Damola Adeola Fajobi and Olukemi Titilope Olugbade and Samuel Anu Olowookere},
      title = {The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria},
      journal = {Central African Journal of Public Health},
      volume = {7},
      number = {3},
      pages = {94-101},
      doi = {10.11648/j.cajph.20210703.12},
      url = {https://doi.org/10.11648/j.cajph.20210703.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210703.12},
      abstract = {The drive to include men in family planning programming in one part can increase contraceptive prevalence and also reduce the unmet need for family planning especially in Africa especially sub-Saharan Africa, where 2015 millennium development goals in reproductive health were not achieved, however concerted efforts to achieve the sustainable development goals is ongoing. The contraceptive prevalence in Nigeria reported to be 17% in 2018 is less than the average of 55% in sub-Saharan Africa and global average of 76%. This low adoption of contraceptive has been linked to increased maternal mortality in the region. We conducted a descriptive cross-sectional study which examined the role of 464 married men, in family planning in Gambari, a rural settlement in Oyo state, South-West Nigeria. The objective of the study was to determine the knowledge, attitude and use of modern contraceptive methods by respondents and their spouses and to identify factors which influence the adoption of family planning methods by men. The mean age of respondents was 42 years, with their age ranging from 20 to 85 years. The Contraceptive method most respondents were aware of, was the injectable (62.5%) followed by the condom (44.8%). A total 80.8% (375) of men had overall poor knowledge of contraceptive methods, while 19.2% (89) had good knowledge. There was a statistically significant relationship between couples’ discussion of family planning and spousal contraceptive use (χ2=123, p<0.0001). Multivariate analysis showed that men with at least secondary education had a better knowledge, attitude and were more likely to have used modern contraception than those with only primary or no education. The study concluded that with better knowledge about contraceptives, men can enhance adoption of family planning, increase contraception uptake and match their attitudes with corresponding action.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Factor(s) Influencing Male Involvement in Family Planning– Findings from a Rural Community in South West, Nigeria
    AU  - Olusola Fajobi
    AU  - Damola Adeola Fajobi
    AU  - Olukemi Titilope Olugbade
    AU  - Samuel Anu Olowookere
    Y1  - 2021/05/14
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cajph.20210703.12
    DO  - 10.11648/j.cajph.20210703.12
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 94
    EP  - 101
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20210703.12
    AB  - The drive to include men in family planning programming in one part can increase contraceptive prevalence and also reduce the unmet need for family planning especially in Africa especially sub-Saharan Africa, where 2015 millennium development goals in reproductive health were not achieved, however concerted efforts to achieve the sustainable development goals is ongoing. The contraceptive prevalence in Nigeria reported to be 17% in 2018 is less than the average of 55% in sub-Saharan Africa and global average of 76%. This low adoption of contraceptive has been linked to increased maternal mortality in the region. We conducted a descriptive cross-sectional study which examined the role of 464 married men, in family planning in Gambari, a rural settlement in Oyo state, South-West Nigeria. The objective of the study was to determine the knowledge, attitude and use of modern contraceptive methods by respondents and their spouses and to identify factors which influence the adoption of family planning methods by men. The mean age of respondents was 42 years, with their age ranging from 20 to 85 years. The Contraceptive method most respondents were aware of, was the injectable (62.5%) followed by the condom (44.8%). A total 80.8% (375) of men had overall poor knowledge of contraceptive methods, while 19.2% (89) had good knowledge. There was a statistically significant relationship between couples’ discussion of family planning and spousal contraceptive use (χ2=123, p<0.0001). Multivariate analysis showed that men with at least secondary education had a better knowledge, attitude and were more likely to have used modern contraception than those with only primary or no education. The study concluded that with better knowledge about contraceptives, men can enhance adoption of family planning, increase contraception uptake and match their attitudes with corresponding action.
    VL  - 7
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Community Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • APIN Public Health Initiative, Osogbo, Nigeria

  • Department of Community Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria

  • Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria

  • Sections