Changing Men's Attitudes and Behavior: The Zimbabwe Male Motivation Project

Piotrow, Phyllis T.; Kincaid, D. Lawrence; Hindin, Michelle J.; Lettenmaier, C; Kuseka, I; Silberman, T; Zinanga, A.; Chikara, F; Adamchak, Donald J.; Mbizvo, Michael T.

doi:10.2307/1966894

Cited by 76 publications

(38 citation statements)

References 8 publications

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“…Even if women have access to womancontrolled, covert methods of protection, discussion of contraceptive use with the primary male partner is likely (Biddlecom & Fapohunda, 1998;Castle et al, 1999;Green et al, 2001). Thus, it is widely believed that male involvement in family planning is necessary for improved contraceptive use (Sternberg & Hubley, 2004), and there is evidence that interventions targeting men have improved men's acceptance of contraception, including the use of condoms (Piotrow et al, 1992;Celentano et al, 1998;Laukamm-Josten et al, 2000;Leonard et al, 2000;Sternberg & Hubley, 2004).…”

Section: Discussionmentioning

confidence: 99%

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Randrianasolo¹,

Swezey

Damme

et al. 2008

J. Biosoc. Sci.

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SUMMARYGlobally, unplanned pregnancies and sexually transmitted infections (STIs) persist as significant threats to women's reproductive health. Barriers to the use of modern contraceptives by women might inhibit uptake of novel woman-controlled methods for preventing STIs/HIV. Use of modern contraceptives and perceptions and attitudes towards contraceptive use were investigated among women in Antananarivo, Madagascar using qualitative research. The hypothetical acceptability of the diaphragm, a woman-controlled barrier contraceptive device that also holds promise of protecting against STI/HIV, was assessed. Women consecutively seeking care for vaginal discharge at a public health clinic were recruited for participation in a semi-structured interview (SSI) or focus group discussion (FGD). Audiotaped SSIs and FGDs were transcribed, translated, and coded for predetermined and emerging themes. Of 46 participating women, 70% reported occasional use of male condoms, mostly for preventing pregnancy during their fertile days. Although women could name effective contraceptive methods, only 14% reported using hormonal contraception. Three barriers to use of modern contraceptives emerged: gaps in knowledge about the range of available contraceptive methods; misinformation and negative perceptions about some methods; and concern about social opposition to contraceptive use, mainly from male partners. These results demonstrate the need for programs in both family planning and STI prevention to improve women's knowledge of modern contraceptives and methods to prevent STI and to dispel misinformation and negative perceptions of methods. In addition, involvement of men will likely be a critical component of increased uptake of woman-controlled pregnancy and STI/HIV prevention methods and improved health.

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Section: Discussionmentioning

confidence: 99%

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Randrianasolo¹,

Swezey

Damme

et al. 2008

J. Biosoc. Sci.

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“…[1][2][3][4] Despite women's increasing influence on household decision making, their preferences regarding contraceptive choices and family size may not translate into practice unless they conform to their husbands' wishes. 5,6 Studies conducted in Africa and Latin America have shown that more than a quarter of men who want to limit or postpone their wives' childbearing do not use any method to prevent unwanted pregnancy.…”

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confidence: 99%

Fertility-Limiting Behavior and Contraceptive Choice Among Men in Nepal

Dahal¹,

Padmadas²,

Hinde³

2008

IFPP

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DATA AND METHODSUsually, data on family planning and family formation are derived from women's responses to survey questionnaires. Since 1990, the DHS has been collecting nationally representative data from men on a range of reproductive health issues, including contraceptive use and fertility behavior. However, these data have received little attention compared with data collected from women, possibly because men are thought to give less reliable information, especially regarding their attitudes and behaviors related to family planning.The 2001 DHS was the first Nepal survey to collect data from a nationally representative sample of men. The male data set includes 2,261 ever-married males aged 15-59, and the female data set includes 8,726 ever-married females aged 15-49. The matched couple data set (N=1,858) comprises currently married individuals from both of these samples, and so some data that are missing for husbands can be ascertained from their wives' responses. In the couple data set, the average age at first marriage was 19.9 years (standard deviation, 3.9 years) for men and 16.5 years (standard deviation, 2.8 years) for women.Of these married men, we excluded 188 who did not have any living children at the time of the survey, 18 who were younger than 20 (of whom only two wanted no more children), 431 who wanted to have more children, 89 whose wives were pregnant, 71 whose wives had experienced menopause or hysterectomy and 20 whose wives were infecund or subfecund. (We excluded men whose wives were pregnant or unable to bear more children because it was difficult to determine whether these men's responses regarding their own fertility intentions accounted for the current status of their wives.) Thus, our sample included 1,041 men aged 20 or older who had at least one living child and said that they wanted no more children.* The dependent variable in our analysis was contraceptive use as reported by Nepalese men, coded into five categories: female sterilization, male sterilization, condoms, other temporary method and nonuse. The other temporary method category consisted of the injectable, periodic abstinence and withdrawal, which constituted about three-quarters of this category, and the pill and the IUD, which made up the remainder. Men's responses regarding contraceptive use were considered reliable because they usually decide which method to use. However, it is possible that wives use methods such as the injectable without the knowledge of their husbands because of fear of opposition from them or other family members. In the couple data set, 98% of permanent method use was reported consistently by both husbands and wives, whereas there were substantial inconsistencies in reporting the use of tempo-

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“…al. 13 mentioned that exposed to mass media has increased the use of contraception in Zimbabwe. Both print and electronic media are vital reproductive health information dissemination tools.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Mass Media in Using Contraceptives among Married Males-A study from Hatiya VDC of Makawanpur, Nepal

Pandey

Karki²

2010

Asian J Med Sci

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Objectives: To analyze the association between exposure to mass media and use of contraceptive. Methods:In this cross sectional descriptive study, 387 married males of Hatiya VDC were randomly selected. This study uses semi-structured questionnaire to acquire information regarding background character of respondents and the exposure of family planning message to mass media.Results: Both print and electronic media were found major reproductive health information dissemination tools. Exposure was positively related to age, education level, income, partner approval and discussed family planning with partner. There was no significant difference in exposure based on number of living children. Conclusion:Findings from this study are consistent with the interpretation that mass media promotion of the family planning message motivated sexual partners to discuss use of the contraceptives, and that discussion exerted a strong influence on their intention to use it. The programmatic implications of these findings are that multiple media channels should continue to be used to promote family planning and other reproductive health issues. Priority should be given to media channels that reach large numbers of the intended audience, but supporting channels (such as print and interpersonal communication) should also be included in the media mix.

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Changing Men's Attitudes and Behavior: The Zimbabwe Male Motivation Project

Cited by 76 publications

References 8 publications

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Barriers to the Use of Modern Contraceptives and Implications for Woman-Controlled Prevention of Sexually Transmitted Infections in Madagascar

Fertility-Limiting Behavior and Contraceptive Choice Among Men in Nepal

The Impact of Mass Media in Using Contraceptives among Married Males-A study from Hatiya VDC of Makawanpur, Nepal

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