Contraceptive methods with male participation: a perspective of Brazilian couples

Marchi, Nádia M.; Alvarenga, Augusta Thereza de; Osis, Maria José Duarte; Bahamondes, Luís

doi:10.1111/j.1466-7657.2007.00572.x

Cited by 15 publications

(15 citation statements)

References 14 publications

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“…Therefore we suggest a consultation and specific educational programs for both males and females. Similar findings were reported in several previous studies [20-22]. …”

Section: Discussionsupporting

confidence: 93%

Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

Keramat

Zarei

Arabi

2011

Asia Pacific Family Medicine

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BackgroundIn this study we aimed to find factors affecting vasectomy acceptability in Shahroud (north eastern Iran).MethodsThis study was carried out in three stages. The first stage was a survey of couples that had the vasectomy procedure during 2004-2007 in the Shahroud area. In the second stage of the study we compared characteristics of the cases (the couples who had the vasectomy procedure during the study period) and controls (including couples with at least one child that choose other contraceptive methods excluding a vasectomy) using χ² and T student tests. In the third stage of the study we aimed to assess the knowledge and attitudes of those who did not choose to have a vasectomy as there contraception method by filling out questionnaires in personal interviews.ResultsAn increasing trend toward the vasectomy procedure was observed during 2005 to 2007. We found positive associations between male and female educational levels and choosing to have a vasectomy (p < 0.05). Majority of women (88.44%) thought that their husbands would prefer to have a tubectomy to a vasectomy.ConclusionThe study results show a necessity for both couples to participate in educational programs about the vasectomy procedure.

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“…Therefore we suggest a consultation and specific educational programs for both males and females. Similar findings were reported in several previous studies [20-22]. …”

Section: Discussionsupporting

confidence: 93%

Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

Keramat

Zarei

Arabi

2011

Asia Pacific Family Medicine

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“…Tanzanian women suggested that vasectomy would eliminate the possibility of having a child out of wedlock 29 , 30 . In addition, Brazilian, 38 Indian, 22 Rwandan, 39 – 41 and Tanzanian 29 , 30 men described how vasectomy was beneficial to preserving the health of women (e.g., by avoiding frequent pregnancies and negative impacts of other forms of contraception) and that it was considered a minor procedure compared with female sterilization. Hearing positive testimonials was one of the main drivers of positive attitudes toward vasectomy in India—women felt encouraged and men were more open to the procedure 22 …”

Section: Resultsmentioning

confidence: 99%

A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings

Shattuck

Perry

Packer

et al. 2016

Glob Health Sci Pract

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Reviewed areas included misconceptions and lack of knowledge among men, women, and providers; approaches to demand generation including community-based and mass media communications; service delivery innovations consisting of the no-scalpel vasectomy technique, whole-site training, cascade training, task shifting, and mobile outreach; and engagement of religious and community leaders to create an enabling environment.

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“…The perception that male condoms hinder sexual spontaneity and enjoyment is well known [39], and long-term methods such as vasectomy are not appropriate for couples who intend to conceive in the future. On the one hand, such requests reveal the unmet need of male fertility regulation methods, at least among men who are not opposed to family planning.…”

Section: Discussionmentioning

confidence: 99%

“…Proposing more options for male-controlled contraceptives may reflect men’s desire to have greater influence in matters of reproductive health than is possible with female-controlled methods. Research in other settings has suggested as well that men’s opposition to family planning is a self-protective concern for themselves, rather than their partners, to mitigate suspicions of extramarital relations [39]. …”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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BackgroundSpousal 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.MethodsA 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.ResultsFive 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.ConclusionDecision-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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Contraceptive methods with male participation: a perspective of Brazilian couples

Abstract: Specific actions are necessary for men to achieve integral participation in relation to reproductive sexual health. These include education and discussions on gender roles, leading to greater awareness in men of the realities of sexual and reproductive health.

Cited by 15 publications

References 14 publications

Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran), 2005-2007

A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings

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

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