Determinants Factors of Vasectomy Method Selection

Abstract

Introduction:The level of male participation in family planning by choosing vasectomy in East Lampung region Pekalongan health centres is still low, although the success rate of vasectomy as a family planning method is very high. This study aims to explain the factors related to men's choice of vasectomy in the Pekalongan health center East Lampung. Methods: This study used an analytical study design with a cross-sectional approach. Samples were 117 men of reproductive age gathered using purposive sampling. The independent variables were knowledge, attitudes, parity, age, availability of health resources and infrastructure, health education, attitude and behaviour of health care workers and family support. The dependent variable was the men's participation in vasectomy as a family planning method. Data were retrieved using questionnaires and statistically analysed using the Chi-Square test. Results: Factors affecting the selection of vasectomy as a family planning method amongst men of reproductive age were attitude (p=0.020), parity (p=0.022), age (p=0.021), the availability of health resources and health infrastructure (p=0.018), and family support (p=0.011). However, the knowledge, health education, and the attitudes and behaviour of health workers did not affect the selection of vasectomy as a family planning method. Conclusiom: Public health centres are expected to build family planning services, especially for vasectomies, through, for example, the provision of vasectomy facilities which can reach the community and the establishment of cadres for male birth control.

Intention to use vasectomy and its associated factors among married men in Debre Tabor Town, North West Ethiopia, 2019

“…This finding is supported by studies conducted in India and Nepal [17,31]. Another study conducted in Indonesia also showed that the age of the respondent which was found between 30-39 had a significant relationship with intention to vasectomy [32].…”

“…According to our study finding, having more than three living children was the other predictor variable as it stated that having more than three children increase the intention of participants to use vasectomy. Similar studies conducted in Indonesia stated that as the number of alive children increases the intention to use vasectomy was also increased [20,32]. Likewise, research conducted in India also concluded that the number of living children was a significant predictor for intention to use vasectomy [33].…”

Relationship of Knowledge and Attitudes with Male Participation in Vasectomy in Indonesia

“…However, the number of non-vasectomy respondents was more than the respondents who actively participated using vasectomy and there were still some respondents who had good knowledge but did not participate in vasectomy. This means that the level of knowledge does not guarantee that someone will take an action or show any kind of healthy behavior (7) .…”

“…The components that are built into attitudes are 1) beliefs (beliefs), ideas and concepts, towards an object; 2) emotional life or evaluation of an object; 3) propensity to act. Thus, a person's belief or belief about an object affects the action to be performed (7) .…”

“…Furthermore, a positive attitude develops a person's tendency to act positively as well. If someone has negative beliefs or negative concepts, it will form a negative attitude which then makes it difficult to act positively (7) .…”