Perceptions of family planning among low‐income men in Western Kenya

Wambui, Theresah; Ac, Ek; Alehagen, Siw

doi:10.1111/j.1466-7657.2009.00726.x

Cited by 41 publications

(45 citation statements)

References 15 publications

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“…In addition, the distribution of the relationship-level characteristic of the desire for another child showed that husbands generally desired more children than their wives, a finding documented in previous studies 19,53 . Less than two-thirds of both spouses, within a couple, reported talking about desired number of children and FP use with their spouse.…”

Section: Discussionsupporting

confidence: 66%

Relationship Characteristics and Contraceptive Use Among Couples in Urban Kenya

Irani¹,

Speizer²,

Fotso³

2014

IPSRH

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Background Few studies have used couple data to identify individual- and relationship-level characteristics that affect contraceptive use in urban areas. Using matched couple data from urban Kenya collected in 2010, this study determines the association between relationship-level characteristics (desire for another child, communication about desired number of children and FP use) and contraceptive use and intention to use among non-users. Methods Data were collected from three Kenyan cities: Nairobi, Mombasa and Kisumu. Baseline population-based survey data from the Measurement, Learning & Evaluation Project were used to identify 883couples (weighted value=840). Multivariate regressions used the couple as the unit of analysis. Results Almost two-thirds of couples currently used contraception. Adjusting for individual- and environmental-level characteristics, couples who desired another child were less likely to use contraception than couples wanting more children. In addition, couples where both partners reported communicating with each other regarding desired number of children and FP use were more likely to use contraception compared to couples that did not communicate. Analyses testing the association of relationship-level characteristics and intention to use contraception, among non-users, resembled those of current contraceptive users. Conclusion Couple-level characteristics are associated with current contraceptive use and future intent to use. Couples that discussed their desired number of children and FP use were more likely to use contraception than couples that did not communicate with each other. FP programs should identify strategies to improve communication in FP among couples and to ensure better cooperation between partners.

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Section: Discussionsupporting

confidence: 66%

Relationship Characteristics and Contraceptive Use Among Couples in Urban Kenya

Irani¹,

Speizer²,

Fotso³

2014

IPSRH

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“…Other qualitative studies from rural Tanzania also demonstrate that although men dominate several aspects of social life, they do not participate in decision-making around childbearing (Keele, Forste, & Flake, 2005, Wight, Plummer, & Ross, 2012. Furthermore, qualitative studies conducted among rural sub-Saharan African men revealed that men do not accept hormonal contraceptive use due to fear of side effects (Chipeta et al, 2011;Wambui, Ek, & Alehagen, 2009). Due to men's limited involvement in FP decision-making, much remains to be known about men's attitudes towards contraception and about barriers to effective male involvement in contraceptive use.…”

Section: Introductionmentioning

confidence: 92%

Attitudes, beliefs and norms relating to contraceptive use among young migrant and non-migrant adults in urban Dar es Salaam, Tanzania

Irani

Speizer

Barrington

2013

Global Public Health

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The young urban population of Tanzania is growing rapidly, primarily due to rural-urban migration. More information is needed on the challenges facing young adult urban women and men in using family planning (FP). The purpose of this study is to identify perceptions, interpersonal and familial attitudes, and sociocultural norms regarding FP among young adults (18-25 years) in Dar es Salaam, Tanzania, comparing responses by sex, marital status and migration status. We conducted 12 focus groups with young adult men and women (n=74) in Dar es Salaam in December 2009. Participants knew of modern contraceptive methods, but had serious concerns about side effects. Single men and women preferred condoms. Female migrants stated that traditional methods were ineffective, yet commonly used in rural areas. Men's desires for more children frequently led female migrants not to use FP, while many married long-term residents used FP discreetly. Single women sometimes received the support of their parents/boyfriends to access and use contraception. Findings highlight differences in experiences among young adult men and women based on their migrant and marital status at the individual, interpersonal and normative levels. Future efforts to promote FP should engage existing social support systems and cultivate new ones in response to barriers.

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“…It is well established in the literature that the use of contraception has increased with education (Anderson et al, 2010;Bagheri & Nikbakhesh, 2010;Dahal, Padmadas, & AndrewHinde, 2008;Dynes, Stephenson, Rubardt, & Bartel, 2012;Tayyaba & Khairka, 2011;Tuloro et al, 2006;Varma & Rohini, 2008) and being exposed to education and counseling has had a significant effect on the knowledge and behavior of the individual (Bagheri & Nikbakhesh 2010). Studies reported that men with a higher level of education were more likely to participate in family planning (Akın, Özaydın & Aslan, 2006;Dahal et al, 2008;Tuloro et.al., 2006), by showing greater prevalence of vasectomy (Wambui, Ek, & Alehagen, 2009) and using condoms (Filmer, Friedman, & Schady, 2009) than those who were less educated. A study from Bangladesh reported that respondents with a lower level of education were found to use less contraception; the percentage was higher if the respondents received secondary or higher education (Mosiur et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Determinants of Family Planning Use Among Turkish Married Men Who Live in South East Turkey

2013

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This study assesses the determinants of family planning methods use by Turkish married men in South East Anatolia. A descriptive and cross-sectional survey research design was used among 1,352 men aged 20 to 52 years who lived in South East Turkey. A pilot-tested questionnaire was used to collect data. Descriptive statistics, chi-square, and multivariate regression analysis were used. The rate of nonusage of contraceptive methods among the participants was 60.4%. Within the nonusers, 34.9% reported a religious prohibition and 9.4% had misconceptions about family planning. Chi-square analysis determined four factors that were significantly related to the men's usage of contraception. These factors are the following: the men's age, educational level, number of existing children, and their perception of their household income level. These four factors were also subjected to multivariate regression analysis, the results of which were used to compute odds ratios for each value of each factor indicating the likelihood for using contraception by men within each group. Male-specific family planning programs can make an important contribution to the overall efforts to improve the usage of contraceptives by men. It is important to note that family planning services and education programs related to family planning should be appropriate for men.

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Perceptions of family planning among low‐income men in Western Kenya

Cited by 41 publications

References 15 publications

Relationship Characteristics and Contraceptive Use Among Couples in Urban Kenya

Relationship Characteristics and Contraceptive Use Among Couples in Urban Kenya

Attitudes, beliefs and norms relating to contraceptive use among young migrant and non-migrant adults in urban Dar es Salaam, Tanzania

Determinants of Family Planning Use Among Turkish Married Men Who Live in South East Turkey

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