Modern contraceptive use among sexually active men in Uganda: does discussion with a health worker matterReportar como inadecuado




Modern contraceptive use among sexually active men in Uganda: does discussion with a health worker matter - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Public Health

, 14:286

Global health

Abstract

BackgroundFamily planning programs have recently undergone a fundamental shift from being focused on women only to focusing on men individually, or on both partners. However, contraceptive use among married men has remained low in most high-fertility countries including Uganda. Men’s role in reproductive decision-making remains an important and neglected part of understanding fertility control both in high-income and low-income countries. This study examines whether discussion of family planning with a health worker is a critical determinant of modern contraceptive use by sexually active men, and men’s reporting of partner contraceptive use.

MethodsThe study used data from the 2011 Uganda Demographic and Health Survey comprising 2,295 men aged 15–54 years. Specifically, analyses are based on 1755 men who were sexually active 12 months prior to the study. Descriptive statistics, Pearson’s chi-square test, and logistic regression were used to identify factors that influenced modern contraceptive use among sexually active men in Uganda.

ResultsFindings indicated that discussion of family planning with a health worker OR =1.85; 95% CI: 1.29–2.66, region OR = 0.41; 95% CI: 0.21–0.77, education OR =2.13; 95% CI: 1.01–4.47, wealth index: richer OR = 2.52; 95% CI: 1.58–4.01, richest OR = 2.47; 95% CI: 1.44–4.22, surviving children OR = 2.04; 95% CI:1.16–3.59 and fertility preference OR = 3.50; 95% CI: 1.28–9.61 were most significantly associated with modern contraceptive use among men.

ConclusionsThe centrality of the role of discussion with health workers in predicting men’s participation in family planning matters may necessitate creation of opportunities for their further engagement at health facilities as well as community levels. Men’s discussion of family planning with health workers was significantly associated with modern contraceptive use. Thus, creating opportunities through which men interact with health workers, for instance during consultations, may improve contraceptive use among couples.

KeywordsMale involvement Family planning Health worker Contraception Discussion Uganda AbbreviationsFPFamily planning

DHSDemographic and health survey

MCUModern contraceptive use

UDHSUganda demographic and health survey

UBOSUganda Bureau of Statistics.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-286 contains supplementary material, which is available to authorized users.

Allen Kabagenyi, Patricia Ndugga contributed equally to this work.

Download fulltext PDF



Autor: Allen Kabagenyi - Patricia Ndugga - Stephen Ojiambo Wandera - Betty Kwagala

Fuente: https://link.springer.com/







Documentos relacionados