Abiodun Idowu Adanikin1, Nuala McGrath2, Sabu S Padmadas3. 1. Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, UK; Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria. Electronic address: a.i.adanikin@soton.ac.uk. 2. Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, UK; Primary Care and Population Studies Academic Unit, Faculty of Medicine, University of Southampton, UK. 3. Department of Social Statistics and Demography and Centre for Global Health, Population, Poverty and Policy, University of Southampton, UK.
Abstract
OBJECTIVE: Evidence from the last three Demographic and Health Surveys (DHS) in Nigeria shows slow progress in family planning (FP) uptake, despite programmatic interventions. While socioeconomic and religious barriers continue to exist, psychosocial factors such as negative contraceptive perceptions by male partners may influence both spousal FP demand and use. Therefore, this research investigates the influence of male partners' contraceptive perceptions on spousal FP demand and use. METHODS: We analysed the couple dataset from the 2013 Nigeria DHS. RESULTS: One in five men held the perception that contraceptive use is women's business whereas two in five men reported that women who use family planning may become promiscuous, especially older men, those with no formal education, Muslims and residents in rural areas and northern region. Results from regression models, controlling for relevant sociodemographic characteristics, show that men's perception that contraception is women's business did not significantly influence FP demand. However, their fear that women who use family planning may become promiscuous was associated with lower odds of FP demand (AOR: 0.86; 95% CI: 0.76-0.97) and increased the odds of traditional methods use (AOR: 1.34; 95% CI: 1.01-1.79). CONCLUSION: The findings direct the need to adopt targeted approach focusing on couples, and reorient policy and program efforts for FP counselling and behavioural changes in men.
OBJECTIVE: Evidence from the last three Demographic and Health Surveys (DHS) in Nigeria shows slow progress in family planning (FP) uptake, despite programmatic interventions. While socioeconomic and religious barriers continue to exist, psychosocial factors such as negative contraceptive perceptions by male partners may influence both spousal FP demand and use. Therefore, this research investigates the influence of male partners' contraceptive perceptions on spousal FP demand and use. METHODS: We analysed the couple dataset from the 2013 Nigeria DHS. RESULTS: One in five men held the perception that contraceptive use is women's business whereas two in five men reported that women who use family planning may become promiscuous, especially older men, those with no formal education, Muslims and residents in rural areas and northern region. Results from regression models, controlling for relevant sociodemographic characteristics, show that men's perception that contraception is women's business did not significantly influence FP demand. However, their fear that women who use family planning may become promiscuous was associated with lower odds of FP demand (AOR: 0.86; 95% CI: 0.76-0.97) and increased the odds of traditional methods use (AOR: 1.34; 95% CI: 1.01-1.79). CONCLUSION: The findings direct the need to adopt targeted approach focusing on couples, and reorient policy and program efforts for FP counselling and behavioural changes in men.
Authors: Alison B Comfort; Cynthia C Harper; Alexander C Tsai; Jessica M Perkins; James Moody; Justin Ranjalahy Rasolofomana; Cora Alperin; Margaret Schultz; Anja Noeliarivelo Ranjalahy; Ravo Heriniaina; Paul J Krezanoski Journal: BMC Public Health Date: 2021-01-25 Impact factor: 3.295
Authors: Iván Mejía-Guevara; Beniamino Cislaghi; Ann Weber; Emma Hallgren; Valerie Meausoone; Mark R Cullen; Gary L Darmstadt Journal: J Glob Health Date: 2020-06 Impact factor: 4.413