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Determinants of Male Involvement in Family Planning Services: A Case Study in the Tema Metropolis, Ghana

机译:男性参与计划生育服务的决定因素:以加纳特马都会为例

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Background: Usage of family planning services in developing countries has been found to avert unintended pregnancies, and drastically reduce maternal and child mortality. Men as the main decision-makers in most of African families have an important role to play towards acceptance of family planning methods; however, its usage still remains low. The primary ob-jective of this study was to investigate ,the factors that influence male in-volvement in family planning. Method: This was a descriptive cross-sectional study conducted within the Tema Metropolis in the Greater Accra Region of Ghana. The chosen research approach provided an oppor-tunity to interact with adult male respondents to access their perceived factors that contribute to their level of involvement in family planning programs. A stratified sampling technique was used to recruit 227 partici-pants aged (19 - 58) years using a well-structured questionnaire. Univariate, bivariate and multivariate analyses were respectively conducted to estimate frequencies, measure the level of associations and predict outcomes on selected variables outputs. Results: The study revealed that a little over two-thirds (68.72%) of the respondents disagreed that total family planning is an issue for only women. The majority (83.26%) of the respondents, said their communities accept the act of men accompanying their wives or partners for family planning services, though 36.12% of them reported that their family and friends see it strange for men to attend family planning with their wives/partners. Among the 34.4% of respondents who reported ever attending any such family planning clinic, 56.41% have attended just once. Marital status, employment status and knowledge about family planning of respondents were positively associated with male involvement in family planning (p-value < 0.05). The odds of a male involvement in family planning progressively increase in relationship to the depth of knowledge one has on family planning. However, being old (46 - 58 yrs), unmarried and self employed, significantly served as protective factors against male participation in family planning. Conclusion: In this study, the level of male involvement was low, although most men were aware of family planning in the Tema Municipal. Old age, being unmarried and self-employed were the factors that influence male involvement in family planning. Thus, there is a need for the office of the Metro Health Directorate to intensify health education on the benefits of family planning with male involvement. The family planning programs should incorporate the responsibility and role of males in the uptake of family planning service.,
机译:背景:已发现在发展中国家使用计划生育服务可以避免意外怀孕,并大大降低了孕产妇和儿童的死亡率。在大多数非洲家庭中,男人是主要的决策者,在接受计划生育方法方面可以发挥重要作用;但是,它的使用率仍然很低。这项研究的主要目的是调查影响男性参与计划生育工作的因素。方法:这是在加纳大阿克拉地区特马都会内进行的描述性横断面研究。选择的研究方法提供了与成年男性受访者互动的机会,以获取他们认为有助于他们参与计划生育计划水平的因素。使用分层抽样技术,使用结构良好的问卷调查,招募了227名年龄在(19-58)岁的参与者。分别进行了单变量,双变量和多变量分析以估计频率,测量关联水平并预测选定变量输出的结果。结果:研究显示,略超过三分之二(68.72%)的受访者不同意总体计划生育仅是女性的问题。大部分(83.26%)的受访者表示,他们的社区接受男人陪伴妻子或伴侣进行计划生育服务的行为,尽管有36.12%的受访者表示,他们的家人和朋友认为男人与他们的孩子一起参加计划生育很奇怪妻子/伴侣。在报告曾参加过任何此类计划生育诊所的34.4%的受访者中,有56.41%的人仅参加过一次。受访者的婚姻状况,就业状况和有关计划生育的知识与男性参与计划生育呈正相关(p值<0.05)。男性参与计划生育的几率与人们对计划生育的了解深度有关。但是,年龄较大(46-58岁),未婚和自雇的人明显是防止男性参与计划生育的保护因素。结论:在这项研究中,尽管大多数男性都了解特马市的计划生育,但男性参与程度较低。高龄,未婚和个体经营是影响男性参与计划生育的因素。因此,需要大都会卫生局办公室加强对男性参与的计划生育福利的健康教育。计划生育方案应将男性在计划生育服务中的责任和作用纳入其中。

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