A STUDY ON THE KNOWLEDGE AND ACCEPTANCE ON MEN TOWARDS VASECTOMY AS A METHOD OF CONTRACEPTIVE AMONG MALE STAFF AT CENTRAL HOSPITAL, AGBOR

 

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CHAPTER ONE—————————————————————————1

INTRODUCTION————————————————————————–1

Background of study———————————————————————-1

Aim/purpose of study———————————————————————2

Statement of problem———————————————————————2

Research question————————————————————————–3

Broad objective of the study————————————————————–3

Specific objective————————————————————————–3

Scope of study / delimitation ————————————————————-3

Significance of study———————————————————————-4

Operational definition of terms———————————————————4

CHAPTER TWO

Literature review—————————————————————————5

Conceptual framework——————————————————————-11

Hypothesis ——————————————————————————–16

CHAPTER THREE

MATERIALS AND METHODS

Research design————————————————————————-17

Research site and setting—————————————————————-17

Target population ———————————————————————–18

Sample and sampling techniques——————————————————18

Instrument for data collection———————————————————-18

Validity/reliability of instrument——————————————————18

Method of data collection————————————————————–19

Procedure for data analysis————————————————————-19

Ethical consideration——————————————————————–19

Limitation of study———————————————————————-19

 

CHAPTER FOUR

RESULT———————————————————————————–21

Data analysis and interpretation———————————————————21

Testing of hypothesis———————————————————————-31

CHAPTER FIVE

DISCUSSION OF FINDINGS———————————————————-34

Discussion of findings———————————————————————34

Nursing implication————————————————————————35

Summary————————————————————————————35

Conclusion ———————————————————————————36

Recommendation—————————————————————————36

References ———————————————————————————37

Appendix ———————————————————————————-42

 

                                                      ABSTRACT

This study was on the knowledge and acceptance on men towards vasectomy as a method of contraceptive among male staff at central hospital, Agbor150 questionnaires were administered and 120 were retrieved successfully and analysed. Closed ended structured questionnaires were used to collect information from the researcher to knowledge and acceptance on men towards vasectomy as a method of contraceptive. The data analysed were incorporated in frequency tables with their percentages after which the tables were elucidated on. 70 (58.33%) said they have heard of vasectomy while 50 (41.67%) has never heard of vasectomy before, 15 (12.5%) said they have thought of choosing vasectomy as a method of contraceptive while 105 (87.5%) did not accept it, 105 (87.5%) said their religious believe was not in support of it while 15 (12.50%) did not see anything wrong with vasectomy. The hypothetical statements was tested using chi-square and a level of significance of 0.05 with a theoretical value of 55.07 which was  higher than the computed value which made the null hypothesis to be accepted . The data analyzed were compared with the empirical works for similarities and dissimilarities and reasons for dissimilarities were discussed. It was recommended that the hospital administration should organize seminar and workshop on vasectomy to enhance the knowledge of men on the acceptance of vasectomy as a method of contraceptive also the government should create more awareness on vasectomy via Mass media (Radio, Television, Newspaper).

 

CHAPTER ONE

Introduction

Background of study

Vasectomy is unique among the array of modern methods of contraception as it enables the male partner to take primary responsibility for fertility control, (Kincaid, 2006). Its availability broadens the choice of methods for family planning users and contributes to promoting male involvement in family planning, (NCPD, 2004). Furthermore, vasectomy is highly effective in preventing pregnancy independent of subsequent behavior modification by the vasectomized man and the non scalpel vasectomy procedure is convenient and safe for the client and simple to perform, (FHI, 2002). While sterilization is the most widely used family planning method worldwide, in most settings the number of women sterilized for contraceptive purposes far exceeds the number of men, (NCPD, 2004).The lowest rates of sterilization in the world are found in Africa where fewer than three percent of married women of reproductive age rely on sterilization to avoid pregnancy and male sterilization is negligible, (Ross and Frankenberg, 2003). Male attitudes are often blamed for the underutilization of vasectomy method, (Wilkinson , 2006).Frequently cited examples of attitudes which discourage the use of vasectomy include men’s lack of interest in or responsibility for avoiding pregnancy, the association of vasectomy with castration, and fear of the procedure, (FHI,2012). However, some advocates of vasectomy believe more than negative attitudes among potential male adopters underlie the low levels of use, (Liskin, Benoit, and Blackburn, 2012).

The use of vasectomy in the world varies significantly by region and country. Almost three-fourths of the 37 million couples who use vasectomy† live in Asia, with China and India alone accounting for more than two-thirds of this total, (NCPD, 2004). Four and one-half million men in the developing world outside of these two countries use vasectomy. Vasectomy use in Latin America has increased four-fold in the past 10 years.

Prevalence remains less than 1% in most of the region, with the exception of Brazil, 14 Colombia, 19 Guatemala, 7 and Mexico, 12 where programs benefited from donor support in the 1980s and early 1990s, (FHI, 2012). Vasectomy rates in almost all of Africa are 0.1% or less, although vasectomy services have been introduced within a number of Sub-Saharan African countries, such as Kenya, Ghana, Malawi, and Tanzania, (NCPD, 2004). Still, vasectomy has been adopted by at least some men in every country where it has been introduced. Vasectomy, which can be provided in a variety of primary care settings, has a potentially important role to play in helping individuals and programs meet the ever-growing family planning and reproductive health needs outlined above, especially as donor support declines and national family planning programs increasingly need to focus on cost-effective services and methods, (Ross and Frankenberg, 2003).Vasectomies, or male sterilization, are a highly underutilized method of family planning, although they are safer, simpler, less expensive and equally as effective as female sterilization. Throughout the world, vasectomies are one of the least used and least known methods of contraception.  In Asia, it is 8 times more common, while in Latin America and the Caribbean it is 15 times more common. The rates of male sterilization in sub-Saharan Africa are too low for an accurate comparison. Worldwide, approximately 43 million couples rely on vasectomy, while approximately 210 million couples rely on female sterilization as their method of family planning.