Exposure to family planning messages and modern contraceptive use among men in urban Kenya, Nigeria, and Senegal: a cross-sectional study

Public Deposited
Analytics

Downloadable Content

Download PDF
Request Version for Screen Reader
Creator
  • Okigbo, Chinelo C
    • Affiliation: Carolina Population Center
    • Other Affiliation: Measurement, Learning & Evaluation Project
  • Speizer, Ilene
    • Affiliation: Carolina Population Center
    • Other Affiliation: Measurement, Learning & Evaluation Project
  • Corroon, Meghan
    • Affiliation: Carolina Population Center
    • Other Affiliation: Measurement, Learning & Evaluation Project
  • Gueye, Abdou
    • Other Affiliation: Measurement, Learning & Evaluation Project, IntraHealth International, Dakar, Senegal
Abstract
  • Background Family planning (FP) researchers and policy makers have often overlooked the importance of involving men in couples’ fertility choices and contraception, despite the fact that male involvement is a vital factor in sexual and reproductive health programming. This study aimed to assess whether men’s exposure to FP demand-generation activities is associated with their reported use of modern contraceptive methods. Methods We used evaluation data from the Measurement, Learning & Evaluation project for the Urban Reproductive Health Initiative (URHI) in select cities of three African countries (Kenya, Nigeria, and Senegal) collected in 2012/2013. A two-stage cluster sampling design was used to select a representative sample of men in the study sites. The sample for this study includes men aged 15–59 years who had no missing data on any of the key variables: 696 men in Kenya, 2311 in Nigeria, and 1613 in Senegal. We conducted descriptive analyses and multivariate logistic regression analyses to assess the associations of interest. All analyses were weighted to account for the study design and non-response rates using Stata version 13. Results The proportion of men who reported use of modern contraceptive methods was 58 % in Kenya, 43 % in Nigeria, and 27 % in Senegal. About 80 % were exposed to at least one URHI demand-generation activity in each country. Certain URHI demand-generation activities were significantly associated with men’s reported use of modern contraception. In Kenya, those who participated in URHI-led community events had four times higher odds of reporting use of modern methods (aOR: 3.70; p < 0.05) while in Senegal, exposure to URHI-television programs (aOR: 1.40; p < 0.05) and having heard a religious leader speak favorably about FP (aOR: 1.72; p < 0.05) were associated with modern contraceptive method use. No such associations were observed in Nigeria. Conclusion Study findings are important for informing future FP program activities that seek to engage men. Program activities should be tailored by geographic context as results from this study indicate city and country-level variations. These types of gender-comprehensive and context-specific programs are likely to be the most successful at reducing unmet need for FP.
Date of publication
DOI
Identifier
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Okigbo et al.
Journal title
  • Reproductive Health
Journal volume
  • 12
Journal issue
  • 1
Page start
  • 63
Language
  • English
Bibliographic citation
  • Reproductive Health. 2015 Jul 22;12(1):63
Publisher
  • BioMed Central

Relations

Parents:

This work has no parents.

Items

Thumbnail Title Date Uploaded Visibility Actions
file details 12978_2015_article_56.pdf 2019-05-06 Public Download
file details 12978_2015_56_moesm2_esm.docx 2019-05-06 Public Download
file details 12978_2015_56_moesm4_esm.docx 2019-05-06 Public Download
file details 12978_2015_56_moesm1_esm.docx 2019-05-06 Public Download
file details 12978_2015_56_moesm3_esm.docx 2019-05-06 Public Download