Perspectives of urban Ghanaian women on vasectomy
Tóm tắt
Advocacy for male involvement in family planning has been championed over the years after the 1994 International Conference on Population and Development (ICPD). There are a few contraceptive methods for men, and vasectomy uptake has been identified as one of the indicators of male involvement in family planning. Vasectomy also known as male sterilization is a permanent form of contraception. It is a generally safe, quick, easy, effective surgical operation with rare complications to prevent release of sperm. The study explored the vasectomy perspectives of urban Ghanaian women. A qualitative approach was used and five focus group discussions were held with women in urban Accra. The study was conducted in the five sub-metropolitan areas of the Accra Metropolitan Health Directorate from September–October 2013. Participants were adult and young adult women who are members of organized groups and unions. Data were analyzed manually after transcribing and coding and themes were sorted using thematic version 0.9. Both adult and young adult participants regarded vasectomy as an easy way for male partners to become promiscuous and cheat on them (women) because the operation renders males incapable of having a child; promiscuity could lead to the women contracting sexually transmitted infections including HIV/AIDS. They were also skeptical about vasectomy and the possibility that it could damage the sexual organs of their partners and affect their sexual relationships. The uptake of vasectomy will not benefit a new wife in case of divorce or death of a previous wife. Some women would allow their partners to undergo the procedure only if both of them will benefit health-wise and also if it would reduce the financial burden on the family. The women held mixed perceptions; both negative and positive views were shared on vasectomy uptake. The views were predominantly negative, and they regarded vasectomy as an unacceptable method of contraception. The women virtually had no reasons to encourage their partners to undergo a vasectomy. In order to increase vasectomy uptake in Ghana, innovative efforts to address the misconceptions and superstitions surrounding vasectomy should take centre stage; appropriate and targeted messaging during integrated health services delivery and social/health campaigns would be a good starting point.
Tài liệu tham khảo
Tsai T. Vasectomy an option for African men in family planning. 2012. www.prb.org/art. Accessed 3 June 2012.
Terry G, Braun V. ‘I’m committed to her and the family’: positive accounts of vasectomy among New Zealand men. J Reprod Infant Psychol. 2011;29(3):276–91.
Adongo PB, Tapsoba P, Phillip JF, Tabong PT, Stone A, Kuffour E, Esantsi SF, Akweongo P. “If you do vasectomy and come back here weak, I will divorce you: A qualitative study of community perception about vasectomy in southern Ghana. BMC International Health and Human Rights. 2014;14:16. http://www.biomedcentral.com/1472-698X/14/16. Accessed 14 Dec 2014.
Dudgeon M, Inhorn M. Gender, masculinity and reproduction: anthropological perspectives. Int J Men’s Health. 2003;2(2):31–56.
Maries Stopes Society, Pakestan: Vasectomy, Male surgical contraception, 2013 http://mariestopespk.org/services/family-planning/vasectomy. Accessed 16 June 2013.
Kenny T, Willacy H: Vasectomy (male sterilization) 2012, 4336(39). http://www.patient.co.uk/health/vasectomy-male-sterilisation. Accessed 20 June 2013.
Saoji A, Hajare S, Deoke A. Awareness and perception of vasectomy among women attending antenatal clinic at Teaching Hospital, Nagpur, India. Int J Biol Med Res. 2012;3(4):2401–4.
Akpamu U, Nwoke EO, Osifo U, Igbinovia ENS, Adisa AW. Knowledge and acceptance of ‘vasectomy as a method of contraception’ amongst literate married men in Ekpoma, Nigeria. Afr J Biomed Res. 2010;13(2):153–6.
Owusu – Asubonteng G., Dassah ET, Odoi AT, Frimpong P, Ankobea FK. Trend client profile and surgical features of vasectomy in Ghana. InformaHealthcare 2012, 7(3). http://informahealthcare.com/doi/abs/10.3109/13625187.2012.661109. Accessed 14 June 2013.
Santiso R, Bertrand JT, Pineda MA, Guerra S. Opinion on and potential demand for vasectomy in semi- rural Guatemala. Am J Public Health. 1985;75(1):73–5.
Ali SS. South Asian perspective on fertility regulation.8th postgraduate course for training in reproductive medicine and reproductive biology, Geneva Foundation for Medical Education and Research. 2012.
Bertotti AM. Gendered division of fertility work: Socio – economic predictors of female versus male sterilization. J Marriage Fam. 2013;75(1):13–25. http://onlinelibrary.wiley.com/doi. Accessed 14 June 2013.
The RESPONDS Project: Factors affecting acceptance of vasectomy in Uttar Pradesh: Insights from community-based, participatory qualitative research. RESPOND Project Brief No. 3. April. New York: The RESPONDS Project/EngenderHealth; 2011
Kols A, Lande R. Vasectomy: Reaching Out to New Users, Population Reports, Series D, No. 6. June. Baltimore: INFO Project, Johns Hopkins Bloomberg School of Public Health; 2008.
The ACQUIRE Project. ‘Get a Permanent Smile’—increasing awareness of, access to, and utilization of vasectomy services in Ghana. New York: Engender Health The ACQUIRE Project; 2005.
Accra Metropolitan Health Directorate, Family Planning Returns January - December: Annual Report 2012.
Ghana Statistical Services: Ghana Population and Housing Census Report. 2010. www.statsghana.gov.gh/nada/index.php/catalog/51. Accessed 14 June 2013.
Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive ages in Mekelle town, Tigray Region, North Ethiopia. BMC Pregnancy Childbirth. 2012;12(6).
Bunce A, Guest G, Searing H, Frajzyngier V, Riwa P, Kanama J, Achwal I. Factors affecting vasectomy acceptability in Tanzania. Int Fam Plan Perspect. 2007;33(1):13–21.
Yahya KAA. Knowledge, Attitude and Practice of husbands towards Modern Family Planning in Mukalla, Yemen. MSc. thesis, Universiti Sains Malaysia; 2007.
Vasectomy Education www.urologyclinics.com/symptoms/vasectomy/education.html. Accessed 18 Feb 2015.
Male Centre Health: Vasectomy, 2006 http://www.malehealthcentre.com/vasectomy.html. Accessed 16 June 2013.