Nte A R, Odu N, Enyindah C E
Department of Paediatrics/Child Health College of Health Sciences, University of Port Harcourt, Port Harcourt.
Niger J Clin Pract. 2009 Sep;12(3):306-10.
To assess the knowledge of mothers of under-five children brought to immunisation centres of contraceptive methods applicable by males and their perceptions of the roles of males in family planning.
This cross-sectional descriptive study involved a questionnaire interview of mothers who came to immunise their children at five public immunisation centres in Port Harcourt. Data entry and analysis employed EPI-Info version 6.
Amongst the 558 mothers interviewed, the contraceptive prevalence rate was 5.6% and 85.6% of them knew at least a family planning method for males. About 15.8% would depend on their spouses for choice of contraceptive methods and 52.7% would discontinue family planning if their spouses objected. About 33.5% of the spouses had used some form of contraception while only 22.1% of the females recognised that male involvement could impact on the acceptance rate of family planning services. Despite their knowledge of safe child spacing, about 53% of the respondents delivered within shorter intervals and had significantly more pregnancies/children that they would have had if they were in 'control' of their reproductive health decisions. The spouses, despite being significantly older, more educated, with higher level jobs, and in-charge of the reproductive health decision in the home, did not contribute to the knowledge of the women and their practices of family planning.
Despite the advantaged position of males in family matters, their roles in family planning remains largely unutilised. If the acceptance of family planning must improve, males should also be targeted by family planning programmes.
评估带五岁以下儿童前往免疫接种中心的母亲对男性适用避孕方法的了解程度及其对男性在计划生育中角色的看法。
这项横断面描述性研究通过问卷调查对在哈科特港五个公共免疫接种中心为孩子进行免疫接种的母亲进行了访谈。数据录入和分析采用EPI-Info 6版本。
在接受访谈的558名母亲中，避孕普及率为5.6%，其中85.6%的母亲至少了解一种男性计划生育方法。约15.8%的母亲会依赖配偶选择避孕方法，52.7%的母亲表示如果配偶反对，她们会停止计划生育。约33.5%的配偶使用过某种形式的避孕方法，而只有22.1%的女性认识到男性参与会影响计划生育服务的接受率。尽管受访者了解安全的生育间隔，但约53%的受访者生育间隔较短，如果她们“掌控”自己的生殖健康决策，怀孕/生育的子女数量会明显减少。配偶们虽然年龄较大、受教育程度较高、工作职位较高且负责家庭中的生殖健康决策，但对女性的计划生育知识和实践没有起到促进作用。
尽管男性在家庭事务中处于有利地位，但他们在计划生育中的作用在很大程度上未得到发挥。如果要提高计划生育的接受率，计划生育项目也应将男性作为目标对象。
