Ebeigbe P N, Igberase G O, Eigbefoh J
Department of Obstetrics and Gynaecology, Delta State University, Abraka, Delta State, Nigeria.
Ghana Med J. 2011 Sep;45(3):101-4.
Previous Nigerian studies show widespread ignorance and low acceptance of vasectomy among the male population. The objectives of this study were to determine the level of knowledge of, attitudes to, counselling pattern and acceptance of vasectomy among Nigerian Resident Gynaecologists.
A cross-sectional questionnaire based survey.
Resident Doctors attending a national update course in obstetrics and gynaecology.
Most of the doctors had good knowledge of Vasectomy. More than four-fifth of the doctors were convinced that the average Nigerian male will not accept vasectomy when indicated while more than three-fifth consider BTL a more appropriate option for permanent contraception in our setting. Forty one point three percent of the doctors will opt for vasectomy or urge their husbands to. Reasons for opposition to vasectomy were socio-cultural (21.3%), religious (13.1%) and psychological (41.0%), 24.6% had no specific reasons. While 89.4% of the doctors counselled often for BTL only 5.8% did for vasectomy.
The Doctors showed good knowledge of vasectomy but most were poorly disposed towards use of vasectomy. The findings suggest a need for effective national training programmes targeted at resident doctors to enhance their knowledge of vasectomy as well as break barriers to personal use of, and counselling for vasectomy.
尼日利亚以往的研究表明,男性人群对输精管切除术普遍缺乏了解且接受度较低。本研究的目的是确定尼日利亚住院妇科医生对输精管切除术的了解程度、态度、咨询模式及接受情况。
基于问卷调查的横断面研究。
参加全国妇产科进修课程的住院医生。
大多数医生对输精管切除术有较好的了解。超过五分之四的医生确信,普通尼日利亚男性在有指征时不会接受输精管切除术,而超过五分之三的医生认为在我们的环境中,BTL是更合适的永久避孕选择。41.3%的医生会选择输精管切除术或敦促其丈夫选择。反对输精管切除术的原因包括社会文化因素(21.3%)、宗教因素(13.1%)和心理因素(41.0%),24.6%没有具体原因。虽然89.4%的医生经常为BTL提供咨询,但只有5.8%的医生为输精管切除术提供咨询。
医生们对输精管切除术有较好的了解,但大多数人对使用输精管切除术的态度不佳。研究结果表明,需要针对住院医生开展有效的全国培训项目,以增强他们对输精管切除术的了解,并打破个人使用和咨询输精管切除术的障碍。