Asare Ofeibea, Otupiri Easmon, Apenkwa Joana, Odotei-Adjei Rose
School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Catholic University College of Ghana, Fiapre, Ghana.
Reprod Health. 2017 Feb 8;14(1):21. doi: 10.1186/s12978-017-0286-5.
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.
自1994年国际人口与发展会议（ICPD）以来，倡导男性参与计划生育的活动在多年间一直受到大力支持。男性可用的避孕方法较少，输精管切除术的接受率已被视为男性参与计划生育的指标之一。输精管切除术，也称为男性绝育，是一种永久性避孕方式。它是一种总体安全、快速、简便、有效的外科手术，并发症罕见，可防止精子排出。本研究探讨了加纳城市女性对输精管切除术的看法。
采用定性研究方法，在阿克拉市区与女性进行了五次焦点小组讨论。该研究于2013年9月至10月在阿克拉大都会卫生局的五个次都市地区开展。参与者为成年及青年成年女性，她们是有组织的团体和工会的成员。数据在转录和编码后进行人工分析，主题使用主题版本0.9进行分类。
成年和青年成年参与者都认为输精管切除术是男性伴侣变得滥交并欺骗她们（女性）的一种简便方式，因为该手术使男性无法生育；滥交可能导致女性感染包括艾滋病毒/艾滋病在内的性传播感染。她们还对输精管切除术以及该手术可能损害伴侣性器官并影响他们的性关系表示怀疑。如果前妻离婚或去世，输精管切除术对新妻子没有好处。一些女性只有在双方都能从健康角度受益且能减轻家庭经济负担的情况下，才会允许伴侣接受该手术。
女性看法不一；对输精管切除术的接受既有负面看法也有正面看法。但负面看法占主导，她们认为输精管切除术是一种不可接受的避孕方法。女性几乎没有理由鼓励伴侣接受输精管切除术。为了提高加纳输精管切除术的接受率，应将解决围绕输精管切除术的误解和迷信的创新努力作为核心；在综合卫生服务提供和社会/健康运动期间进行适当且有针对性的宣传将是一个良好的开端。
