Shafi Shazia, Mohan Uday
Department of Community Medicine and Family Medicine, AIIMS, Jodhpur, Rajasthan, India.
Department of Community Medicine and Public Health, King Georges' Medical University, Lucknow, Uttar Pradesh, India.
J Family Med Prim Care. 2020 Jan 28;9(1):303-309. doi: 10.4103/jfmpc.jfmpc_779_19. eCollection 2020 Jan.
Population explosion has been India's major problem since independence. It is a major obstacle to the overall progress of the nation. Adoption of family planning methods is one of the best solutions to tackle this problem. The roots of the factors influencing family planning issues are entrenched in the socio-cultural milieu of Indian society. Uttar Pradesh is the most populated state of the country having population of 199.581 million and TFR of 3.3 (AHS 2012-2013) with high fertile trajectory. Among the family planning methods currently, male sterilization accounts for only 0.3% of all sterilizations in Uttar Pradesh (AHS 2012-2013). A strategy to promote men's involvement in effective birth control is needed to reduce the population growth. The aim of this study is: i) To access the perception of married males towards family planning. ii) To access knowledge about NSV iii) enumerate the causes for low acceptance of NSV.
A cross-sectional study was carried out. Multi-stage random sampling technique was used. In the first stage, two urban slums from each Nagar-Nigam zone was selected randomly. In the second stage, from each selected slum, a sample of 24 eligible households was selected at random to achieve the desired sample size.
Female sterilization technique was considered as the most effective family planning method by the male respondents. Socio-cultural barriers were the most important reason for the low acceptance of NSV. Educational status was found to be the most important predictor for these socio-cultural barriers.
Measures should be taken to remove misconceptions, to increase uptake of NSV.
自独立以来，人口爆炸一直是印度的主要问题。它是国家整体发展的主要障碍。采用计划生育方法是解决这一问题的最佳途径之一。影响计划生育问题的因素根源深植于印度社会的社会文化环境之中。北方邦是印度人口最多的邦，人口达1.99581亿，总生育率为3.3（2012 - 2013年全国家庭健康调查），且处于高生育态势。在目前的计划生育方法中，男性绝育在北方邦所有绝育手术中仅占0.3%（2012 - 2013年全国家庭健康调查）。需要制定一项促进男性参与有效节育的策略，以降低人口增长。本研究的目的是：i）了解已婚男性对计划生育的看法。ii）了解输精管切除术的知识。iii）列举输精管切除术接受率低的原因。
开展了一项横断面研究。采用多阶段随机抽样技术。在第一阶段，从每个市政区域随机选取两个城市贫民窟。在第二阶段，从每个选定的贫民窟中随机抽取24户符合条件的家庭，以达到所需的样本量。
男性受访者认为女性绝育技术是最有效的计划生育方法。社会文化障碍是输精管切除术接受率低的最重要原因。教育程度被发现是这些社会文化障碍的最重要预测因素。
应采取措施消除误解，提高输精管切除术的接受率。
