Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
Department of Reproductive and Family Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
BMJ Open. 2024 Apr 25;14(4):e082094. doi: 10.1136/bmjopen-2023-082094.
This study aimed to estimate the pooled prevalence of male involvement in family planning (FP) and its association with knowledge and spouse discussion in Ethiopia.
Systematic review and meta-analysis using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines.
The study was conducted by the articles searched from different databases: (PubMed, Cochrane Library, PsycINFO, HINARI and Google Scholar).
This research encompassed investigations carried out within married couples in Ethiopia, specifically focusing on studies where male involvement in FP was the primary outcome. The inclusion criteria comprised studies with an observational study design, encompassing both published and unpublished works, conducted in the English language, with no restrictions on data collection and publication year.
Following a systematic search of the articles, two independent authors assessed the quality of the studies, and data extraction was conducted using Microsoft Excel. The data analysis was performed by using STATA V.17. The overall level of male involvement in FP in Ethiopia was calculated using DerSimonian and Liard's random-effect model, with a significance level set at a p<0.05. Heterogeneity was examined using the I test, and Egger's test was employed to assess publication bias.
The pooled prevalence of male involvement in FP in Ethiopia was 59.71% (95% CI (47.68% to 71.73%)). Good knowledge regarding FP (AOR 6.63, 95% CI (2.58 to 17.03)) and spouse discussion on FP (AOR 4.36, 95% CI (2.50 to 7.59)) were significantly associated with male involvement in FP.
The prevalence of male involvement in FP in Ethiopia was low as compared with other literature conducted outside Ethiopia. Both good knowledge and spouse discussion regarding FP were significantly associated with male involvement in FP. So, the government and healthcare providers should focus on interventions that could increase their knowledge through different media. In addition, encouraging couples to have a discussion regarding FP could be a recalled intervention for healthcare providers.
本研究旨在估计埃塞俄比亚男性参与计划生育（FP）的总体流行率及其与知识和与配偶讨论的关系。
使用系统评价和荟萃分析的首选报告项目协议指南进行系统评价和荟萃分析。
该研究通过从不同数据库中搜索文章进行：（PubMed、Cochrane Library、PsycINFO、HINARI 和 Google Scholar）。
本研究涵盖了在已婚夫妇中进行的研究，特别是关注男性参与 FP 作为主要结果的研究。入选标准包括采用观察性研究设计的研究，包括已发表和未发表的作品，以英语进行，对数据收集和出版年份没有限制。
对文章进行系统搜索后，两名独立作者评估了研究的质量，并使用 Microsoft Excel 进行数据提取。使用 STATA V.17 进行数据分析。使用 DerSimonian 和 Liard 的随机效应模型计算埃塞俄比亚男性参与 FP 的总体水平，显著性水平设为 p<0.05。使用 I 检验检查异质性，并使用 Egger 检验评估发表偏倚。
埃塞俄比亚男性参与 FP 的总体流行率为 59.71%（95%CI（47.68%至 71.73%））。良好的 FP 知识（AOR 6.63，95%CI（2.58 至 17.03））和 FP 配偶讨论（AOR 4.36，95%CI（2.50 至 7.59））与男性参与 FP 显著相关。
与在埃塞俄比亚以外进行的其他文献相比，埃塞俄比亚男性参与 FP 的流行率较低。良好的 FP 知识和与 FP 有关的配偶讨论与男性参与 FP 显著相关。因此，政府和医疗保健提供者应关注通过不同媒体增加他们知识的干预措施。此外，鼓励夫妇讨论 FP 可能是医疗保健提供者的一项召回干预措施。
