¿If you do vasectomy and come back here weak, I will divorce you¿: a qualitative study of community perceptions about vasectomy in Southern Ghana

dc.contributor.authorAdongo, P.B.
dc.contributor.authorTapsoba, P.
dc.contributor.authorPhillips, J.F.
dc.contributor.authorTabong, P.T.N.
dc.contributor.authorStone, A.
dc.contributor.authorKuffour, E.
dc.contributor.authorEsantsi, S.F.
dc.contributor.authorAkweongo, P.
dc.date.accessioned2014-08-14T14:55:47Z
dc.date.available2014-08-14T14:55:47Z
dc.date.issued2014-05-08
dc.date.updated2014-08-14T14:55:54Z
dc.description.abstractAbstract Background Male involvement in contraceptive use is increasingly becoming a global reproductive health issue. Vasectomy is one of the two male modern contraceptive methods espoused by the National Family Planning Policy in Ghana. Despite these advocacies, there are reports of low patronage of this method in Ghana. This study adhering to RATS guidelines on qualitative research therefore explored the social and cultural factors that may be affecting the low vasectomy uptake in Southern Ghana. Methods The study was conducted in Sefwi Bibiani-Ahwiaso Bekwai (SBAB) District and Komenda-Edina-Eguafo-Abrem (KEEA) Municipal area in the Western and Central regions of Ghana respectively. Twelve Focus Group Discussions were held with both male and female community members. In-depth interviews were also carried out with Community Health Officers (CHOs), Community Health Volunteers (CHVs) and health managers at both the district and regional levels. The discussions and interviews were recorded, transcribed verbatim and analysed using Nvivo 10. Results The study revealed that vasectomy was perceived as an act against God, which was punishable either by death or answerable on judgement day. Vasectomy was also perceived to be a form of castration, which can make men weak and incapable, thereby unable to satisfy their wives sexually, leading to marital conflicts. Women were more concerned about the negative effects of vasectomy on men. Cafalgin and panacin which are locally manufactured analgesics were perceived to have contraceptive abilities and therefore used by men as an alternative to modern contraceptive methods. Conclusions Stigma and the misconceptions in the community may be accounting for the low vasectomy uptake in Ghana despite several advocacy strategies. Women were highly influential in a man's decision on vasectomy. This calls for the need to increase health education to demystify the misconceptions about vasectomy. Vasectomy-related campaign messages should target both men and women.
dc.description.versionPeer Reviewed
dc.identifier.urihttp://197.255.68.203/handle/123456789/5673
dc.language.rfc3066en
dc.rights.holderPhilip Baba Adongo et al.; licensee BioMed Central Ltd.
dc.title¿If you do vasectomy and come back here weak, I will divorce you¿: a qualitative study of community perceptions about vasectomy in Southern Ghana
dc.typeJournal Article

Files

Original bundle
Now showing 1 - 2 of 2
Loading...
Thumbnail Image
Name:
1472-698X-14-16.pdf
Size:
206.03 KB
Format:
Adobe Portable Document Format
No Thumbnail Available
Name:
1472-698X-14-16.xml
Size:
50.73 KB
Format:
Extensible Markup Language
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.82 KB
Format:
Item-specific license agreed upon to submission
Description: