Men's Perspectives on Their Role in Family Planning in Nyanza Province,Kenya |
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| Authors: | Mellissa Withers Shari L Dworkin Maricianah Onono Beryl Oyier Craig R Cohen Elizabeth A Bukusi Sara J Newmann |
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| Institution: | 1. Assistant Professor, Institute for Global Health, Keck School of Medicine, University of Southern California, Los Angeles, CA;2. Professor and Associate Dean, Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco;3. Research Officer, Beryl Oyier is Assistant Research Officer, and Elizabeth A. Bukusi is Deputy Director Research and Training, Centre for Microbiology ResearchKenya Medical Research Institute;4. Professor and Sara J. Newmann is Assistant Professor, Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of California, San Francisco |
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| Abstract: | Research has indicated that gender dynamics—and in particular men's disapproval of family planning—have had an influence on the low levels of contraceptive use in sub‐Saharan Africa. Limited evidence exists, however, on effective strategies to increase male approval. We conducted 12 focus group discussions with married men aged 20–66 (N = 106) in Kenya to explore FP perceptions. Men's disapproval of FP was associated with anxieties regarding male identity and gender roles. Men often distrusted FP information provided by their wives because they suspected infidelity or feared being viewed as “herded.” Men also feared that providers might pressure them into vasectomies or into disclosing extramarital sexual activity or HIV diagnoses to their wives. Suggested strategies include programs targeting couples jointly and FP education for men provided by male outreach workers. To encourage men's acceptance, community‐based programs directly targeting men are needed to reduce stigma and misconceptions and to increase awareness of the benefits of FP. |
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